• 임상간호연구
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• 제14권3호
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• pp.73-85
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• 2008

Purpose: To examine effects of application of bronchodilators after endotracheal suction on peak air way pressure (PAP), lung compliance (Cdyn), oxygen saturation ($SpO_2$), heart rate (HR), blood pressure (BP), and respiration rate (RR) in cardiac surgery patients. Method: Data were collected from October 2007 to March 2008. Participants were patients who were treated with bronchodilators through mechanical ventilators in the SICU. At each suctioning, bronchodilators were applied immediately, and at 5, 10, and 15 minutes after suctioning. Besides PAP, Cdyn, $SpO_2$, HR, BP, RR, data on the frequency of side effects were also collected at 15, 30, 60 minutes after nebulization. Data were analyzed using the SAS program. Results: For application of bronchodilator right after suctioning and after, 5, 10 and 15 minutes, PAP and Cdyn did not show any significant differences although PAP was persistently decreased for 15 to 30 minutes and Cdyn increased at 15 minutes and decreased gradually after nebulization. Besides $SpO_2$, HR, BP, and RR, frequency of side effects did not show any significant difference. Conclusion: Bronchodilators can be applied at any time. However, the positive effects of bronchodilation right after suctioning on PAP and Cdyn, as also shown in previous reports, indicate it is a more efficient clinical process to maintain an adequate airway.

• 한국간호교육학회지
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• 제18권2호
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• pp.323-331
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• 2012

Purpose: Level of meta-cognition of students has been regarded as one of the crucial factors on web-based learning. This study aimed to describe interaction type in small group discussion of the nursing graduate students and to investigate learning consequences and interaction types in group discussion on meta-cognition level. Method: Twenty six graduate nursing students attending the class on-line at the K university in Seoul were included in the study. We measured their meta-cognition level and learning attitude. We also scored their individual and group reports as well as analyzed interaction type by reviewing the dialogue of the group discussion. Results: The participants showed low frequency of exploratory interaction and high frequency of integrative interaction in the cognitive interaction category. They showed frequent modification interaction in the meta-cognitive interaction category. Interestingly, the students with lower level of meta-cognition achieved significantly greater scores in the individual assignments. High functioning group consisting of the students with high meta-cognitive level produced greater group report. Conclusion: A new strategy is needed to encourage in-depth interaction in a group discussion of nursing students. Meta-cognitive level of the students should be considered to form a small group for discussion in order to improve group activities.

• Journal of Korean Biological Nursing Science
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• 제8권1호
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• pp.61-81
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• 2006

Purpose: The purpose of this study was to examine exercise program and outcome variables of exercise intervention studies from 1985 to 2004 in 9 major nursing journals in Korea. Method: From 81 articles, publishing year, research design, subjects, exercise program and outcome variables were analyzed. Results: The 57 papers(70.4%) were experimental research among 81 papers. Subjects of exercise intervention studies were demonstrated that patients were 55.6% while healthy person was 44.4%. Exercise type by the subjects which demonstrated the highest proportion was dance movement for the elderly, walking for the middle aged women and aqua exercise for the arthritis. The 40 papers(49.4%) included exercise duration, frequency and time for the exercise program which demonstrated the highest proportion. Outcome variables to determine the effect of exercise intervention were demonstrated to be physical function, physiological index, psychological and emotional variables, cardiopulmonary function, body composition, physical symptoms, variables related to exercise and behavior in order. Conclusion: Half of the exercise intervention papers included exercise duration, frequency, time and intensity for the exercise program. Frequently used outcome variables to determine the effect of exercise intervention were demonstrated to be physical function, physiological index and psychological emotional variables.

• 대한간호학회지
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• 제51권6호
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• pp.758-768
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• 2021

Purpose: This study aimed to conduct a job analysis of nurse carecoordinators and to identify the frequency, importance and difficulty of each task of their job. Methods: A committee for developing a curriculum (DACUM) was formed and members of the committee defined nurse care coordinators' jobs and enumerated the duties, tasks and task elements by applying the DACUM technique. Then nurse care coordinators enrolled in the pilot project evaluated the frequency, importance and difficulty of each task. Results: From the job descriptions of nurse care coordinators, we identified 12 duties and 42 tasks. Each task comprised 1~5 task elements. Among tasks, 'assess the patient's general health status' was carried out most frequently. Nurse care coordinators perceived that 'check vital signs' and 'strengthen patient competence to promote health behaviors' were more important than all other tasks. The most difficult task was 'develop professionalism as a nurse care coordinator'. Conclusion: The nurse care coordinators' roles developed in this study will serve as the key guidelines for human resource management of care coordinators. Further, job specifications for nurse care coordinators need to be developed, which is necessary for designing education and training programs. We also need to integrate primary health care as an essential component in nursing education.

