• 한국보건간호학회지
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• 제12권1호
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• pp.116-131
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• 1998

This study was undertaken to obtain the menstrual patterns and menstrual discomforts in women university students. For the data collection, self-administered questionnaire survey was made from December 10, 1996 to January 20, 1997 among the 180 women university students in Seoul. The resultant data were processed by SAS program for frequency, proportion, and chi-square test. The results of this study are as follows ; 1) The mean age of the subjects was 20.6 years old. The mean height was 162cm and weight was 52.3Kg. $26.9\%$ of the subjects responded that they had experienced the unbalanced diet, $56\%$ the irregular meal, $39.6\%$intermittent dizziness, and $63.4\%$ the premenstrual syndrome. $53.7\%$ had feeling that skin temperature of their four extremities was 'a little lower than others'. The mean BMI(Body Mass Index) was 19.8, 'normal level' was $41.8\%$. $18.7\%$ responded that their characters were 'introspective ones'. The mean age of menache was 13.8 years old. The subjects responded that the mean number of pads they used per day during menstrual periods was 4.6 sheets. The mean duration of menstruation was 5.4 days, $10.4\%$ responded that their menstrual cycles were 'extremely regular', $44.8\%$ was 'regular', $36.6\%$ was 'a little irregular', and $8.2\%$ was 'extremely irregular'. Out of them who had experienced the dysmenorrhea, $21.3\%$ had family history of dysmenorrhea in connection with their mother and $35.0\%$ in their sisters. The mean of the first time that they experienced dysmenorrhea was 15 years old. $94\%$ of the subjects responded that they had experienced the dysmeorrhea. $47.6\%$ of the subjects responded that they experienced the dysmenorrhea 'monthly' and $52.4\%$ 'intermittently'. $53.0\%$ of them who had experienced dysmenorrhea responded that dysmenorrhea was the severest 'on the first menstrual day' and $22.4\%$ 'on the second day'. $48.8\%$ of them who had experienced dysmenorrhea responded that the most painful region was 'low abdomen'. $40\%$ of them who had experienced dysmenorrhea responded that they used 'analgesics' to soothe dysmenorrhea, $24.8\%$ used nothing, $18.4\%$ lay in their beds or slept, and $12\%$ made their 'low abdomen' warm. $70.3\%$ who had used analgesics because of dysmenorrhea took analgesics 'one or two times per month', $25.7\%$ 'intermittently', and $4.0\%$ more than 3 times per month. The analgesics which they used were 'geworin$(33.8\%)$,' 'penzal$(32.4\%)$', 'tyrenol$(18.9\%)$', and 'aspirin$(4.2\%)$'. $(47.9\%)$ of them who took analgesics because of dysmenorrhea responded that the duration of analgesics effect was '4 to 8 hours'. $15.1\%$ of them who experienced dysmenorrhea responded that they had visited the hospital. 2) The incidence of premenstrual syndrome was no significant difference according to the BMI, unbalanced diet, pattern of meal, skin temperature of four extremites, and characters. 3) The incidence of dysmenorrhea was significant difference according to the BMI, unbalanced diet, pattern of meal, skin temperature of four extremites, and characters. 4) The incidence of analgesics usage was significant difference according to the BMI, subjects with low BMI took more analgesics than those with normal BMI (p<.05). The incidence of analgesics usage was significant difference in accordance with pattern of meal. The women who had a meal regularly took more analgesics than those who had a meal irregularly(p<.05). But the incidence of analgesics usage was no significant difference in accordance with the unbalanced diet, characters, the incidence of dizziness, skin temperature of four extremities, the incidence of premenstrual syndrome.

