• Child Health Nursing Research
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• 제30권1호
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• pp.17-30
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• 2024

Purpose: This pilot study aimed to assess the feasibility, preliminary efficacy, and effects of a mobile app healthcare coaching program developed based on self-regulation theory among youths with type 1 diabetes. Methods: A mixed-method design was utilized. Participants were randomly assigned into intervention (n=23, 12-week coaching program) or control groups (n=16, usual care). Pre- and post-intervention assessments included self-efficacy, diabetes management behavior, and health outcomes (quality of life, depression, and HbA1c). Quantitative data were analyzed with SPSS/WIN ver. 26.0. The narrative information from the participants in the healthcare coaching program underwent content analyzed. Results: The intervention group had significantly lower depression scores (t=2.57, p=.014) than the control group. No significant differences were observed in self-efficacy, diabetes management behavior, and health outcomes between the two groups. The average frequency of health behavior monitoring per week among the participants was 1.86±1.60. The qualitative findings indicated that participants perceived improved diabetes self-management with the intervention; however, challenges during vacations, dietary control difficulties, and a lack of disease awareness were identified. Conclusion: The healthcare coaching program improved psychological aspects for youth with type 1 diabetes. Further research is needed to develop and implement mobile app interventions aimed at enhancing compliance with diabetes management in pediatric and adolescent populations.

• 대한간호학회지
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• 제20권1호
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• pp.16-37
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• 1990

A cost analysis for hospitalized patients was carried out based upon Patient Classification System(PCS) in order to determine an appropriate nursing fee. The data were collected from 21 nursing units of three teaching hospitals from April 1 to June 30, 1989. first, all of the 22,056 inpatients were classified into mildly ill(Class Ⅰ), moderately ill(Class Ⅱ), acutely ill(Class Ⅲ), and critically ill(Class Ⅳ) by the PCS which had been carefully developed to be suitable for the Korean nursing units. Second. PCS cost accounting was applied to the above data. The distribution of inpatients, nursing costs, and nursing productivity were as follows : 1) Patient distribution ranged from 45% to class Ⅰ, 36% to class Ⅱ, 15% to class Ⅲ, and 4% to class Ⅳ, the proportion of class Ⅳ in ‘H’ Hospital was greater than that of the other two hospitals. 2) The proportion of Class Ⅲ and Ⅳ in the medical nursing units was greater than that of surgical nursing units. 3) The number of inpatients was greatest on Tuesdays, and least on Sundays. 4) The average nursing cost per hour was W 3,164 for ‘S’ hospital, W 3,511 for ‘H’ hospital and W 4,824 for ‘K’ hospital. The average nursing cost per patient per day was W 14,126 for ‘S’ Hospital, W 15,842 for ‘H’ hospital and W 21,525 for ‘K’ hospital. 5) The average nursing cost calculated by the PCS was W 13,232 for class Ⅰ, W 18,478 for class Ⅱ, W 23,000 for class Ⅲ, and W 25,469 for class Ⅳ. 6) The average nursing cost for the medical and surgical nursing units was W 13,180 and W 13,303 respetively for class Ⅰ, W 18,248 and W 18,707 for class Ⅱ, W 22,303 and W 23,696 for class Ⅲ, and W 24,331 and W 26,606 for class Ⅳ. 7) The nursing costs were composed of 85% for wages and fringe benefits, 3% for material supplies and 12% for overhead. The proportion of wages and fringe benefits among the three Hospitals ranged from 75%, 92% and 98% for the ‘S’, ‘H’, ‘K’ hospitals respectively These findings explain why the average nursing cost of ‘K’ hospital was higher than the others. 8) According to a multi- regression analysis, wages and fringe benefits, material supplies, and overhead had an equal influence on determining the nursing cost while the nursing hours had less influence. 9) The productivity of the medical nursing units were higher than the surgical nursing units, productivity of the D(TS) - nursing units was the lowest while the K(Med) - nursing unit was the highest in 'S' hospital. In ‘H’ hospital, productivity was related to the number of inpatients rather than to the characteristics of the nursing units. The ‘K’ hospital showed the same trend as ‘S’ hospital, that the productivity of the medical nursing unit was higher than the surgical nursing unit. The productivity of ‘S’ hospital was evaluated the highest followed by ‘H’ hospital and ‘K’ hospital. Future research on nursing costs should be extended to the other special nursing areas such as pediatric and psychiatric nursing units, and to ICU or operating rooms. Further, the PCS tool should be carefully evaluated for its appropriateness to all levels of institutions(primary, secondary, tertiary). This study took account only of the quantity of nursing services when developing the PCS tool for evaluating the productivity of nursing units. Future research should also consider the quality of nursing services including the appropriateness of nursing activities.

