• 제목/요약/키워드: Medical and Measuring Instrument

검색결과 81건 처리시간 0.022초

신장과 체중의 변화가 사구체 여과율에 미치는 영향 (A Study on How Height and Weight Affects Glomerular Filtration Rate)

  • 박아랑;최종숙;이영희;정우영
    • 핵의학기술
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    • 제23권1호
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    • pp.40-44
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    • 2019
  • 목적: $^{99m}Tc$-DTPA를 이용한 사구체 여과율 측정에서 신장(Height)과 체중(Weight)의 변동에 따른 사구체 여과율의 변화 정도를 확인하고 표준화된 신체 계측의 중요성에 대해 제고하고자 한다. 실험재료 및 방법: 서울아산병원 핵의학과에 사구체 여과율 검사를 위해 내원한 50명을 대상으로 전자의무기록(EMR)에 기록된 한 달 이내의 신체 계측 값의 변화를 조사하였고, 신장(Height)과 체중(Weight)의 변화 폭이 가장 컸던 값을 기준으로 신장(Height)과 체중(Weight)을 변화시키며 사구체 여과율을 재산출하여 그 변화를 분석하였다. 결과: 신장(Height)이 1cm 증가할 때마다 사구체 여과율은 평균 0.6%씩 감소하였고. 체중(Weight)이 1kg 증가할 때마다 사구체 여과율은 평균 1.6%씩 증가하였다. 결론: 신장(Height)과 체중(Weight)의 오류로 인한 사구체 여과율의 오류를 줄이기 위해서는 신체 계측 방법에 대한 표준화가 필요하며, 신체 계측에 영향을 줄 수 있는 변수에 대한 통제가 필요할 것으로 사료된다.

한국판 공포-회피 반응 설문지의 신뢰도와 타당도 (Reliability and Validity of the Korean Version of the Fear-Avoidance Beliefs Questionnaire)

  • 주명규;김택연;김진택;김선엽
    • 한국전문물리치료학회지
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    • 제16권2호
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    • pp.24-30
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    • 2009
  • The purpose of this study was to determine the reliability and validity of the fear-avoidance beliefs questionnaire (FABQ) in assessing Korean patients with low back pain. We performed translation and cross-cultural adaptation of the questionnaire and enrolled 52 patients (18 males and 34 females) with low back pain. The subjects completed a standardized self-administered questionnaire that included the FABQ assessment along with evaluations for the visual analogue scale (VAS), Oswestry disability index (ODI), self-rating anxiety scale (SAS), and Beck depression inventory-Korean version (K-BDI). The reliability of the obtained data was determined by evaluating the internal consistency on the basis of the intraclass correlation coefficient (ICC) and the Cronbach's alpha values, while the validity of the data was examined by correlating the FABQ scores to the VAS, ODI, SAS, and K-BDI scores. The translated versions of the FABQ showed good test-retest reliability: ICC (3, 1)=.90 (FABQ for physical activity) and .97 (FABQ for work) these values were statistically significant (p<.01). The Cronbach's alpha value for FABQ was .90 (p<.01). FABQ moderately correlated with pain, disability, anxiety, and depression (p<.01). The results of this study indicate that the Korean version of the FABQ is a reliable and valid instrument for measuring fear-avoidance beliefs in Korean patients with low back pain.

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간호사의 근무부서 이동이 직무동기, 조직몰입에 미치는 영향 (A study on the relationships among inter-department rotation. job motivation and organizational commitment of nurses)

  • 유문숙;김용순
    • 간호행정학회지
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    • 제5권2호
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    • pp.225-235
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    • 1999
  • This study was conducted to offer a basic material for effective human resource management of nurses by studying correlations among inter-department rotation, job motivation and organizational commitment. For this study 159 nurses in a medical college hospital were surveyed. Organization Assessment Instrument(Van de Ven. 1980) and Organizational Commitment Questionnaire (Mowday, 1979) were used. SPSS was used to analyze the data. The results of this study are as follows : 1. Nurses who had been rotated to other departments showed higher motivation scores than those who had not. 2. Nurses who had been rotated also indicated higher organizational commitment scores than those who had not. 3. There was significant positive correlations among nurse's age, job motivation and organizational commitment of nurses. 4. There was significant positive correlations among nurse's experience, job motivation and organizational commitment of nurses. 5. Inter-department rotation times were significant positive correlation with job motivation. 6. "The sense of achievement perceived form performing one's duty" was the most important criteria that nurses consider in measuring their job motivation. As to the criteria for inter-department rotation, some respondents stated that it is needed when "current assignments are not suited for particular individuals" and such rotations would job motivation and elevate the morale of nurses involved." Many opposed using the rotations as a "means of reprimanding individuals." In conclusion, inter-department rotation has a positve effect on the nurse's job motivation and organizational commitment, so regular inter-department rotation have to be recommended to nurses who want rotation.