• 한국농촌간호학회지
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• 제5권2호
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• pp.92-101
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• 2010

Purpose: This study was conducted to develop a self-efficacy promotion program and to identify the effects of the program on degree of urinary incontinence, self-efficacy and quality of life in women with urinary incontinence. Method: The study used a pre-experimental design. Twenty participants were recruited from a nursing home located in Gwangju City and included residents, employees, and volunteer workers with urinary incontinence. Participants were surveyed from September 21 to November 2, 2005. The program treatment was provided to participants once a week for 6 weeks. Results: Frequency, amount, and situation scores for urinary incontinence, maximum and mean vaginal constriction pressure, vaginal constriction time, and nocturnal frequency were significantly improved after participating in the program (p<0.05). However, there was no significant pre- and posttest difference in frequency of daily urination (p=0.097). The degree of self-efficacy and quality of life for participants in the self-efficacy promotion program at posttest were significantly higher compared to the pretest scores (p<0.05). Conclusions: The results of the study indicate that a self-efficacy promotion program can be implemented for women with urinary incontinence in community health centers or nursing homes in order to reduce their incontinence symptoms, and increase self-efficacy and quality of life.

• Asian-Australasian Journal of Animal Sciences
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• 제22권11호
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• pp.1540-1546
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• 2009

One hundred and forty-four piglets with an average birth weight of 1,672${\pm}$13.4 g were used to evaluate different feeding strategies for piglets reared from birth on a dummy sow. A 3${\times}$2 factorial experiment compared three nursing frequencies (1, 3 or 6 h intervals) and two feeding regimes (milk only, or milk combined with access to creep feed and water). The piglets which were nursed at one hour intervals had the lightest body weights at all days, and the poorest combined milk and creep feed dry matter conversion efficiency to piglet body weight gain in the second week. Piglets which were nursed at 3 h intervals had the heaviest body weight at day 15 and 22, but those nursed at 6 h intervals achieved similar body weight by days 29 (milk withdrawal) and 36. Piglets offered creep feed were observed to wean themselves before cessation of milk availability, and the timing of this self-weaning depended on the nursing frequency. The piglets nursed at one hour intervals weaned themselves between day 22 and day 29, those nursed at 3 h intervals weaned themselves between day 15 and day 22, whilst those nursed at 6 h intervals weaned themselves between day 8 and day 15. The piglets which were nursed at 6 h intervals had the highest total dry matter intake in weeks 3 and 4 when fed with milk, creep feed and water but not when fed milk only. They consequently had the poorest dry matter conversion efficiency in the fourth week and overall when fed with milk, creep feed and water, but not when fed milk only. It is concluded that the optimal management routine under these conditions is a 3 h nursing cycle with provision of supplementary creep feed and water.

• 디지털융복합연구
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• 제11권4호
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• pp.293-302
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• 2013

본 연구의 대상은 M시 소재 일개 간호 대학생 305명을 편의 표집하여 구조화된 설문지를 통해 자료를 수집하였고 자료는 SPSS/WIN 18.0 프로그램을 이용하여 t-test, ANOVA, Bonferroni 사후검정을 실시하였으며 각 변수 간의 관계를 분석하기 위해 Pearson's correlation coefficient를 산출하였다. 그리고 생활스트레스에 영향을 주는 요인은 Multiple regression analysis로 분석하였다. 연구결과, 엄마와 주로 의사소통을 하고 있으며 대화시간은 의사소통이 개방적이고 자아분화 수준을 높이기 위해서는 30분 이상의 시간이 필요하며 장래 직업과 연결되는 전공을 스스로 선택하는 것이 스트레스를 적게 경험하는 것임을 알 수 있었다. 생활스트레스 경험빈도에 영향을 주는 요인으로 생활스트레스 중요도, 자아분화, 자아존중감의 순서로 설명력이 나타나고 있다. 요약하면 청소년기 전반에 걸쳐 자아분화와 자아존중감 수준을 향상시킨다면 스트레스가 감소되며 긍정적인 대학생활을 할 수 있으리라 생각한다. 스트레스 조절을 위한 관리와 자아분화와 자아존중감 수준이 향상될 수 있는 적절한 간호중재의 적용이 필요하며 그 효과를 파악하는 연구의 필요성을 제언한다.

