• 제목/요약/키워드: Nursing approach

검색결과 945건 처리시간 0.027초

한방에서의 태양병환자 간호를 위한 이론적 접근 (A Theoretical Approach to the Nursing of Tae-Yang Symptom)

  • 장혜숙;양경희;김수진
    • 기본간호학회지
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    • 제2권1호
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    • pp.45-53
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    • 1995
  • In order to nursing practice of the patient in Oriental medicine, it is suggested that the fundamental recognition of Oriental medicine should be preceded. It is, however, difficult that we comprehend Oriental medicine generally since it is different from Western medicine in the point of th symptom. We have thought that is to be carried out to select and analyze a disease by the sense of Oriental medicine for the establishment of Oriental medical nursing. So we have tried out the analysis of Tae-Yang In view of the results so far achieved, it has been suggested that Tae-Yang Symptom applies to the first step of Sanghan Yug Kyung Symptom and consists of Palsy, Sanghan, Onbyung, Dropsy, and Congestion. In the Oriental medicine, Tae-Yang Symptom is recognized to be concerned with a common cold and the respiratory, renal and hepatic diseases. In the points of Orintal medicine, it is noticed that Tae-Yang Symptom is caused by the wind and cold evil, is related to human resisting force, and is fused with each other. And the treatment of Tae-Yang Symptom is various by the cause and the pathological mechanism. In the points of Western medicine. it is difficult to comprehend that various disease germs revolving each disease are implied by identical symptom. The summary of this study are as follows ; 1. In the outer-caused diseases. so called Tae-Yang Symptom, it is an important index to the patient's resisting force and the type of a disease whether he sweats, chills and the pulse is tense or not. 2. The treatments are various according the body's resisting force and the type of symptoms; harmonizing Yung & Wee(調榮衛) to Weaknees of surface(表虛證), sudorifics flourishing of evils(表實證), and antifebriles to On-byung(溫病). 3. If Tae-Yang Symptom is not cured, it progresses to develop complications ; Dropsy(蓄水) & congestion(蓄血), the former brings about renal diseases and the latter hepatic diseses. According to the resuslts mentioned above, we have come to the conclusion that the Oriental - medical nursing must emphasis the body's sesiting force and the type of symptoms rather than the name of a disease.

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초등학교 보건교사의 직업정체성: 근거이론적 접근 (Professional Identity of Elementary School Health Teachers: A Grounded Theory Approach)

  • 권진옥;오진아;김은하;한대동
    • Child Health Nursing Research
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    • 제21권1호
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    • pp.64-73
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    • 2015
  • 목적 초등학교 보건교사의 직업정체성을 포괄적으로 이해하고 분석함으로써 보건교육에 대한 현장의 경험에 근거한 시각을 제공하고 초등학교 보건교사의 행동과 사고를 이해할 수 있는 직업정체성의 유형을 탐색하고자 하였다. 방법 눈덩이표집법에 의해 편의추출된 초등학교 보건교사 15명을 대상으로 근거이론연구방법을 이용하여 심층면담을 통한 자료의 수집과 분석을 반복적이고도 순환적으로 시행하여 개방코딩, 축코딩, 선택코딩, 도형화의 단계를 거쳤다. 결과 연구결과 15개의 범주와 35개의 하위범주, 그리고 120개의 개념이 도출되었고 핵심범주는 '간호를 베풀며 교사로 살아가기'로 나타났다. 초등학교 보건교사의 직업정체성 형성은 '보건교육중시형', '간호-교육 병행형', '간호제공위주형'의 3가지 유형으로 파악되었으며, 참여자별로 한 가지의 유형으로 파악되지 않고, 세 유형이 조금씩 혼합되어 나타났다. 결론 초등학교 보건교사의 명확한 보건업무의 해석이 필요하며, 보건교사를 지지할 수 있는 프로그램의 개발과 지원이 필요하다. 또한 초등학교 보건교사의 직업정체성 형성 과정을 둘러싼 불평등한 제도 개선 즉 성과급제도와 승진 제도에 대해서 심층적 연구가 필요하다.