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휴대용 뇨당 측정 시스템의 개발 (Development of an Portable Urine Glucose Monitoring System)

  • 박호동;이경중;윤형로
    • 대한의용생체공학회:의공학회지
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    • 제23권5호
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    • pp.397-403
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    • 2002
  • 뇨당 측정 시스템은 소변 속의 글루코오스 농도를 측정함으로서 당뇨 수치를 모니터링하는 비침습적인 당뇨병 자가 진단 장치이다. 본 논문에서는 기존의 침습형 혈당측정방법의 불편성과 비색계를 이용한 뇨당 검사법의 단점을 보완한 뇨당 측정시스템을 설계하였다. 뇨당 측정시스템은 뇨당 측정용 화학센서, 신호검출부, 디지털 제어 및 신호분석부, 디스플레이부 및 전원부로 구성된다. 뇨당측정용 센서로는 재현성이 뛰어나고 다루기가 간편하며 저렴한 가격으로 대량 생산할 수, 있는 일회용 뇨당측정용 전류화학센서를 개발하였다. 설계한 뇨당 측정시스템의 성능을 평가하기 위하여 사람의 소변에 임의의 농도의 글루코오스 성분을 섞은 용액에 대하여 글루코오스 성분 분석시 사용되는 표준장비와의 비교분석을 통해서 글루코오스 농도 검출에 대한 신뢰성 평가를 수행하였다. 회귀분석에 기초한 신뢰성 평가를 수행한 결과 표준오차는 2.85282로 나타났다. 또한, 화학센서를 사용해서 측정하는 시스템을 평가 시 중요한 파라미터인 S.D(Standard Deviation)는 10%로서 임상적으로 유효한 15% 범주 내에 있음을 확인하였고, C.V(Coefficient of Validation)값은 ,5%이내이므로 혈당센서의 기준으로 평가해 볼때 만족하는 결과를 보였다.

유방암 생존자와 정상 여성의 성적 행동 비교 (The Comparison of Sexual Behaviors in Breast Cancer Survivors with Women without Breast Cancer)

  • 박정윤;이은옥
    • 종양간호연구
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    • 제1권2호
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    • pp.180-190
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    • 2001
  • The purpose of this study is to compare the sexual behaviors of breast cancer survivors (BCS) with women without breast cancer (WWBC) and provide basic data to develop education program for patients before surgery. The study sample included 215 subjects: 140 women without breast cancer and 75 women diagnosed at least six months previously with breast cancer. Data were collected using the Wilmoth's Sexual behaviors Questionnaire-F that consisted of 50 items measuring sexually: communication, sexual techniques, sexual responses, body scare, self-touch, relationship quality, and masturbation. All items were scored on a 6-Likert scale with high scores reflecting high levels of the specific sexual behaviors. The reliability of this instrument was .91(Cronbach‘s alpha). Data were collected during the period from September 1 to September 30, 2001. The collected data were analyzed using t-test, Chi-square, ANCOVA with SPSSwin program. The scores of a sample of WWBC were compared to those of BCS and the scores of BCS were compared by type of surgery and period since surgery. The results were as follows: 1. No differences in sexual behaviors were found between BCS and WWBC, but, differences were found in communication, sexual technique, and relationship quality depending on the period since surgery. 2. Mean Score of BCS' communication in sexual behaviors was significantly lower than that of the WWBC. 3. Sexual behaviors scores of BCS with Menopause, lumpectomy, long duration since surgery showed significantly higher than that of the others. In conclusions, BCS returned to the normal sexual behaviors according to period since surgery. The program of the sexual counseling for patients before surgery should consider this result in the future.

