• 대한간호
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• 제35권2호
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• pp.71-91
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• 1996

The objectives of thes study were to identify the need for equipment development in nursing, and to determine the priorities for that development. The study was descriptive study done between March 2 and May 30, 1995, in which the subjects, including 421 patients, 223 family members, and 198 nurses from neurosurgery, orthopedic, rehabilitation medicine, internal medicine and intensive care units of nine general hospitals in Seoul, completed a questionnarie developed by the research team. The questionnaire consisted of 35 open and closed questions. Data was analyzed using frequencies and percentages. The results ware summarized as follows: 1) The average age of the nurses was 27.9 years, 48% of the patients were between 20 and 40 years of age, and 17% were over 60. The average lingth of experience for the nurse subjects was four years five months with 36.9%. having over five years experience. The most frequent diagnoses of patients were spinal disc(35.9%), internal medicine disease(26.0%), cerebral vascular accident(16.6%) and spinal cord injury(10%) 2) Many of the nurses(96.4%) reported deficiencies with existing equipment and 96.5% of the nurses, but only 79.8% of the patients, nurses' time. Further, 82.3% of the nurses and 75.8% of the patients felt that the development of new equipment would lead to a decrease in the cost of nursing care. 3) Nurses felt that the greatest areas of inconvenience were patient feeding(71.7%), hygiene(71.2%), caring for a patient confined to bed(70.7%), patient clothing(67.2%), mobility transfers(63.5%) and urinary elimination(52.0%). However, patients and family members listed the following as being the most inconvenient: urinary elimination(58.7%), Hygiene(50.5), feeding(48.4%), mobility transfers(47.1%) and bed care(45.2%). 4) Generally the nurses listed more inconveniences and patients and family members listed more demands for the development of equipment. These included utensils with large handles, and regulators for tube feedings; mattresses that provide for automatic position change and massage, which have patient controlled levers and a place for bed pan insertion; automatic lifts or transfer from bed to wheelchair; equipment to facilitate washing and oral hygiene as well as equipment that will allow patients with spinal cord injuries easy access to showers; a bed pan/urinal for women that is comfortable and effective from which urine can be measured and disposed of easily; disposable dressing sets and tracheostomy care sets and a convenient way of measuring changes in wound size; a safe delivery system for oxygen, a variety of mask sizes and better control of humidity, tracheal material than at present, as well as a communication system for patients with tracheostomies; clothing that will allow access to various parts of the body for treament or assessment without patients having to remove all of their clothing; and finally a system that will allow the patient to control lighting, telephones and pagers. Priority areas for equipment development reported by the nurses were, urinary elimination(58. 7%), hygiene(50.5%), feeding(48.4%), mobility transfers(47..1%), bowel elimination(40.8%). Those reported by the patients family members were feeding(71.7%), hygiene(70.0%), bedcare(70.7%), clothing(67.2%), mobility transfers(63.6%), urinary elimination(52.9%) and bowel elimination(50.5%) Altogether, nurses, patients and family members listed the following as priorities; clothing (178), bed care(144), urinary elimination(92), environment(81), hygiene(70). Further, a health professional forum listed urinary elimination, oxygen delivery, medication delivery, mobility transfers, bed care and hygiene in that order as priority areas. From this study it can be concluded that the first need is to develop equipment that will address the problems of urinary elimination. To do (l)This nurses who are interested in equipment development should organize an equipment development team to provide a forum for discussion and production of equipment for nursing.

• Journal of Yeungnam Medical Science
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• 제5권2호
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• pp.141-150
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• 1988

1988년 1월부터 동년 2월까지 영남대학교 신입생중 본조사에 응한 3792명(남학생 : 2586명, 여학생 : 1206명)을 대상으로 Zung의 자가평가 불안척도와 자가평가 우울척도, Derogatis등이 고안한 SCL-R중 정신증척도등의 고득점자 392명(10.3%)에서 2차 조사에 응답한 신입생은 156명(69.9%), 여대생은 47명(30.1%)이었다. 이들에게 실시한 MMPI의 결과는 Lachar의 분류법을 이용하였다. 1) MMPI 결과 신경증적경향 24명(15.4%), 정신병적경향 20명(12.8%), 행동장애경향 7명(4.5%)으로 이는 전체 사례수의 약 1.4%이었다. 2) MMPI의 세부조사 결과 정서장애 8명, 불안장애 6명, 정신분열증 9명, 인격장애 3명 등으로 이들 26명은 총 신입생의 0.7%이었다. 3) 사회정신의학적 요인분석에서 자기집 가족 분위기에서 불만인 경우, 부모상호간의 친숙정도에서 불만인 경우, 나와 아버지 사이의 갈등정도에서 심각한 경우, 나와 어머니 사이의 갈등정도에서 심각한 경우 등에서 공통적으로 정신분열증 척도가 높았다. 4) 건강상태가 허약할 경우, 정신과 입원한 경험이 있는 경우, 최근 3년동안의 신체적 질환이 있는 경우 등에서 건강과 관계된 성적은 섬기증척도가 공통적으로 높았다.