• 한국산학기술학회논문지
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• 제17권12호
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• pp.292-300
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• 2016

본 연구는 보건계열 대학생을 대상으로 영유아 응급처치에서 동영상을 활용한 사례기반학습을 제공한 실험군과 전통적인 이론학습을 제공한 대조군과의 학습효과 차이를 비교함으로써 동영상을 활용한 사례기반학습의 효과를 평가하는데 그 목적이 있다. 연구 참여자는 J시에 위치한 D대학교에 재학하는 57명의 보건계열 학생들로서 실험군과 대조군으로 각각 29명과 28명으로 나뉘어 구성되었다. 본 연구는 비동등성 대조군 전후시차 설계에 의한 유사 실험연구로 실험군에게는 동영상을 활용한 사례기반학습을 실시하였고, 대조군에게는 전통적인 강의식 교육을 실시하였다. 동영상을 활용한 사례기반 학습은 1주일에 1회씩 3회를 실시하였으며 회당 180분이 소요되었다. 교육 전,후로 연구 참여자를 대상으로 영유아 응급처치 지식과 술기자신감, 학업적 자기효능감 및 문제해결능력을 조사하였다. 연구의 자료수집과 중재는 2014년 11월에서 12월까지 이루어졌다. 수집된 자료는 SPSS 20.0 Program을 사용하였으며 paired t-test, unpaired t-test, $x^2-test$로 분석하였다. 연구결과, 술기자신감에서 실험군이 대조군에 비해 통계적으로 유의하게 향상되었다(p<001). 또한 학업적 자기효능감의 하부영역 중 과제난이도 조절에서 실험군이 대조군에 비해 통계적으로 유의하게 향상되었다(p=.029). 문제해결능력의 하부영역 중 접근회피양식(p=.001)과 문제해결자신감(p=.040)에서 실험군이 대조군에 비해 통계적으로 유의하게 향상되었다. 본 연구결과를 통해 동영상을 활용한 사례기반학습은 간호보건계열 대학생의 전문역량 강화를 위한 효과적인 학습법임을 알 수 있었다. 따라서 다양한 교육 콘텐츠를 활용한 사례기반학습이 개발되고 확대 적용되며, 학습효과에 대한 반복연구가 이루어지길 제언한다.

• 지역사회간호학회지
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• 제12권2호
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• pp.397-405
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• 2001

The vision disturbances of school- age children has been recognized as and important school health problem. As the visual disturbances of the school-age children is recognized as the nation's health problem. the importance of the development of educational program for visual health should be emphasized. Recently, eyeball movement and other visual health management method has been introduced for prevention or recovery of decrease in visual acuity. But, the effect of eyeball movement was not confirmed yet. And, the controversy around the treatment effect is continued. The decrease of visual acuity is one of the important school health problem as well as it causes discomfort in daily life of the students. So, it should be considered as an important subject for school health and there is a need to develop an effective intervention program for visual health. The purpose of this study is to develop and evaluate the program with the recognition of the need of the intervention for visual health. The visual health promotion program was developed by the researcher and the program was initiated by the school. Nonequivalent control group pretest-posttest design was applied for study which examined the effect of the visual health promotion program. The subjects were 742 children (experimental group: 398; control group: 344). The experiment was composed of health education and eyeball movement. Health education was provided 5 times to the children in the class room. Children of experimental group exercised eyeball movement in the class, watching video for 10 minutes two times a day. The exercise was continued for 10 weeks. The result of the study were as follows. 1) change of visual acuity Before the intervention, mean of the visual acuity was .86 for the experimental group and .91 for control group. After the intervention, mean of visual acuity was .95 for the experimental group and. 90 for the control group. There was no significant difference in the change of visual acuity between experimental and control group. 2) change of refraction. In the experimental group, 327 eyes (41.08%) were normal vision and 469 eyes (58.98%) were eyes of refraction errors, 38.82 % of the total eyes were myopia. There was no significant change in the refraction in the children with myopia after the intervention. 3) Awareness of visual acuity, change of knowledge, behavior. and attitude (1) After the intervention, there was a significant difference in the awareness of visual acuity (experimental group: 70.10%. control group: 50.97%, p<.01). (2) After the intervention, there was a significant knowledge increase in the experimental group (pp<.01). (3) There was no significant difference in the visual health behavior after the intervention. (4) There was a significant positive change in the attitude related to visual health in the experimental group ( pp<.05). 4) There was a significant positive change in the subjective discomfort of the students. But, there was no significant change in the objective eye symptom after the intervention. Even though there was no effect in the visual acuity and the change of the refraction. subjective visual health as well as the attitude and knowledge' of the children and parents toward visual health was improved significantly. Also, there was an increase in the intention of change and the awareness for the visual health management. It is suggested that various educational strategies for visual health promotion should be developed and examined for the visual health promotion of the students.