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병원 간호사의 사건보고 불이행 경험여부에 영향을 미치는 요인 (Study on Factors Affecting Nurses' Experience of Non-Reporting Incidents)

  • 김기경;송말순;이계숙;허혜경
    • 간호행정학회지
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    • 제12권3호
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    • pp.454-463
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    • 2006
  • Purpose: This study was designed to identify the factors affecting the nurses' experience of non-reporting adverse incidents in hospital. Methods: This study is a cross-sectional, descriptive survey design and nonrandom, convenience sampling. Study subjects were 392 clinical nurses, who have agreed to be the subject of this research. The measuring instrument of attitudes toward incident reporting was developed by the authors. The questionnaire which consisted of 17 items about worry about appraisal, the belief in improvement, the intention of reporting, and knowledge was measured by 5-point Likert-type scale. The estimate of internal consistency was alpha =.84. Analysis of data was done with use of mean, t-test, ANOVA, logistic regression with SPSS program. Results: Clinical nurses had experience of reporting incident (51.3%), non-reporting incident (76.5%). Statistically, significant differences were found between experiences group and non experience group in intention on reporting, belief on improvement, and worry about appraisal. Logistic regression analysis showed that the significant predictors were caused by report no-fault cases, belief on improvement, worry about appraisal. Conclusion: The result also indicated that, to improve the incident reporting and risk management, it might be necessary to give a belief that it results on improvement and remove concern about punishment through construction of no-blame system.

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홀센서 집게형 맥진기와 심전도-용적맥파계를 이용한 한양방 융합용 환자감시장치 개발연구 (Development of Oriental-Western Fusion Patient Monitor by Using the Clip-type Pulsimeter Equipped with a Hall Sensor, the Electrocardiograph, and the Photoplethysmograph)

  • 이대희;홍유식;이상석
    • 한국자기학회지
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    • 제23권4호
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    • pp.135-143
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    • 2013
  • 요골 동맥의 중앙 부에 위치 한 "관"이란 곳에 영구자석 부착하여 맥의 움직임에 따라 발생하는 자기장의 변화를 홀센서로 정량화하여 맥진파형을 측정하는 집게형 맥진기를 개발하였다. 홀소자 맥진센서로 얻어진 전기적 신호로 심전도와 용적맥파계를 사용해 동시에 측정된 맥박수, 비침습적 혈압, 호흡수, 맥파전달속도와 공간맥파전달속도를 환자감시장치에 디스플레이하였다. 개발된 장치는 한방과 양방의 의료용 저장 매체와 새롭게 시도되거나 융합되어지고 있는 환자감시 장비 및 유비쿼터스 헬스케어 시스템 개발에 도움이 될 것이다.

자성 홀소자 맥진기와 용적맥파계의 맥진파형을 이용한 혈류속도 측정 연구 (Measurement of a Blood Velocity by using Photoplethysmograph and Radial Artery Pulse Wave Equipped with Magnetic Hall Device)

  • 장덕형;김담비;최슬기;이상석
    • 한국자기학회지
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    • 제22권4호
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    • pp.130-135
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    • 2012
  • 요골동맥의 중심인 "관" 위치에 영구자석을 붙인 후 바로 위쪽에 자성측정용 반도체 홀소자를 장착하여 전압 신호를 검출하는 하드웨어 시스템이 적용된 집게형 맥진기 시제품을 개발하였다. 집게형 맥진기와 용적맥파계를 동시 분석하는 시스템으로 20대 나이 임상참가자 40명 각각에 대한 맥진파형과 용적맥파형 두 피크값을 비교 측정한 결과 혈류속도가 평균 0.8 m/s로 기존 값과 거의 비슷하였다. 이로써 요골동맥파형-용적맥파형을 환자감시장치에서 제시하는 주요 임상의 주요값으로 적용할 수 있음을 제시하였다.

간호사 이미지에 관한 연구 (A Study on Image of the Nurse)