• 생물환경조절학회지
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• 제30권4호
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• pp.367-376
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• 2021

우리나라 딸기 재배는 시설 재배로 이루어지고 있으며, 대부분 농가의 급액 관리는 재배자의 경험을 토대로 타이머 제어 방식으로 이루어지고 있다. 타이머 급액 방법은 재배 환경, 작물의 생육 단계, 배지 수분 함량 등을 고려하기 어려워 작물을 최적 수준으로 관리하지 못하고, 급액 관리의 정확성이 결여되는 문제점이 있다. 적산 일사량과 배지 수분함량을 이용한 급액 방법은 작물의 생육 상태에 따라 정밀하게 양액을 공급하는 친환경적인 방법이다. 본 연구는 코이어배지를 이용한 딸기 수경재배에서 적산일사량과 배지 수분함량을 이용한 복합 급액 제어와 타이머 제어 급액 방법을 비교하고 복합 급액 제어 시 최적의 적산 일사량 기준을 설정하고자 수행하였다. 적산일사량 급액 방법은 외부 일사량을 기준으로 100, 150, 250J·cm^-2에 도달하면 자동으로 급액하며 배지 수분함량이 60% 미만이면 강제 급액하고, 1회 급액량은 50mL로 공급하였다. 타이머 제어는 대조구로 설정하였다. 급액을 개시하는 적산 일사량 기준이 작을수록 일일급액량이 많았으며 100J·cm^-2 기준 급액 시 급액량은 250J·cm^-2 처리구 대비 46% 많았다. 지상부 생체중과 건물중 모두 복합 급액 제어 방법이 타이머 제어보다 높았으며, 100, 150J·cm^-2 처리구에서 지상부 생체중이 높았고 100J·cm^-2 처리구에서 건물중이 유의하게 높은 값을 나타냈다. 수량 또한 타이머 제어 방법보다 복합 제어 방법에서 유의하게 높았으며 적산 일사량 기준이 작을수록 초기 수량이 증가하였다. 평균 과중은 타이머 제어 급액 시 가장 낮았다. 본 연구 결과 딸기의 정밀 급액 관리를 위하여 적산 일사량과 배지 수분 함량 센서를 이용한 복합 제어 활용 가능성을 확인하였다.

• 대한영양사협회학술지
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• 제5권1호
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• pp.85-98
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• 1999

The purpose of this study was to find the proper methods of school food service conducted from June 20th July 30th in 1996. The subjects of this study were 587 parents of students, 794 students and 359 school teachers at 508 middle and high schools in Seoul and Kyunggi area. And the result was as follow. A total of 48.3% of respondent answered they had breakfast regularly. The reasons why they had breakfast, were habits(34.4%) followed by hunger(28.2%), health(19.9%), parent's persuasion(17.5%). They reasons why they didn't have breakfast are, lacks of time(68.8%) followed by absence of appetite(20.5%), diet(4.5%). About the question the problem of eating habits the most of parents of students, chose an unbalanced diet(25.9%), followed by overeating of snacks(21.7%), voracious eating(18.0%), not eating meals(17.5%), eating little(10%) and overeating(6.8%). At the research of an unbalanced diet, the 63.3% of respondents said they eat evenly while the 36.7% said they had an unbalanced diet. From the research of correlativity between food service at elementary schools and eating habits, we knew that the experience of school food service had an effect on an unbalanced diet. And the students living in Seoul complained more than in Kyunggi. The question about the quality of food, 69.0% of respondents said they were not so bad. While 21.2% said not delicious at all just 9.8% of students said they were very satisfied with the taste. Interestingly, more middle school students both in Kyunggi and Seoul answered the food was delicious than high school students. About the question of the price, 49.5% of students thought appropriate(49.5%) while 44.3% said it was too high. Just 5.9% students answered cheap(5.9%). And students living in Kyunggi thought the price was high than students in Seoul. 62.9% of respondents think their refectories were clean while 22.8% think not clean. And 14.3% answered said dirty. Snack bars at school were managed by the contract with trusters(63.2%), while by the school itself(32.6%).