• 한국산학기술학회논문지
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• 제17권12호
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• pp.551-560
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• 2016

본 연구는 대학생의 성폭력 인식도 및 성폭력 피해경험과의 관계에서 성폭력 허용도의 매개효과를 검증하고자 하였다. 연구대상은 제주특별자치도내 위치한 4개 대학교에 재학중인 남녀 대학생 408명이었으며, 성폭력 인식도척도, 성폭력피해경험척도, 성폭력 허용도 척도를 사용하여 설문을 실시하였다. 본 연구의 결과를 요약하면 다음과 같다. 첫째 상관분석 결과 성폭력 인식도와 성폭력 허용도와는 유의한 부적상관을 나타냈고, 성폭력 인식도와 성폭력 피해경험과 역시 유의한 부적 상관을 나타냈다. 이는 성폭력 인식도가 높을수록 성폭력 허용도와 성폭력 피해는 낮아진다는 것을 시사하고 있다. 둘째 성폭력 인식도와 성폭력 피해경험의 관계에서 성폭력 허용도가 매개 효과가 어떠한지를 알아보기 위해 연구모형과 경쟁모형으로 나누어 실시한 결과 성폭력 인식도는 성폭력 피해경험에 직접 영향을 주지 않았고, 성폭력 허용도를 매개로 영향을 미치고 있어, 완전매개 모형인 연구모형이 선택되었다. 즉, 성폭력 허용도가 성폭력 인식도와 성폭력 피해경험의 관계를 완전 매개하는 것으로 나타났다. 이는 성폭력 인식도가 성폭력 피해경험에 직접적으로 영향을 미치기 보다는 성폭력 허용도를 통해 간접적으로 영향을 미친다는 것을 의미한다. 따라서 성폭력 인식도가 잘 정립될수록 성폭력 허용도가 낮아지고, 결국 낮아진 성폭력 허용도 때문에 성폭력 피해가 감소할 수 있게 된다는 것이다. 그러므로 성폭력 인식도를 높일 수 있는 방법으로는 성폭력 예방교육을 체계적으로 실시해야 할 것이다. 성폭력 예방교육은 데이트 관계에 있는 남녀 대학생들이 개인의 성폭력 허용도 수준을 고려하여 그들의 인권적으로 성숙해지고, 정서적으로 적절한 관계를 유지할 수 있도록 이끌어 줌으로써 성폭력 피해를 줄일 수 있을 것이다. 마지막으로 본 연구는 제주특별자치도에 거주하는 대학생을 대상을 실시하여 일반화 시키는데는 한계가 있으므로 후속연구에서는 이를 보완하기 위하여 다양하고 광범위한 대상으로 연구가 이루어져야 할 것이다.

• The Korean Journal of Physiology
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• 제16권2호
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• pp.187-193
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• 1982