• 대한간호학회지
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• 제24권4호
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• pp.529-544
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• 1994

For most parents their child's illness and hospitalization is strssful. Internal stress and over anxiousness leads to uncertainty. Parents have a variety of ways of coping when faced with such stress factors, especialy when the child has cancer. The purpose of this study was to examine the relationship between uncertainty in illness and mastery and coping styles in parents of pediatric cancer patients, and further to identify differences between three groups of subjects. A cross-sectional descriptive correlational design was used in this study to investigate the relationship among the three groups. The sample was composed of 59 parents of children with cancer in pediatric wards in three hospitals in Seoul : 21 in Group 4 with a child newly diagnosed with cancer : 25 in Group B, with a child under treatment and rehospitalized with a relapse : and 13 in Group C, with a child with a terminal cancer, A formalized questionnaire which included demegrapic information and consisted of 75 items was used in this study ; The Parent Perception of Uncertainty Scale(PPUS) adapted form Mishel’s Uncertainty in Illness Scale, Pearlin & Schooler's Mastery Scale(MS) and Folkman & Lazarus’s Ways of Coping Checklist(WCC) were used to measure the variables : uncertainty in illness, mastery, and coping styles. A pretest was conducted on the questionnaire items for reliability. The results gathered were analyzed using SPSS /PC/sup +/. Data analysis included descriptive correltional statistics such as ANOVA, Pearson Correlation Coefficient, amd chi square test. The conclusions of this analysis are summarized as follows : 1. A higher level of uncertainty was seen among parents of children with terminal cancer. 2. The first hypothesis that uncertainty in illness would differ among the three groups was supported(F=4.182, P=.020). The second and third hypotheses that mastery and coping styles would differ among the three groups were not supported. There was a correlation between uncertainty, mastery, and coping styles which was positive, also there was a positive correlation between mastery and coping style(r=.3744, P<.001) but a negative correlation between uncertainty md mastery(r=-.4749, P<.01). From the above results, it can be concluded that prediciting and controlling uncertainty in illness by considering coping styles and mastery are necessary for improved, efficient nursing interventions.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제25권1호
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• pp.70-78
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• 2022

Purpose: Cholestasis resulting from cytomegalovirus (CMV)-induced hepatitis manifests in 40% of patients with a CMV infection. Ganciclovir treatment in children with CMV infections has proven to be highly effective. Until now, there are very few studies have identified predictive factors for liver biochemistry improvement after ganciclovir therapy. This study aimed to identify the predictors of liver biochemistry improvement in patients with CMV cholestasis after ganciclovir treatment. Methods: A retrospective cohort study was conducted using medical records from Dr. Sardjito General Hospital Yogyakarta, Indonesia from 2013 to 2018. CMV cholestasis was confirmed based on serum CMV IgG and IgM positivity and/or blood and urine CMV antigenemia positivity. Incomplete medical records and other etiologies for cholestasis, such as biliary atresia, choledochal cyst, metabolic diseases, and Alagille syndrome, were excluded. Patient age at cholestasis diagnosis and ganciclovir treatment, duration of CMV cholestasis, history of prematurity, central nervous system involvement, and nutritional status were analyzed and presented as an odds ratio (OR) with a 95% confidence interval (95% CI). Results: CMV cholestasis with ganciclovir therapy was found in 41 of 54 patients. Multivariate analysis showed that a shorter duration of CMV cholestasis (OR: 4.6, 95% CI: 1.00-21.07, p=0.04) was statistically significant for liver biochemistry improvement after 1 month of ganciclovir treatment. The remaining factors that were analyzed were not significant predictors of liver biochemistry improvement in patients with CMV cholestasis after ganciclovir treatment. Conclusion: A shorter duration of CMV cholestasis is the predictor of liver biochemistry improvement after 1 month gancyclovir treatment.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제26권1호
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• pp.59-86
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• 2023