• 대한두경부종양학회지
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• 제14권1호
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• pp.40-45
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• 1998

Backgroud and Objectives: Major salivary gland tumor is a rare disease with a largely unknown origin. And also corresponding to the diversity of histopathologic characteristics is an equally wide distribution of clinical behavior that makes treatment decisions difficult. The aim of this study is to analysis the clinical experience of our major salivary gland tumor and to suggest a guidline of management. Materials and Methods : We studied clinical manifestations and treatment results of 104 patients who were diagnosed as major salivary gland tumors. Tumor site, patient age and sex of the patients were analysed. Histopathologic diagnosis, treatment modality, lymph nodes metastasis, recurrence rate and 5-year survival rate were studied on malignant tumors. Results: 1) 48 patients were male and 56 patients were female. 2) Benign tumors were 79 cases. They consisted of 57 cases(72%) of parotid tumor, 22 cases(27%) of submandibular tumor. And pleomorphic adenoma was the most common benign tumor. 3) Malignant tumors were 25 cases and were consisted of 19 cases(76%) of parotid tumor, 4 cases(l6%) of submandibular tumor and 2 cases(8%) of sublingual gland tumor with high-grade mucoepidermoid carcinoma as the most common cause. 4) In the malignant tumors, the number of stage I, II tumors was 14 and that of stage III, IV tumors was 11. Neck node metastasis was noted in 8 cases. 5) 8 cases of malignant tumor were died and all of them had high-grade malignancy. And they were dead before 17 months from the time of diagnosis. 6) Mean survival duration in the malignant salivary gland tumor was 56 months. 7) High-grade malignancy had a 5-year survival rate of 57.9%. A 5-year survival rate of TI, T2 patients was 92.9% and that of T3, T4 patients was 36.4%. That of patients who had neck node metastasis was 37.5% and that of those who had tree neck was 82.4%. Conclusion: The results of this study suggest that the survival rate is dependent on the tumor size, lymph node matastasis and histologic grade. And also the early diagnosis and radical surgery result in the increased survival rate and are effective for prevention of the tumor recurrance.

• 대한한방부인과학회지
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• 제23권3호
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• pp.123-138
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• 2010

Purpose: The purpose of this study is to identify the real condition of urinary incontinence(UI), interstitial cystitis(IC), atrophic viginitis(AV) for elderly women and analyze the cognition of traditional korean medicine(TKM) for them. Methods: We utilized questionnaire from May to June, 2010. Questionnaires were taken from 125 women using senior welfare center and nursing home, aged over 65 up to 92. The data were analyzed by $X^2$-test using SPSS/PC ver 18.0 program. Results: The prevalences of UI, IC and AV symptoms were 50.4%, 40.8%, 56%, respectively. The average I-QoL score for UI was $82.62{\pm}21.16$, and the average ICSI score for IC was $8.16{\pm}2.50$. After adjustment for each of the variables considered in this study, alcohol was associated with UI and age, BMI(body mass index) were associated with IC. Most of respondents have no experience(94.4%) or don't know (79.2%) about TKM for UI, IC and AV. 44 women(37.3%) indicated that they weren't willing to use TKM for UI, IC and AV. Reasons for not taking TKM were because of 'no knowledge of TKM(34.1%)' and 'more accustomed to western treatment(34.1%)'. Conclusion: Although the prevalence of UI, IC, AV for elderly women was high, the actual percentage of treatment for these diseases was low, furthermore, patients were not aware of TKM and had very few experiences of TKM for these diseases. The development and increased promotion about TKM program for elderly women's urogenital diseases is needed.

• 대한간호학회지
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• 제3권2호
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• pp.111-119
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• 1973