장기간(長期的)인 채식섭취(菜食攝取)가 인체(人體)의 수분(水分) 및 전해질대사(電解質代謝)에 미치는 영향(影響)을 알아보기 위하여 젊은 여승(女僧) 45명(名)($20{\sim}30$세(歲))과 대조군(對照群)으로는 기숙사생활(寄宿舍生活)하는 여대생(女大生) 28명(名)($20{\sim}22$세(歲))을 연구대상(硏究對象)으로 하였다. 열량섭취(熱量攝取)는 여승(女僧)들이 하루에 1947 kcal였고 여대생(女大生)은 1815 kcal였다. 열량구성(熱量構成) 비율(比率)은 여승(女僧)들이 탄수화물(炭水化物) : 단백질(雲白質) : 지방(脂肪)=85 : 11 : 5였고 학생(學生)은 70 : 15 : 15였으며 이는 여승(女憎)들의 탄수화물(炭水化物) 편중(偏重) 및 지방섭취(脂肪攝取) 부족(不足)을 보여준다. 신체계측(身體計測) 결과(結果) 여승(女僧)들이 여대생(女大生)보다 신장(身長)은 낮은 반면(反面), 체중(體重) 및 지방층(脂肪層)두께는 높았다. 1일(日) 뇨량(尿量)은 여승(女僧)들이 $1,697{\pm}68\;ml/day$로서 여대생(女大生)의 $1505{\pm}67\;ml/day$보다 유의(有意)하게 높았으며(P<0.05), 요삼투질농도는 여승(女憎)이 $617{\pm}18\;mOsm/kg\;H_2O$로 학생(學生)의 $688{\pm}36\;mOsm/kg\;H_2O$보다 유의(有意)하게 (P<0.05) 낮았다. 그러나 두 실험군(寶驗群)사이에 뇨중(尿中) $Na^+$이나 $K^+$의 배설율(排泄率)에는 차이(差異)가 없었으며 뇨중(尿中) 요소배설율(尿素排泄率)은 여승군(女僧群)이 $5.0{\pm}0.2\;g/day$로서 여대생(女大生)의 $6.4{\pm}0.5g/day$보다 유의(有意)하게 (P<0.01) 낮았다. 여승(女僧)들의 free water clearance는 $-1.82{\pm}0.08\;ml/day$로서 여대생(女大生)의 $-2.16{\pm}0.1\;4ml/day$보다 높았으나(P<0.05) osmolar clearance는 차이(差異)가 없었다. 혈청(血淸) creatinine농도(濃度)나 뇨중(尿中) creatinine배설율(排泄率)은 양군(兩群)사이에 차이(差異)가 없었고 신사구체(腎絲毬體) 여과률(濾過率)을 나타내는 creatinine clearance도 차이(差異)가 없었다. 1일(日) 요배설양(尿排泄量)은 요소배설양(尿素排泄量)(r=0.42), $Na^+$배설량(排池量)(r= 0.76)이 나 osmolar clearance (r=0.57)와 유의(有意)한 상관관계(相關關係)가 있었으나, free water clearance(r=0.06)와는 유의(有意)한 상관관계(相關關係)가 없었다. 이상(以上)의 결과(結果)에서 여승(女僧)은 여대생(女大生)보다 뇨농축능력(尿濃縮能力)이 낮았으며 이는 여승(女僧)들의 저단백섭취(低蛋白攝取)로 인(因)한 요소(尿素), 대사(代謝)와 관계(關係)있음을 시사(示唆)해 주고 있다.

• Journal of Korean Biological Nursing Science
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• 제1권1호
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• pp.100-114
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• 1999

This study was done to investigate the effects of rapidly-rotating shift work of two-day interval on fatigue level and the concentration of urinary 17-KS, $Na^+,\;Cl^-$. The subjects were 20 nursing college students(control group) and 15 nurses in a university hospital and the study was done from Apr. 21 to May 4th, 1999. In the test group, each 5 nurses were allocated to day shift(8 AM-4 PM), evening shift(4 PM-12 MN) and night shift(12 MN-8 AM) respectively. The fatigue level were measured 30 minutes after work start on the 2nd day of work shift. Urine specimens were collected at 8 AM, 4 PM and 12 MN on the 2nd day of work shift in the control group and 30 minutes before and after work on the 2nd day of work shift in the test group. The data were analyzed with SPSS(for Window, ver 7.5). Statistical analysis was performed by using t-test, paired t-test and ANOVA. The results were as follows. 1. The perceived fatigue level in shift work 1) The physical and mental fatigue level were significantly higher in night shift than that in day or evening shift(p<0.05). In the neuro-sensory fatigue level, night shift showed higher tendency than that in day or evening shift, but there were no significant differences between each shifts. 2) Comparison between the control group and the test group: Physical fatigue level was significantly higher in night shift than that in day or evening shift of the control group(P<.001). Mental fatigue level was significantly higher in day or night shift than that in evening shift of the control group(P<.05). In the neuro-sensory fatigue level, test group showed higher tendency than that in the control group, but there were no significant differences between two groups. 3) The total fatigue level was higher in night shift than that in day shift or evening shift(P<.05). In comparing with the control group, night shift and day shift showed higher total fatigue level than that in the control group(p<0.05). 2. The concentration of urinary 17-KS, $Na^+$ and $Cl^-$ In the control group, urinary 17-KS, $Na^+$ and $Cl^-$ showed higher level in afternoon that in morning and night. In the test group, cr in day and evening shift and $Na^+$ in evening shift showed higher level at the end of work. The 17-KS concentration at the begining and the end of work in three shift groups were lower than those in control group(p<0.05), however, $Cl^-$ concentration at the begining of work in day shift, and the end of work in day and evening shift were higher than those in control group(p<0.05). $Cl^-$ concentration at the begining and end of work in night shift were considerably higher than those in control group repectively(p<0.1, p<001). $Na^+$ concentration showed a higher tendency in three shift groups except at the begining of work in night shift, but there were no statistical difference. In comparing concentration of the 17-KS, $Na^+$ and $Cl^-$ among the shift groups, 17-KS concentration showed a lower tendency and $Na^+,\;Cl^-$ showed a higher tendency in night shift: The result of this study showes that biorhythm of shift work nurse was irregular. Fatigue level as the subjective index for evaluating the health problem concerning shift work was higher in night shift and proved to be in accordance with the concentration of urinary 17-KS, $Na^+$ and $Cl^-$ used as objective indices. Disturbation of biorhythm and work stress due to night shift seems to cause the health problem of nurses and decrease of work efficiency. It is considered that work regualtion is necessary for the rational management of the nursing administration.

