• 기본간호학회지
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• 제26권3호
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• pp.166-175
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• 2019

Purpose: This study was done to investigate the degree of self-efficacy, transplant-related knowledge, and other factors affecting compliance with a therapeutic regimen for liver transplant recipients. Methods: Participants were 140 patients who had received a liver transplant at a tertiary hospital in Y City, Gyeongnam Province and made regular hospital visits as outpatients. A self-report questionnaire was used to collect the data and collection was done from December 4, 2017 to January 26, 2018. Data were analyzed using frequencies, percentages, means, and standard deviations, and t-test, ANOVA, Pearson's correlation coefficients. Multiple linear regression was performed using SPSS/WIN 21.0 program. Results: Participants scored $113.29{\pm}20.95$ (out of 150) on self-efficacy, $16.38{\pm}3.62$ (out of 18) on transplant-related knowledge, and $148.30{\pm}31.06$ (out of 200) on compliance with the therapeutic regimen. Analyzed of correlations among participant's self-efficacy, transplant-related knowledge, and compliance with the therapeutic regimen showed a significant positive correlation between self-efficacy and compliance with the therapeutic regimen (r=.64, p=.001), but no significant correlations were found between self-efficacy and transplant-related knowledge (r=-.01, p=.912) or between transplant-related knowledge and compliance with the therapeutic regimen (r=.06, p=.458). Multiple regression analysis showed that factors affecting compliance with the therapeutic regimen were state of re-transplantation (${\beta}=.17$, p=.016) and self-efficacy (${\beta}=.53$, p=.001). Conclusion: There is a need to apply a differentiated nursing intervention program considering the differences in patients' self-efficacy, transplant-related knowledge, and compliance with the therapeutic regimen.

• Journal of Korean Biological Nursing Science
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• 제17권4호
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• pp.331-340
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• 2015

Purpose: This study was to develop and evaluate an individualized education program based on self-efficacy for patients with kidney transplantation in Korea. Methods: A nonequivalent control group pretest-posttest design was used. The participants consisted of 43 patients who underwent kidney transplants at one hospital in Seoul, from July 2012 to April 2013. The experimental group received an individualized education based on self-efficacy in the hospital and follow-up telephone consultation in the 2nd and 3rd week after discharge. The control group received a routine discharge education. Knowledge, self-efficacy, and compliance related to kidney transplant were measured and analyzed by frequency, average, Mann-Whitney U test, Fisher's exact test, independent t-test, and ${\chi}^2$-test using SPSS WIN 20.0. Results: Significant differences were found in self-efficacy between the experimental group and the control group. But no significant differences were found in knowledge and compliance between two groups. The scores of several items on monitoring health status in compliance were higher in the experimental group than those of the control group. Conclusion: The results of this study demonstrate the fact that an education program based in self-efficacy for patients with kidney transplant would be effective in improving self-efficacy and the ability to monitor their health status.

• Acute and Critical Care
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• 제33권4호
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• pp.197-205
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• 2018

Lung transplantation is widely accepted as the only viable treatment option for patients with end-stage lung disease. However, the imbalance between the number of suitable donor lungs available and the number of possible candidates often results in intensive care unit (ICU) admission for the latter. In the ICU setting, critical care is essential to keep these patients alive and to successfully bridge to lung transplantation. Proper management in the ICU is also one of the key factors supporting long-term success following transplantation. Critical care includes the provision of respiratory support such as mechanical ventilation (MV) and extracorporeal life support (ECLS). Accordingly, a working knowledge of the common critical care issues related to these unique patients and the early recognition and management of problems that arise before and after transplantation in the ICU setting are crucial for long-term success. In this review, we discuss the management and selection of candidates for lung transplantation as well as existing respiratory support strategies that involve MV and ECLS in the ICU setting.

• 한국임상보건과학회지
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• 제3권1호
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• pp.299-310
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• 2015

Purpose. The purpose of this study was to investigate level of knowledge and attitude about organ donation in university and provide basic information on correct education and promotion. Method. The sample is consisted of 90 the students related to health and 90 general college students ; total 180 students in J city. The questionnaires were used to obtain the results. Data was collected from November 6th to 8th, 2013. For data analysis, the SPSS for window 12.0 K program was utilized to get descriptive statistics including the percentage, average, standard deviation and t-test. Results. Comparing the results between a series of health students and general college students, a series of health students showed high level of more knowledge and more positive attitude about organ donation than general college students. A series of health showed significant correlation but general college didn't show significant correlation. Conclusion. To educate correct knowledge draw positive attitude about organ donation is needed to improve the level of Knowledge and Attitude about organ donation.