The purpose of this study was to determine whether or not the delivery of health services effects the health knowledge of the recipients of that service. 10 was hypothesized that the practical application of theory, though health services rendered by public health nursing students during their field experiences. would have a positive relationship with the quantity and quality of health knowledge of the female population of a given community. In April 1970, ninety five women(between an age 15-49) from Koyang-Gun were interviewed regarding their knowledge and attitudes in four areas of health: maternal health, child health. family planning and tuberculosis prevention. After 11 years(Nov. l971), during which time the women received home visits by student nurses, the women were again interviewed using the original questionnaire. Additionally, they were asked where they had received information about each question. During the 1$\frac{1}{2}$ year period the visits were made by a total of 112 students. They visited the community twice a week. The result were as follows: Maternal health There was marked improvement in the knowledge of specific aspects of maternal health such as the proper instruments needed for cutting the cord and nutritional precaution of pregnancy (p<0.05). In each case 42.0 percent of more of this knowledge was attributed to information gained from the nursing students. However even after the nursing students'visits, the knowledge of other general areas of maternal remained poor. Child health There were increases in the knowledge of the respondents for the time to supplement breast feeding and for time to wean infants (p<0.05). In each case 35.0 percent or more of this information was attributed to the student. The increase in knowledge regarding types of immunization was more often attributed to the clinic nurse than to the nursing students. Knowledge of the necessity of booster immunization was poor both before and after the visits by the nursing students. Family planing There were significant increases in correct information regarding the time of I.U.D. insertion (P<0.05) and method of taking the oral pill (P<0.05). More than 42.0 percent of the increase was attributed to the nursing students'visits. However there was a slight decrease in correct information about concept of family planning. Tuberculosis There was a general lack of improvement in all areas concerned with tuberculosis. Two thirds of the respondents felt tuberculosis was hereditary and did not know what B.C.G. was. From this study, it could be concluded that in specific area the health knowledge of the female population studied was positively effected by the visits of the nursing students. The study also, suggests, however, that there was a marked unevenness in the overall increase in health knowledge. This raises serious questions which require further research. Suggested areas for further research are (1) Adequacy of the course content preparing nurses for the field experience. (2) A public health nursing manual for student reference. (3) Where and when specific aspects of health can be taught most effectively.

• Journal of Chest Surgery
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• 제40권11호
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• pp.765-769
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• 2007

배경: 농흉의 근치적 치료 방법은 흉막박피술이 우선적으로 시도된다. 그러나 근치적 치료가 힘든 고 위험군 환자의 경우는 위험성이 높다. 과거에는 만성 농흉 치료의 최종 단계로서 개방식 배농술을 선택했으나, 일차적인 근치적 치료가 힘든 경우 개방식 배농술과 근육이식술(일시적 혹은 단계적)시행 후, 최종적으로 개방창 폐쇄술을 시도함으로써 비교적 안전하게 농흉의 치료를 꾀할 수 있다. 대상 및 방법: 1995년 1월 1일부터 2004년 12월 31일까지 농흉으로 개방식 배농술을 시행한 21명의 환자를 대상으로 원인 질환과 치료 경과 및 최종 결과를 후향적으로 조사 분석하였다. 결과: 평균연령은 $57.5{\pm}15.5$세($25{\sim}78$세)였으며, 남자 16명(76.2%), 여자 5명(23.8%)이었다. 폐기능 검사결과는 평균 FEV1이 $1.58{\pm}0.49 L$였다. 농흉의 원인으로는 결핵성 농흉이 13예(61.9%), 폐국균증이 3예(14.3%), 폐렴성 농흉이 3예(14.3%), 폐절제 후 농흉이 2예(10%)이었다. 이들 중 14예에서 기관지 흉막루가 있었고, 8예에서 흉막의 석회화가 동반되어 있었다. 기관지 흉막루가 존재한 환자들 중에서 4예는 첫 수술시 전거근으로 기관지 흉막루를 덮었다. 절제된 늑골의 개수는 평균 $4{\pm}1$개였다. 12예에서 개방창 폐쇄가 가능하였으며 개방식 배농술 후 개방창 폐쇄까지 평균적으로 걸린 기간은 $10.22{\pm}3.11$개월이었고, 최종 수술 전 남아 있는 흉막강 결손의 평균은 $330{\pm}110 cc$였다. 12예 중 자연적으로 개방창 폐쇄가 이루어진 경우가 2예, 술 중 접어 두었던 피부만으로 폐쇄 가능했던 경우가 2예, 근육피판치환술 시행이 7예(광배근 4예, 대흉근 3예), 연조직 이용이 1예였다. 합병증으로는 연조직만으로 개방창폐쇄를 꾀했던 1예에서 조직 괴사가 생겨 폐쇄에 실패하였고, 복직근을 사용한 환자에서 복부 탈장이 생긴 경우가 1예 있었으며, 수술 후 30일내 사망한 예가 1예였고 다른 1예는 전이성 암으로 사망하였다. 걸론: 근치적 방법으로 치료가 힘든 경우의 만성 농흉 환자들에게 있어 개방식 배농술과 근육이식술, 근육피판을 이용한 최종적인 개방창 폐쇄술까지의 단계적인 접근 방법이 안전하고 효과적인 대안이 될 수 있을 것으로 생각한다.