• 대한간호
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• 제28권3호
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• pp.68-82
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• 1989

This study was a quasi-experimental research study to test the characteristics of temperature regulation according to sponge bath methods of cold application. Thirteen volunteers were selected from among nursing college students according to an established criteria using a purposive sampling technique. Four different cold application methods were used: $\circled1$ tepid water sponge bath at $28^{\circ}C$, $\circled2$ 20% alcohol sponge bath at $28^{\circ}C$, $\circled3$ 40% alcohol sponge bath at $28^{\circ}C$ and $\circled4$ tepid water sponge bath at 28$^{\circ}$C plus an ice bag to the head. Changes in rectal temperature, mean skin temperature, mean body temperature, heat content change and thermal discomfort during the cold application were measured at 5 minute intervals over a 120 minute period. The data collection period was from Dec. 20, 1988 to Feb. 3, 1989. The data were analyzed using descriptive statistics, simple regression, ANOVA, Duncan's multiple range test and Pearson correlation coefficient using the SPSS-X Program. The results of the study are summarized as follows. Five general hypothesis were tested. Hypothesis 1 that "Change in heat content will be decreased for each cold application method according to the cold application time" was rejected. (tepid water sponge bath: after 10 minutes of cold application, 20% alcohol sponge bath: after 25 minutes of cold application: 40% alcohol sponge bath: after 45 minutes of cold application, tepid water sponge bath plus an ice bag to the head: after 80 minutes of cold application) Hypothesis 2 that "Thermal discomfort will be changed for each cold application method according to the cold application time" was rejected after 5minutes of cold application. Hypothesis 3 that "Change in heat content will differ among the cold application methods" was accepted except 0~5, 0~10, 0~65, 0~105 and 0~120 minute. This difference showed significance only between sponge bath methods and tepid water sponge bath plus an ice bag to the head. Hypothesis 4 that "Thermal discomfort will differ among the cold application methods" was accepted at 15, 20, 35, 45, 75, 80, 90, 95, 100, 105, 110, 115 and 120 minute of cold application time. This difference showed significance only between sponge bath methods and tepid water sponge bath plus an ice bag to the head. Hypothesis 5 that "The higher the change in heat content, the higher the thermal discomfort during the cold application time" was accepted for between 10~60 and 75 minute of cold application. In conclusion, this study showed that in sponge bath at $28^{\circ}C$, 10~80 minute was a effective cold application time in the view of heat loss through the skin. Concerning the effects of evaporation and thermal discomfort, it was found that there was no difference with regard to the solutions; tepid water sponge bath; 20% alcohol sponge bath or 40% alcohol sponge bath at a $28^{\circ}C$ controlled solution temperature. So it was thought that the type of solution itself did not have a big influence on the heat loss through skin. The combined effect of sponge bath with an ice bag to the head showed a significant difference and also showed a slight increase in thermal discomfort. On the basis of this research it can be concluded that cold application, for example, an ice bag to the head during a tepid water sponge bath is a good method as it increase heat loss through conduction, although fit can also cause a slight increase in thermal discomfort. The correlation between changes in heat content and thermal discomfort were not high. So factors other than change in heat content are considered to have an effect on the cognition of thermal discomfort.