재가암환자를 위한 융합적 통합지지 프로그램의 적용 효과 (The Effects of Convegenced Integration Support Program for Home-Based Cancer Patients)

  • 안미나;백명화;조미혜;김정숙;김승미;김종필;공정현
    • 융합정보논문지
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    • 제9권2호
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    • pp.65-74
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    • 2019
  • 본 논문은 재가암환자를 위한 융합적 통합지지 프로그램의 적용 및 효과를 검증하기 위한 단일군 전 후 실험설계 연구이다. 연구 대상은 J시 재가암환자 33명을 대상으로 주 3회, 10주, 총 30회기 동안 암 관련 지식 교육, 스트레스 관리, 인지 행동적 접근, 활력 충전 운동으로 구성된 융합적 통합지지 프로그램을 제공받았다. 연구 결과 재가암환자를 위한 융합적 통합지지 프로그램은 대상자의 스트레스를 감소시키고, 희망과 자아존중감을 향상시키는 효과가 있는 것으로 나타났다. 이에 본 프로그램은 재가암환자에게 적합한 융합적 통합지지 프로그램으로 사료되며 향후 각 지역 보건소나 암생존자를 위한 중재 프로그램을 수행하는 지역사회 기관으로 확대하여 대상자들이 지속적으로 프로그램에 참여할 수 있는 간호중재 전략의 모색이 필요하다고 사료된다.

에이전트기반 개방병원 간호기록시스템 설계에 관한 연구 (A Study on Design of Agent based Nursing Records System in Attending System)

  • 김경환
    • 지능정보연구
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    • 제16권2호
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    • pp.73-94
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    • 2010
  • 개방병원에 환자의 입원을 의뢰한 담당 의사들은 환자들의 상태와 제대로 된 간호서비스를 받고 있는지에 대한 정보를 간호기록을 열람함으로써 확인할 수 있다. 하지만 간호기록은 병원의 내부자료로써 외부기관에 쉽게 공개할 수 없는 자료이고 표준화가 확립되어 있지 않아 병원별로 다르게 작성되고 있어 필요한 정보를 공유하는데 많은 어려움이 따른다. 따라서 본 연구에서는 개방병원 간호기록의 작성과 공유를 지원하기 위한 시스템을 개발하고자 하였다. 본 시스템은 우선 간호기록을 실제로 작성하는 간호사의 편의성을 고려하여 간호기록항목사전을 설정하게 하고 간호사와 의사간의 지능형 에이전트를 이용한 협상으로 작성과 공개의 항목을 확정하도록 하였다. 이 모든 과정은 의료기관간의 네트워킹을 지원할 수 있도록 웹기반시스템으로 설계되었고 실제 구현을 통하여 실현가능성을 확인하였다.

아동가장의 심리적 복지에 관한 문화기술적 접근 (An Ethnographic approach to the Study of The Psychological Welfare of Teenage Heads of Family)

  • 김민정
    • 아동학회지
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    • 제17권2호
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    • pp.163-180
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    • 1996
  • Employing an ethnographic approach, this case study analyzed the psychological welfare of 2 teenage and one early-twenties heads of family. The subjects were Sun-Ju (female, age 22, seamstress), Ji-Hyun (female, age 14, junior high school student), and Seung-Hwan (male, age 16, junior high school student). This study was processed between 9 March 1996 and 11 May 1996. The results show that teenage and early-twenties heads of family have ambivalent feelings, meaning two extreme psychological conditions that are not consistent. Three types of teenage-early twenties heads of family ambivalence were caused by diverse role dimensions (e.g., nursing, supporter, beneficiary, and independent subject roles). Revision of the present welfare system, particularly the protection system For teenage-early twenties heads of family was recommended. Further research is also needed to determine various factors harmful to their psychological welfare.

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성인의 초경경험분석에 따른 국민학생을 위한 초경교육의 필요성 제기 (Analysis of Menarche Experience and Raising of Need of Menarche Education)