Purpose: Information regarding functional gastrointestinal disorders (FGIDs) in infants is currently lacking in Indonesia. This study aimed to describe the prevalence and risk factors of FGIDs in infants aged 6 weeks to 4 months in Indonesia. Methods: This cross-sectional study of 433 infants was conducted between September 2018 and February 2020. Information on FGIDs was collected using the Infant Gastrointestinal Symptom Questionnaire and the Feeding Practice and Gut Comfort Questionnaire. Adapted Rome IV criteria were used to define the FGIDs. Results: The prevalence of regurgitation was 26.3%; 16.8% of the infants presented cryingrelated symptoms and 5.5% exhibited constipation. The statistical analyses revealed that constipation was associated with sex (odds ratio [OR], 2.74; 95% confidence interval [CI], 1.07-7.71; p=0.043), employment of the father (OR, 0.3; 95% CI, 0.12-0.77; p=0.01), and education of the mother (OR, 1.92; 95% CI, 1.07-3.51; p=0.031). Length at birth (OR, 0.74; 95% CI, 0.55-0.99; p=0.042) was associated with constipation. Length at visit (OR, 0.83; 95% CI, 0.76-0.91; p<0.001) was associated with regurgitation, and the weight at visit (OR, 0.58; 95% CI, 0.35-0.96; p=0.038) was associated with crying and/or colic. A history of parental FGIDs was associated with crying-related symptoms (OR, 2.12; 95% CI, 1.23-3.68; p=0.007). Conclusion: Regurgitation, crying, and constipation are common FGIDs in infants. Some parental and infant characteristics may be predictors for FGIDs. Further investigations are needed to evaluate the clinical relevance of our findings. Understanding the determinants of FGIDs will benefit healthcare professionals and parents to improve infant's quality of life and better manage these condition.

• 한국간호교육학회지
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• 제7권2호
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• pp.285-297
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• 2001

The rapid changes in graduate nursing curriculum have resulted in many challenges to the contents in masters and doctoral program of nursing. In order to meet the changing consumer demand, to respond the specialization in clinical practice and to reflect the evolving trend in the discipline and science of nursing, this study focussed on analyzing the present graduate nursing curriculum of one college of nursing in Seoul, Korea. In order to analyze the present curriculum, data were collected by survey from the enrolled graduate students, And curriculum contents of 10 graduate nursing curricula in Korea and 6 in United States were analyzed through internet information. Based on the data from the enrolled students' responses on educational goal and objectives and divisions of nursing and the data from the graduate curriculums of other universities both in Korea and United States suggested the future direction of graduate nursing curriculum of S university as follows; It is required that theoretical development, as well as education of enhancing clinical competences and preparation of specialization, innovative work for the change and global nursing should be included in the curriculum. Majority of respondents were agreed with 6 division of nursing(Adult nursing ,Maternity nursing ,Pediatric nursing, Community nursing, Nursing administration) and the integration of nurse clinical specialist course(such as oncology nursing specialist) into the regular courses in Master and Doctorate program was required.

• 대한간호학회지
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• 제13권3호
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• pp.1-33
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• 1983

The role and function of nursing care nowadays, tend to acquire sophisicated technology because specialization has expended due to increase of the medical population and the improvement of national health standards. To implement nursing care independently as a professional nurse, the apprehension of specific knowledge and skill should be acquired during basic nursing education. So it is important for nursing education not only to include theory and actual techniques, but also to strengthen the practical training in the actual clinical setting. This study was carried out with the following objectives; 1. To survey the detailed content and frequency of actual nursing students display during their clinical training. 2. To investigate the detailed content and frequency of actual nursing behavior which students display in each clinical a area. 3. To identify the motive for selection of nursing as their major and to determine the degree of self confidence, extent of knowledge and recognition of nursing responsibility. 4. To observe the relationship between actual nursing behavior and each of the following; 1) Motive for selecting nursing as a major 2) Self confidence 3) Knowledge of nursing care 4) Recognition of nursing responsibility The conclusions of this study were as follows; 1. Among the detailed nursing behavior which junior nursing college students carry out in clinical training; taking respiration's showed the highest frequency, and taking body temperatures, blood pressures, and pulses and making beds were next in frequency in this order. 2. In detailed nursing behaviors according to clinical area; taking vital signs showed the highest frequency in the emergency room, pediatric ward, orthopedic ward, general surgical ward and internal medicine ward. However, in the operating room, assisting with endotracheal tube insertion and sterile techniques were showen to have the highest frequencies. In nursery, umbilical cord care and the measurement of body weight were the highest in frequency In neurosurgical ward, the measurement of vital signs, changing position and tracheostomy care were the highest in frequency. In obstetric and gynecological ward and in the delivery room, checking duration, intensity and frequency of contractions was the highest in frequency. 3. In regard to the motive for majoring in nursing, the aptitude and interest of the student had the highest percentage(32.86%), and self-confidence in nursing activities (M=3.36), knowledge in nursing activities.(M=3. 09), and the recognition of the nursing activity (M= 3.76) wire in the middle range. 4. When the detailed nursing behaviors were compared with motive, self confidence, knowledge and recognition, it was found that when the nursing behavior was difficult and regarding much endeavor although the motive was high, the frequency of the nursing behavior was rather low. But in the cases in which there was much self confidence and a high level of skill was required, nursing behavior was carried more frequently. When there was muck self confidence and skill was not required, the frequency of nursing behavior was rather low. In the cases of a high level of knowledge, the frequency of nursing behavior was low and when recognition for nursing behavior was given the frequency of nursing behavior was low.