• 대한간호
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• 제34권5호
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• pp.68-81
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• 1996

In order to see the development of nursing related research activities in Korea over the last three decades, abstracts of almost all of the Masters and Ph. D. theses that had appeared from 1961 up to August 1991 were collected. Number of theses amounted to 1779(76%) out of a total of 2354 theses. We analysed the papers research patterns, which are research problem, research design, population, place. Here is what we have found. 1). The types of research problems were as follows. 58.0% papers did factor-analysis, 29.1% studied factor~relations, 11.4% situation relations and 1.5% did situation~creations. With respect to the years, we found that the factor-analysis papers decreased with time but the factor~relating, the situation -relating, and the situation~creating papers were increased. Especially the situation-creating paper increased notably since the 80s'. Relating to the kind of degrees, we found that for M.S.theses 60.2% of the papers did factor-analysis, 29.0% the factor-relating studies, 10.4% the situation-relating studies, and 0.4% the situation -creating studies. For the Ph.D. theses 30.5% did the factor~relating, 30.5% the situation-relating. and 20.0% the situation-creating papers. Considering the graduate schools, we found that the regular graduate schools and the graduate school of education produced about the same number of papers of each kind, but 81.2% and 64.6% papers produced by the graduate school of public health and the graduate school of public administration, respectively, did the factor-analysis thus taking majority of the papers. 2). Research designs were as follows : 10.8% experimental studies, 89.0% non experimental studies, and 0.2% quality studies were found. So the majority of the research designs were nonexperimental. We see a meaningful difference between the M.S.theses showing 9.8% experimental studies and 90. 1% nonexperimental studies. and Ph.D. theses showing 28.4% experimental studies and 68. 4% nonexperimental studies. Relating to the graduate schools, we find that the regular graduate schools and the graduate school of education with 15.8% and 10.6% experimental studies respectively, did a little more experimental studies than other schools. but still the regular graduate schools, the graduate school of public health, and the graduate school of education each show 83.8%, 97.4%, and 89.4% nonexperimental studies, so most schools are concentrating on nonexperimental studies. 3). On the relation between research problem and research design, experimental studies show 88.0% of situation-relations and 6.8% of factor-relations. Nonexperimental studies had factor-analysis taking the majority by 64.4% and 31.9% were factor-relations. 4). On the research subjects, we have 90.8% of the papers dealing with a single subject and 9.2% of the papers dealing with two or more subjects. Most of the research subjects are patients or nurses for the regular graduate schools and the graduate school of education, but for the graduate school of administration as much as. 60% of the studies took nurses as subjects. Subjects taken were patients, nurses. and students in decreasing order for the M.S. theses and for patients, women, and nurses again in decreasing order for the Ph.D.theses. 5). On the places of study, we've had 47, 8% of the studies done in hospital rooms, 15, 1% in schools, and 9, 6% in the local community, With respect to the years, we found 36.7% in the hospital rooms, 22.4% in the schools, and 14, 8% in the local communities in the 1970's and 50.1%in the hospital rooms, 13.4% in the schools. and 9, 2% in the local communities in the 80's.

• Journal of Hospice and Palliative Care
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• 제15권1호
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• pp.18-29
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• 2012

