• 대한간호학회지
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• 제42권7호
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• pp.965-973
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• 2012

Purpose: The purpose of this study was to evaluate a self-care program for elders with osteoarthritis managed by primary health care workers, Community Health Practitioners (CHPs), in rural Korea. Methods: The self-care program, consisting of 7 areas, was evaluated with a randomized experimental study for patients over age 60 with osteoarthritis in which 150 participants in the experimental group and 140 in the control group were compared. The self-care program was implemented for six weeks, 2 hours per week, at community health posts by CHPs. Data were collected using an interview questionnaire given by the CHPs and laboratory tests before and after the intervention for both groups. Propensity score matching analysis was done to test effectiveness after controlling for confounding variables. Results: The intervention group showed a significant decrease in the number of painful joints (p<.001) and a significant increase in self-care ability (p<.05) compared to the control group. Conclusion: Study results indicate that training and utilizing primary health care workers in rural areas is valuable in increasing the generalization and continuity of intervention programs. As arthritis should be managed life-long, CHP directed self-care programs are useful interventions for rural elders with arthritis to learn self-care management.

• 성인간호학회지
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• 제12권4호
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• pp.727-740
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• 2000

It is well recognized that case management is required to survive in the rapidly changing medical environment. One of the case management is the critical pathway(CP) which is assumed to increase the quality of care and at the same time to decrease the length of stay in hospital. The purpose of the study was to develop a CP for the management of patients with postero-lateral fusion for lumbar spinal stenosis. Through review of literature and medical records of patients with spinal stenosis, a pilot CP was designed, including 8 different care components such as medication, laboratory tests, assessment etc., from one day before surgery to 6 days of postoperative care. Every item of the pilot CP was evaluated by a panel of experts to test the content validity. The items not agreed on by more than 4 out of 6 experts were deleted or modified to be integrated in the CP. To apply the modified CP to a clinical environment, the items reflecting treatment, medication and lab work were entered into an order communication system(OCS), and doctors and nurses were taught to use the CP. Finally, the development of CP for the patients with posterolateral lumbar fusion was completed after the application and variance analysis of the CP.

• 기본간호학회지
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• 제5권1호
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• pp.143-154
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• 1998

Background : There have been very few studies conducted on the number and type of microorganisms that remain on the ring finger after handwashing. This study was performed to investigate whether there were changes and differences in the type and number of microorganisms on the ring finger before and after handwashing. Method : The subjects of the study were 15 MICU and SICU staff nurses who were wearing rings. I swabbed two different fingers of the same hand with cotton balls. One finger which had a ring and the other with no ring. I swabbed the fingers of each subject three times(before handwashing, after handwashing with soap, and after handwashing with bethadine solution). After storing them for 48 hours in an incubator, I sent them to the laboratory and recorded the culture results. Results : There was no difference in the type of microorganism, but a major difference in the number of the microorganisms that existed on the finger ring. The results showed that there were much more microorganisms on the ring fingers than on the fingers that did not have rings both before and after handwashing. This tendency was consistent regardless of the handwashing agent. I therefore recommend that all nursing staff who work in general nursing units, as well as nurses who work in the ICU, remove their rings when taking care of the patients.

• 기본간호학회지
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• 제16권3호
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• pp.290-299
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• 2009

Purpose: The objectives of this study were to determine the prevalence, incidence, duration and risk factors for delirium following liver transplantation while the patients were in the acute stage and admitted to the intensive care unit. Method: A retrospective chart review of 106 patients who had liver transplantation was conducted. A delirium risk factor checklist was used, to collect preoperative and postoperative data. Descriptive analysis, t-test, x2-test, and logistic regression analyses were used for data analysis. Results: The post-transplantation incidence of delirium was 29.3% (n=31). Multivariate analysis revealed that risk factors were preoperative conditions in the patients including spontaneous bacterial peritonitis, hepatorenal syndrome, and postoperative laboratory test results, such as hyperbilirubinemia. Conclusion: Therefore, a daily delirium risk factor assessment should be conducted before liver transplantation as a way to identify risk of delirium after the liver transplantation and to effectively manage delirium when it occurs.

• 임상간호연구
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• 제17권3호
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• pp.399-410
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• 2011

Purpose: This study was conducted to investigate the incidence of blood hemolysis and repeated blood sampling and to identify factors contributing to hemolysis and repeated blood sampling in the emergency department. Methods: A cross-sectional descriptive design was used. Participants were the patients who came to emergency department and are required a blood sampling for electrolyte level. All blood samples were collected by emergency department nurses and determined for hemolysis by experienced laboratory technologists. Data were analyzed using $x^2$-test, Fisher's exact test, Mann-Whitney u test and Binary Logistic Regression to determine significant differences. Results: A total of 402 valid samples were collected. Of these, 30 blood samples (7.5%) were found to be hemolyzed and 9 (2.2%) to be recollected. Statistically significant factors affecting on hemolysis and repeated blood sampling included the time of bloods sampling (night), the time of tourniquet application, and too-fast blood draw into the test tube. Conclusion: We recommend that nurses who take the blood sampling to consider the findings of the study and take the related factors into account as they set up the standardized care protocol in order for nursing quality improvement.