• 디지털융복합연구
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• 제16권5호
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• pp.267-276
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• 2018

학생의 의사소통을 위한 간호 교과과정 내 표준화된 지침이 요구된다. 이에, 표준화 환자를 활용한 간호시뮬레이션 시 학생의 의사소통의 양태를 분석하였다. 2017년 3월부터 6월까지 간호학생 41명의 장염 환아 간호시뮬레이션을 녹화하고 질문지로 자료수집을 하였다. 이는 훈련된 연구원이 필사하고 의사소통 과정 분석에 근거해 내용, 빈도 분석한 결과, 학생은 간호사로서 중립적인 정보 교환을 위한 의사소통을 주로 사용하였고 자기노출(소개), 개방적 질문, 확인, 정보제공, 의견제시, 조언, 눈맞춤 등을 사용하였다. 간호 대상자가 불만을 제기하는 등의 불편한 상황에서 학생은 긴장하거나 경직되었으며 공감적 이해, 치료적 스킨십과 같은 높은 수준의 의사소통은 제한적으로 사용하였다. 이를 바탕으로 간호 전문성과 간호 서비스의 질적 향상을 위한 치료적 의사소통과 관련된 교육 전략의 필요성을 제언한다.

• 한국콘텐츠학회논문지
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• 제16권11호
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• pp.784-795
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• 2016

본 연구는 아동간호학 교과목의 교수 학습 전략으로 스마트 러닝을 적용한 후 대조군과 비교하여 간호학생의 학업성취도, 비판적 사고능력 및 수업만족도에 미치는 효과를 확인함으로써 본 연구를 통해 간호교육에서의 스마트 러닝 도입을 위한 기초자료를 제시하고자 한다. 본 연구는 비동등성 대조군 전후 유사실험 연구로 전라남도 S시 소재 일 대학의 간호학과 학생을 대상으로 하였으며, 실험군은 2015년 3학년 37명, 대조군은 2014년 3학년 41명, 총 78명이었다. 자료는 SPSS 20.0 program을 이용하여 ${\chi}^2$-test와 t-test로 분석하였다. 스마트 러닝을 활용한 수업을 적용받은 실험군의 학업성취도와 비판적 사고 성향 점수는 증가하고 대조군과 통계적으로 유의한 차이가 있었으며 수업만족도는 대조군에 비해 높았다. 연구 결과, 스마트 러닝은 간호학생의 학습성과, 즉 학업성취도, 비판적 사고 성향 및 수업만족도를 유의하게 증가시켜 아동간호학 교과의 학습성과를 향상시키는데 효과적임을 알 수 있다. 본 연구는 간호교육인증평가와 함께 성과기반 교육과정이 도입 및 운영되고 있는 현 시점에서 다양한 교수학습법의 제고와 더불어 간호학생의 학습성과 향상을 위한 전략을 제시하였다고 생각된다.

• Child Health Nursing Research
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• 제19권3호
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• pp.238-245
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• 2013

목적 본 연구의 목적은 소아암 치료 종료 아동의 사회적응 정도를 알아보고 사회적응 관련 요인들의 상관관계를 비교한 후 아동의 사회적응에 영향을 미치는 요인을 파악하기 위함이다. 방법 서울시내 S대학병원에서 10-19세의 소아암 치료 종료 아동 79명과 그의 부모 79명을 대상으로 자료수집을 시행하였다. 아동의 사회적응은 Koo와 Choi (1998)의 사회적 역량 척도를 이용하여 측정하였고, 사회적응 관련 요인은 신체기능, 우울, 자아존중감, 대처전략으로 하였다. 수집된 자료는 SPSS 18 program을 이용하여 기술통계, t-test, ANOVA, Pearson correlation, Regression으로 분석하였다. 결과 소아암 치료 종료 아동의 사회적응은 평균 83.5점으로 중간 이상의 수준을 나타내었으며 가족과의 대화시간, 학교생활의 즐거움, 친구관계 만족도에 따라 차이가 있는 것으로 나타났다. 또한 신체기능, 적극적 대처전략, 자아존중감과 유의한 정적 상관을 보이고 우울, 공격적 대처전략과는 유의한 부적 상관을 보였다. 사회적응에 영향을 미치는 요인을 파악하기 위해 회귀분석한 결과 아동의 신체기능이 사회적응에 직접적인 영향을 미치는 것으로 나타났다. 결론 가족과 친구를 포함한 소아암 치료 종료 아동의 사회적응 증진 프로그램이 필요하며, 이러한 프로그램은 아동의 신체 정서적 측면이 모두 고려되어야 하고 효과적인 대처전략의 사용과 자아존중감을 증진시킬 수 있도록 구성되어야 할 것이다.