목적: 본 연구는 말기환자의 의료적 의사결정에 대한 임상간호사의 인식 구조와 유형을 분류하고 파악하여 향후 실무현장에서 말기 의료적 의사결정 수행능력 향상과 공유된 의료적 의사결정 체계를 구축하기 위해 기초자료를 제공하기 위한 Q 방법론을 적용한 조사연구이다. 방법: 관련 문헌고찰과 개방형 질문지 그리고 개별 면담을 통해 Q 모집단을 추출하여 167개의 Q 진술문을 표집하여 내용의 중복과 표현의 명확성 등을 고려하여 수정한 후 Q 모집단을 의미와 주제별로 6개의 범주로 분류한 다음 각 범주에서 대표적이거나 상이한 의미의 Q 진술문 34항목을 선정하였다. P 표본은 대학병원에서 근무하고 있는 2년 이상의 임상간호사 37명을 편의표집방법으로 선정하였으며 34개의 진술문은 Q 카드에 인쇄하여 연구대상자들로 하여금 강제 정상분포가 되도록 각자 의견의 중요도에 따라 9점 척도 상에 Q 분류하도록 하였고, 양극단에 분류한 진술문과 관련하여 대상자와 면담을 시행하였다. 수집된 자료는 PC-QUANL Program으로 요인분석 하였다. 결과: 분류된 말기환자의 의료적 의사결정에 대한 대상자의 유형은 모두 4가지로 나타났으며 이들 유형에 의해 설명된 전체 변량은 52.7%였다. 제1유형은 '환자 참여형'으로 의료적 의사결정에 대한 환자의 자율성 보장과 이와 관련된 규율이나 법적 장치의 정비와 가이드 라인 마련에 중점을 두었다. 제2유형은 '의료인 역할중시형'으로 환자의 자율성 존중이 실현되기 위한 의료인간의 공유된 의사결정에 중점을 두었다. 제3유형은 '개방적 죽음문화형'으로 평소 죽음에 대해 환자, 가족, 의료인과의 개방적이고 솔직한 대화의 분위기 조성을 효율적인 말기 의료적 의사결정의 실천적 행위로 인식하였다. 제4유형은 '가족의사결정 참여형'으로 말기 의료적 의사결정에 가족의 현존과 역할이 갖는 의미에 강조점을 두었다. 결론: 이상의 결과를 통하여 임상에서 말기환자의 의료적 의사결정에 대한 교육프로그램을 계획하고 수행할 때에는 각 유형에서 나타난 임상간호사의 인식을 반영한 통합적이고 다 학제적인 교육내용이 반영되어야 할 것으로 본다. 본 연구는 임상간호사를 대상으로 오늘날 우리 사회에서 중요시 되고 있는 말기환자의 의료적 의사결정과 연관된 다양한 관점들을 문화적 측면에서 조명했다는 점에서 의의가 있다. 따라서 성숙하고 통합적인 말기 의료적 의사결정 교육프로그램을 위한 기초자료로 유용하게 활용될 것으로 기대된다. 본 연구 결과를 바탕으로 제언을 하면, 첫째, 말기환자의 의료적 의사결정과 관련된 의학과 간호학 분야의 통합적이고 다 학문적인 공통교육과정 개발을 제언한다. 둘째, 본연구를 토대로 한국인의 말기 의료적 의사결정에 대한 태도 측정도구 개발을 제언한다.

• 한국산업보건학회지
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• 제24권4호
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• pp.528-535
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• 2014

Objectives: This study compares the differences of fit factors before and after training on the N95 mask. The results will be utilized to suggest the need of providing effective training on respirator use. Methods: A total of 49 study subjects were tested, comprised of nurses from a general hospital and undergraduate nursing students from a medical school. Anthropometric measurements of face length and face width were compared with the NIOSH(National Institute for Occupational Safety and Health) panel. Fit factors(FF) were measured with TSI Portacount Pro+8038 before and after on-site training regarding the proper use of respirators. The FF pass/fail criterion was set at 100. Results: Two subjects(4.1 %) passed the fit test before training on use of the N95. However, 36(73.5%) of the 49 passed the test after training. Overall the FF(GM(GSD)) was 13.4(3.2) before training, but improved to 106.6(2.1) after training, which was statistically significant. These findings suggest the efficacy of educational intervention, and the performance of the direct on-site training proved to be better than that of the traditional educational methods. Conclusions: This study showed the effect of on-site training of the N95 respirator among health care workers(HCW). Therefore, providing effective training on the use of N95 for HCWs before their work assignments will greatly reduce exposure to harmful agents. It is recommended that fit testing be mandated to check for adequate protection being provided by the given respirators.