  • 김형자;김현옥
    • 간호행정학회지
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    • 제7권1호
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    • pp.97-110
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    • 2001
  • An image exists in the thought of every subjective person and it exercises its influence over everything, having a great power in the real world. An positive image of the nurse has an influence on her faith, value and confidence, therefore increasing her job satisfaction, helping to upgrade her level of profession of nursing through qualitative nursing service as a result, considering the necessity of such an image when it comes to improvement of the profession, the confirmation of the image is indispensable to its evaluation of a speciality in nursing. This study is intended to help that improvement of the nursing profession in the present so that the total effort in every field of nursing is made and to offer basic material for developing a strategy to improve the image of nurses. This study is designed to investigate such an image descriptively. The subjects include 105 nurses, 60 doctors, 68 office workers, 88 medical engineers, 127 patients and there protectors with a total of 448 adapted with accidental sampling, who work at Y and W general hospital in Chonju. The measuring instrument consists of 40 question, with the researcher amended and made from on of Inja Song(1993), Donsoon Lee(1995), Ilsim yang(1998), and its Cronbach's alpha coefficient is .95. Data were collected from March 1 2000 to March 20, 2000 using self-reported questionnairs, analyzed with SPSS WIN 7.5 after encoding. The results are as follows: 1. Most of the subjects thinks the nursing as a hard, stressful, always busy job(more than 75%), and consider nurses as good-looking, supportive and responsible to co-workers to above average degree($50.0{\sim}74.9%$), especially it shows the idea that nursing is independently academic job and has come to fasten itself upon the public. But it shows below the everage($25.0%{\sim}49.9%$) in regard to self development as a specialist, affection for there job, an association activity, service to the community, high intelligence level and direct given patient nursing service. It also rated low as a recommendable job, independently nursing accomplishment, social position. 2. The nurses, patients and there protectors expressed more positive opinions than doctors, medical engineers, office workers about the image of the nurse(F=18.80, p=.00). This fact indicates that the former group evaluated the image similarly contrary to lowness of the latter. 3. In the study on what influenced upon the image, it defines to 79.8% by direct contact in the hospital or acquaintance with nurses, and 16.3% by mass media. 67.3% answered that they saw the image in a new light through hospitalization, which suggests an important source for the image management originates from caring for the quality of nursing service. Considering the evaluation of the image above, we need strategies to lead a unique professional knowledge and technological development, insurance of professional self-determination, high social position, participation in group activities, dedication to lifetime job, in order that nursing comes to expand as a professional occupation. Also, as for generating more positive images, we must take the quality of nursing service into account and offer and monitor correct information about the expanded role and function of the nurse continuously so that mass media reflect a more accurate image of nurses in general.

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한국형 스켈링공포(KSF 1.0)의 측정도구 개발 및 관련요인 (Development of Measurement Scale for Korean Scaling Fear-1.0 and Related Factors)

  • 조명숙;이성국
    • 치위생과학회지
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    • 제9권3호
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    • pp.327-338
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    • 2009
  • 본 연구는 한국의 문화와 실정에 맞는 한국형 스켈링공포에 관한 측정도구를 개발하기 위해 2008년 11월 연구 대상자 720명을 대상으로 개방형 질문을 통해 문항을 수집하였고( 1차 조사), 2008년 12월과 2009년 1월에 스켈링 환자 110명을 대상으로 사전조사를 실시하여 측정도구의 영역설정 및 문항선정을 통해 1차 도구를 개발하였으며 (2차 조사), 2009년 2~3월에 연구대상자 720명에게 설문조사하여 최종적으로 4개 영역과 19개 문항을 결정함으로서 최종적으로 측정도구를 개발하였다. 문항수준 분석결과에서 결측치는 0.003%로 기준의 20%보다 낮아 양호했고, 검사-재검사 신뢰도 검중에서 상관계수가 0.92 이상으로 높았으며, 짝비교 t-검증도 조사 전후 간에 유의한 차이가 없어 신뢰도가 높았다. 문항 내적일치도 역시 전체 영역 내 상관계수 범위가 0.39~0.95로 높았으며, 항목판별타당도는 영역 간 상관계수가 0.56이하로 유의하였다. 영역수준의 분석결과 3개 영역의 평균 범위는 2.06~2.33 이었고 예상치 못한 신체반응의 공포영역은 1.29 이었다. 각 영역의 바닥치와 천장치는 각각 4.3%와 6.8%로 기준의 20% 보다 낮아 적합했고, 요인분석에서 일부 영역의 요인이 단일요인으로 묶이는 것을 제외하연, 각 영역별 문항이 동일 요인으로 묶여졌으며, 확인적 요인분석 결과에서 전반적으로 모형 합치도가 높았다. 스켈링 경험유무별 스켈링공포의 종속변수에 유의하게 영향을 미치는 연수분석에서 스켈링 경험자는 성별과 칫솔방법이 유의성이 있었고, 비 경험자는 성별, 교육수준, 칫솔방법, 그리고 일주 당 운동량 등이 유의했다. 이상으로 본 연구는 스켈링공포에 관한 측정도구를 총 4개 영역 19개 문항을 개발하였다. 향후 개발된 도구는 여러 집단을 대상으로 재평가를 받아 일반화 되어야 할 것이며, 이들 환자들에게 적용함으로서 정기적인 스켈링을 통한 구강보건향상에 기여할 것으로 판단된다.

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