• 한국산학기술학회논문지
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• 제13권2호
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• pp.710-717
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• 2012

바이러스, 세균, 곰팡이, 독소 등을 이용한 생물테러는 사회불안을 일으키고 사람들에게 치명적인 병을 일으킨다. 2001년 911테러를 겪으면서 생물테러 대비에 대한 중요성이 강조되고 있다. 따라서, 보건관련 종사자들은 이런 생물테러 발생이 있을 때 주도적인 역할을 하는 사람들이다. 본 연구의 목적은 보건관련 교수들에게 설문을 통해 생물테러 교육현황에 대해 알아보고자 하는데 있다. 보건관련 대학에서 학생들에게 생물테러 대비에 대한 교육을 실시하여 향후 언제 발생할지 모르는 생물테러에 대한 대비와 대처능력을 갖게 하는 것이 중요하다. 보건관련 대학에서 학생들에게 생물테러 대비에 대한 교육을 실시하여 향후 언제 발생할지 모르는 생물테러에 대한 대비와 대처능력을 갖게 하는 것이 중요하다. 연구는 2007년 3월 10일부터 6월 10일까지 3달간 우편설문조사로 진행되었다. 응급구조학과 23개교, 임상병리학과 25개교, 기타 보건관련학과에도 우편으로 설문을 배포하였다. 응급구조학과, 임상병리학과, 기타 보건관련 교수들의 97.6%에서 생물테러 교육 경험이 없었다고 응답하였다. 생물테러 교육의 내용으로 비상사태 및 재난의 정의와 특성, 테러 및 생물테러의 정의, 생물테러의 역사, 생물테러의 일반적 특성, 생물테러 가능병원체의 종류, 대비, 체계적 대응, 의학적 대응이다. 이상의 결과를 바탕으로 생물테러 교육과정을 개발하여 재난 대비 교육을 실시하고자 한다.

• 대한간호
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• 제32권1호
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• pp.61-76
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• 1993

This study was done in order La provide basic data to a Fee System for hospital based Home Health Care services in Korea in the future. It was done by investigating activities provided to possible Home Health Care clients who could be discharged early from genera] hospitals and then estimating the nursing care fee according to each nursing activity based upon the time used for activity. The subjects of the study were selected by convenience sampling and consisted of 35 clients who might be clients for Home Nursing Care and were presently admitted to a medical- surgical ward of Y University Medical Center located in Seoul, Korea. The data collection period was from September 1, 1991 to September 30, 1991. The research in strum nets utilized for the study were a client selection criterial for Home Health Care developed by Choo(l991) and a check-list of nursing activity developed by researcher. The results of the study were as follows : 1. There were 44 different nursing activities provided in the seven days but the time was calculated for only 25 of the nursing activities. 2. Fees for the 25 different nursing activities were calculated by multipling the median of the average wage of a staff nurse having five years experience in an A grade general hospital to the Lime of the nursing activity. The results were compared with the insurance fee which the government recognized as an appropriate fee for that activity. The nursing activities with a lower calculated fee than the insurance fee were suction, catheterization, exercise education and dressing change. The nursing activities with a higher calculated fee than the government recognized fee were 1M injection and vital sign check. 3. There was a range of 1-15 nursing activities provided daily to the client. For the average number of nursing activities per day of 6.26 events the nursing care fee was calaulated at W 6136 per day. 4. Based upon the results of the study, a recommentdation for a Home Health Care fee per visit based on the nursing activities provided could be formulated for a Home Health Care fee system. It could be formulated as following: 1) Home health Care fee per visit $=[(direct{\;} nursing{\;}fee(direct{\;}nursing{\;}care{\;}time{\;}per{\;}activity{\;}{\times}{\;}average{\;}nursing{\;}wage)+indirect fee]{\times}average$ nursing activity per visit]+management fee+ materials fee+a travel fee In this way a nursing fee could be calculated based upon the result of the study of the nursing fees per visit. 2) Nursing activity fees per visit. = $([direct nursing{\;}care{\;}fee+indirect{\;}nursing{\;}fee]{\times}average$ number of nursing activities provided per visit] (W 6, 136) + travel fee(\ 5, 542) +management fee material $fee({\alpha})\{\;}16, 436+{\alpha}$ The nursing fee per visit as calculated in this research of $\{\;}15, 0000+{\alpha}$ could be adjusted according to the patient's condition or the use of high technology nursing care or according to the amount of time spent for travel. The nursing care fee per visit presented in this study can be validated through a Home Health Care demonstration project.