  • 김정은
    • 여성건강간호학회지
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    • 제1권2호
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    • pp.222-243
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    • 1995
  • The purpose of this study was to develop concrete and in-depth knowledge about menarche and to raise the need of menstrual education. The data were collected from purposively sample 34 women from twenties to forties from April 27 to October 10, 1994. Semi-structured intensive interviews were done and these qualitative data were analysed with "Ethnograph" computer program. The results of the study were as follows : 1. The experience of menarche could be classified into two main groups, which were positive and negative response to menarche. The negative experiences were to be shameful, tearful, scared of the phenomena and thought as a kind of punishment for guilt or confused menarche with other symptoms of diseases. On the contrary, the positive experiences were to be proud of physical maturity and to think that is was wonderful, miraculous and to perceive it as a warm experience. 2. The experience of menarche was influenced by various factors. They were the knowledge about menstruation, the quality and amount of informations, the time of menarche, the environmental factors, the response of significant others toward menarche. The experience of menarche could be positive or negative according to these factors. 3. The previous information sources about menstruation could be significant others, school education and mass-media. The significant others were mothers, sisters, friends and the person in charge of school sex education such as school nurses, home economics, military drill and athletics of teachers. And mass-media included sex education booklets, nursery tales, TV programs, and publicity activities of sanitary napkin companies. 4. The opinions of the subjects about the proper time of menarcheal education could be grossly classified into two groups. The first was active approach toward children when they were in elementary school. The second was passive approach which postponed the time until the child ask about it, because it would be awkward for them to discuss about the topic. 5. The participants thought that the ideal methods of menarche education would be systematic school education programs, open discussion with daughters, audio-visual teachings, or practical education in everyday life. 6. The contents of the menarche education based on the participants' opinions, would be positive details about meanings and functions of menstruation. And it would be desirable if the attitudes of the person in charge of education could be positive, open-hearted, and favorable toward menstruation.

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독일의 지역보건지원소(Sozialstation)에 대한 연구 (A Study on the Sozialstation in Germany)

  • 남윤옥
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제8권2호
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    • pp.17-24
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    • 2002
  • In the 70s, facility called 'Sozialstation' was introduced in Germany, which is a supporting organisation for a systematic and efficient integrated health and social service system for the aged. As a theoretical approach, presented here could be a foundation for space planning for the development of an integrated health and social service system for the aged in Korea, this study examines design, concept, function, operation area and origin background etc. of the 'Sozialstation' through the case studies of space program.

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'간호교육에 있어서의 학습자의 자가지도와 성인교육학적 접근' (Pearl Resendahl 'Self direction for Learners an Androgogical approach to Nursing Education')

  • 대한간호협회
    • 대한간호
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    • 제16권1호통권87호
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    • pp.39-45
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    • 1977
  • 이 Resendahl의 문헌을 읽고 나는 두 가지 면에서 모든 간호학도에게 이 글을 읽기를 강권하고 싶은 생각이 났다. 첫째는 ; 오늘날 우리가 지향하는 이상적인 간호사업을 이룩하기 위하여, 둘째는 ; 현시대와 사외가 우리에게 요구하는 건강사업을 독자적이고 지도적 입장에서 이룩하기 위한 전략에 기본적인 원리로서 교수나 학생, 또한 임상간호학자(임상간호원)가 자기가 하는 일을 원숙하게 이행해 나가기 위해서는 깊이 동감할 수 있고 귀히 참고할 만한 문헌이라고 생각하여 여기 옮겨본다. 1976년 11월 하순 어느 눈 내리는 조용한 주일 아침 탈고하다.

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자살사고를 보이는 암환자에 대한 실제적 접근 및 간호 중재 (Practical Approach and Nursing Intervention for Cancer Patients with Suicidal Idea)

  • 권신영;조성진
    • Journal of Hospice and Palliative Care
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    • 제6권1호
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    • pp.58-64
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    • 2003
  • Cancer is a life crisis which inflicts major psychological and physical trauma upon the victim. Most of the cancer patients suffer from major depression, profound frustration, and impaired social adjustment. Therefore suicidal ideation and suicidal attempt are also becoming a serious threat to cancer patients and their families. Hospice is patient-centered, and accepts the inevitability of 'death' while simultaneously being life-affirming. Even though there is no chance of physical cure, there is much scope for psychosocial and spiritual healing. Most of cancer patients who commit suicide suffer hem many mental problems. Hospice specialists must play an important role in evaluating and managing emotional or behavioral problems associated with suicidal ideatior and are also are expected to serve as informed commentators regarding suicide. It is crucial that hospice specialists define their role and develop clinical skills to intervene in suicidal event effectively. A systematic approach to suicidal cancer patients is a essential, and there is need for specific training for all hospice professionals. In this case report, the author introduced knowledge and clinical guidelines for a desirable approach to suicidal cancer patient.

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