• 지역사회간호학회지
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• 제8권2호
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• pp.178-196
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• 1997

The purpose of this study is to identify the kind, the frequency, and the type of Stress Management Program(SMPs) throughout life-span used foreign, recent research. The period of this study was from July 1 to Dec. 10, 1997. The data were collected through Medline using two concepts: stress management programs and life-span. The number of these research were 106 and thirty-one experimental researches that were tested the effectiveness of SMPs throughout life span were selected. The data were analysed by the kind, frequency, and life-span. The results were as follows: 1. The kind and frequency of SMP : The total number of the kind of SMP were twenty-two. The most used SMP was relaxation therapy, 22 out of 31. The second biofeedback was 10, the third, cognitive behavior program was 9, the fourth, nutrition and diet, and education were 7. The others were coping skill(4), cognitive therapy(4), breathing(4), imagery(3), autogenic training(3), sleep and rest(2), meditation(2), information(2), desensitization(2), hypnosis(2), behavior therapy(1), time management (1), visualization(I), yoga(I), diversion(1), and problem solving skill. 2. Throughout life-span: Most SMPs were applied to adolescents, young adults, and middle-adults. Other subjects could not be found under the schooler. 3. The type of SMPs : 28(90.3%) out of 31 research used combined-SMP : two-combined SMP, 5: three-combined SMP, twelve: four-combined SMP, seven: five-combined SMP. 4. Afterward, further study such as meta-analysis are needed in order to identify effective ness of the SMPs.

• 기본간호학회지
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• 제4권2호
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• pp.229-243
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• 1997

Especially in NICU(Neonatal Intensive Care Unit), handwashing is an important factor in decresing nosocomial infections due to reduced immunity, prematurity and various invasive procedures. The purpose of this study was to investigate the basic characteristics related to handwashing by NICU nurses. It was composed of three parts ; questionnaire survey I (genoral characteristics of handwashing), questionnaire survey II(the awareness degree of handwashing importance) and actual performance. This study was performed from Oct. 8 to 14 in 1994. The results of this study were as follows ; 1. Frequency of handwashing were different by shift of working about 47.1% of the respondents. They were washing most frequently during day-shift about 75% of above. According to self evaluation to handwashing frequency, 64.7% of the respondents said their frequency of handwashing was inadequate, because of being too busy.(45.1%), bothering caused by detergent or disinfectant(17.6%), and too far from handwashing facilities(17.6%). 2. The most common handwashing agent was soap(88.2%), 52.9% of the subjects experienced adverse effects after handwashing ; rough hand(44.5%), dryness(33.3%) All subjects washed their hands with running water, and 70.6% of the subjects washed upto wrist. In duration of handwashing, 52.9% of subjects washed hands 5 to 10 seconds, 29.5% of them did 11 to 15 seconds. 3. 29.4% among subjects had participated to take in the handwashing educational program. About 60% responded they would like to take the course of handwashing if possible. 4. The important nursing activities that need handwashing were chaning of caring ostomy, suctioning, chaning IV dressing site. On the other hand, they responded handwashing was not essential before dealing with omitus, before and after transfering machine, before chaning diaper(stool) 5. Handwashing performance was 61.7%. Among seven nursing activities, suctioning(73.4%) was the highest, the next was dealing with discharge or sampling(71.1%), the lowest was bathing(34.6%). The performance was better after(70.2%) nursing activities that before(52.5%), and day(63.6%) or evening(68.3%) shift than night(56.7%)

• 기본간호학회지
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• 제16권1호
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• pp.73-82
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• 2009

Purpose: The purpose of this study was to identify the relationships among distress from drinking, alcohol abstinence self-efficacy and outcome expectancy in youths. Method: The participants in this study were 174 university students who were enrolled by convenience sampling. The data were collected from March to August, 2005. Descriptive statistics and Pearson's correlation coefficients with SPSS 12.0 were used to analyze the data. Results: There were significant differences in the physical distress from drinking according to gender, age, residence, drinking frequency and drinking capacity. There were significant differences in alcohol abstinence self-efficacy by drinking frequency and drinking capacity. There were significant differences in drinking outcome expectancy according to gender, drinking frequency and drinking capacity. The physical distress from drinking showed a significant positive correlation with alcohol abstinence self-efficacy (r=.312, p=.000) and negative correlation with drinking outcome expectancy (r=-.353, p=.000). Alcohol abstinence self-efficacy showed a significant negative correlation with drinking outcome expectancy (r=-.387, p=.000). Conclusion: There were relationships among physical distress from drinking, alcohol abstinence self-efficacy, and drinking outcome expectancy. These findings provide the basis to prevent problems of drinking by developing alcohol control program for university students.