• 대한임상검사과학회지
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• 제56권3호
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• pp.265-272
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• 2024

본 연구는 간호보건계열 대학생과 비보건계열 대학생들의 의료용 방사선과 방사선 조사식품에 대한 지식과 인식을 조사하여 방사선 이용에 대한 적절한 교육 프로그램을 개발하고 홍보하는데 기초자료를 제공하고자 한다. 의료용 방사선에 대한 지식도는 25세 이상이 3.00점으로 가장 높았고 임상병리학과가 3.0점으로 가장 높았다. 의료용 방사선의 위험성에 대한 인식도는 여자(3.34점)가 가장 높았고 간호보건계열 학과(3.40점)에서 가장 높았으며 3학년(3.41점)이 가장 높게 나타났다. 의료용 방사선의 편익에 대한 인식도는 남자(3.90점)가 가장 높았다. 방사선 조사식품에 관한 인식과 안전성에 관한 인식은 모든 학과에서 낮았다. 방사선조사식품에 관한 교육의 필요성과 방사선조사식품에 관한 정보제공 의사는 높았다. 결론적으로 대학생들에게 의료방사선에 대한 정확한 지식과 방사선조사식품의 안전에 대한 인식 개선을 위해 구체적인 홍보활동과 교육 프로그램 개발이 필요할 것으로 생각된다.

• 디지털융복합연구
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• 제17권11호
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• pp.409-417
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• 2019

본 연구의 목적은 전문직 간 환자안전 교육프로그램이 간호학과, 임상병리학과 및 물리치료학과 학생들의 임상실습에서 환자안전에 관한 지식, 태도 및 수행자신감 등에 미치는 영향을 파악하고자 실시되었다. 연구 참여에 동의한 학생을 대상으로 6주동안 매주 90분간 강의 및 그룹 토의 교육을 진행하였다. 교육 전과 임상실습 후 실시한 설문조사 및 인터뷰에서 학생들의 환자안전에 관한 지식에 관한 정답률이 높아졌고 수행자신감은 유의하게 향상됨을 보였으나, 태도에는 변화가 없었다. 인터뷰를 통해 환자안전에 대한 인식이 높아지고 타 분야와의 협력의 중요성을 느꼈음을 나타냈다. 졸업 후 임상현장에서 환자안전에 대한 올바른 지식, 태도 등과 함께 타 직종과의 원활한 의사소통에 기반한 협력을 위한 역량증진을 위해 전문직 간 교육프로그램 수립이 필요하다.

• 대한간호학회지
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• 제27권1호
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• pp.201-211
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• 1997

This study was an evaluation study of AIDS education program. The purpose of this study was to clarify the education effects on AIDS for health care workers to develop a better next education program. This study was done by self reporting with a 67 items of structured questionnaire by 431 health care workers included doctors, nurses, laboratory technicians, and health educators. Data were collected at the time of completion of each AIDS education with the help of education program manager. Both the AIDS related knowledge score and the acceptance attitudes score were significantly higher in the male group, in the medical institution employer group, in the group who have met the HIV infected person, who has known the HIV positive person, and the group of laboratory technician, but the AIDS prevention intention score was statistically higher in the group of female and laboratory technician group. The post education scores of AIDS related knowledge. acceptance attitudes, and preventive intention were statistically higher than those of the preeducation. The most increased item among AIDS prevention intention list was 'I will provide the meeting between the HIV infected persons and the public (+21.9%)'. But even the decreased item among AIDS prevention intention list was 'I will advice to female not to have extra marital sexual contact to avoid AIDS(-3.1%)'. It could be concluded that the health care workers were ignorant of vertical transmission of AIDS, they were afraid of disclosing the infection status, and have less AIDS prevention intention. Therefore it is needed to take an assessment process before each new education trategy to increase AIDS related the effect of the education on AIDS.

• 대한임상검사과학회지
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• 제48권3호
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• pp.183-187
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• 2016

본 연구는 국가자료인 2012년도 국민건강영양조사 자료를 이용하여 20세 이상 성인(n=4,948)에서 뇨 중 microalbumin과 맥압(Pulse pressure, PP)의 관련성을 평가하고자 실시하였다. 연구결과에서 연령, 성별, 흡연습관, 음주습관, 운동습관, WM, BMI, TC, TG, HDL-C, FBG, BUN, creatinine, 및 요 중 creatinine 등을 보정하였을 때, 뇨 중 microalbumin평균값에서, High PP (PP>60.0 mmHg) [$33.02{\pm}4.93{\mu}g/mL$ (95% confidence interval (CI), 23.37~42.68)]가 Normal PP ($PP{\leq}60.0mmHg$) [$22.57{\pm}1.63{\mu}g/mL$ (95% CI, 19.36~25.77)]에 비하여 유의하게 높았다(p=0.047). 결론적으로 대한민국 성인에서 PP의 증가는 뇨 중 microalbumin의 증가와 유의한 관련성이 있었다.

• Molecules and Cells
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• 제39권8호
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• pp.603-610
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• 2016

Recently, an increasing number of studies have focused on the effects of CD4+ T cell on cognitive function. However, the changes of Th2 cytokines in restricted CD4+ T cell receptor (TCR) repertoire model and their effects on the adult hippocampal neurogenesis and memory are not fully understood. Here, we investigated whether and how the mice with restricted CD4+ repertoire TCR exhibit learning and memory impairment by using OT-II mice. OT-II mice showed decreased adult neurogenesis in hippocampus and short- and long- term memory impairment. Moreover, Th2 cytokines in OT-II mice are significantly increased in peripheral organs and IL-4 is significantly increased in brain. Finally, IL-4 treatment significantly inhibited the proliferation of cultured adult rat hippocampal neural stem cells. Taken together, abnormal level of Th2 cytokines can lead memory dysfunction via impaired adult neurogenesis in OT-II transgenic.