• 한국산학기술학회논문지
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• 제17권12호
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• pp.316-326
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• 2016

본 논문은 신장이식 환자의 수술 후 자가간호를 위한 어플리케이션을 개발하여 전문가와 사용자의 타당도 검증을 받고자 실시되었다. 문헌고찰과 대상자 요구도 조사를 바탕으로 ADDIE모형에 따라 분석-설계-개발-구현-평가의 5단계 과정을 거쳐 어플리케이션을 개발하였다. 문헌고찰과 초점집단 면담을 통해 어플리케이션 콘텐츠와 교육내용 선정 후 전문가 7명에게 내용타당도를 평가 받아 어플리케이션을 구현하였다. 콘텐츠는 교육, 측정, 자가간호 매일점검, 조회, 알람, 앱정보의 6가지 영역으로 구성하였다. 전문가 9명, 신장이식 환자 5명에게 개발된 수술 후 자가관리 어플리케이션을 1주일간 사용 후 건강관리용 스마트폰 앱 평가설문지를 통해 평가를 실시하였다. 자료분석은 기술통계, 측정도구 신뢰도 Cronbach's alpha, 어플리케이션 평가지 내용타당도 지수(Content Validity Index, CVI)로 분석하였다. 연구결과 어플리케이션에 대한 만족도 평가에서 4점 만점에 전문가 3.2점, 사용자 3.4점으로 높은 편으로 나타났다. 신장이식 환자의 수술 후 자가간호 어플리케이션은 자가간호에 도움을 줄 수 있는 만족도가 높은 어플리케이션으로 추후 본 어플리케이션을 사용하여 자가간호 지식 및 자가 간호 수행의 효과를 검증하는 실험연구가 필요하다.

• 대한치위생과학회지
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• 제1권2호
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• pp.61-71
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• 2018

This study set out to examine the characteristics and consciousness of biomedical ethics among dental hygiene and nursing students and provide basic data for the education of biomedical ethics in the department of dental hygiene. The subjects include 158 and 128 students in the dental hygiene and nursing departments, respectively, at a university in Gyeongnam. Collected data was analyzed with the SPSS 12.0 program. 1. The analysis results show that the dental hygiene and nursing students scored mean 2.72 and 2.65 points in biomedical ethics consciousness, respectively, with statistical significance(p<.000). 2. In the subareas of biomedical ethics, the two groups showed the highest and lowest level of consciousness in organ transplant and euthanasia, respectively. 3. The two groups had differences in characteristics related to biomedical ethics by the major such as ethical values(p<.05), experiences with biomedical ethics education(p<.01), time of biomedical ethics education(p<.001), sources of information and knowledge about biomedical ethics(p<.01), experiences with conflicts in biomedical ethics(p<.000), and willingness to participate in education(p<.05). 4. The nursing students recorded higher biomedical ethics consciousness than the dental hygiene students with no statistically significant differences between them. Biomedical ethics consciousness had positive correlations with ethical values(r=.122) and experiences with biomedical ethics education(r=.356). Based on these findings, the study proposed the development of educational content for biomedical ethics consciousness and research on its effectiveness to help dental hygiene students form desirable biomedical ethics consciousness.

• 한국과학교육학회지
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• 제20권4호
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• pp.582-598
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• 2000

과학과 기술의 급속한 발전에 따라 그에 관련된 사회적 쟁점들이 야기되는 상황에서, 그러한 쟁점에 대해 합리적인 의사결정을 할 수 있는 능력이 과학교육에서 강조되고 있다. 본 연구에서는 '생물학과 관련된 가치문제에 대한 합리적인 가치판단 및 현명한 의사결정에 이르는 과정'을 '생물 교육에서 가치 탐구'로 정의하고, 그 모형을 개발하였다. 이를 위해서 가치명료화 모형과 가치분석 모형을 중심으로 가치 탐구 모형을 고찰하였다. 가치명료화 모형은 가치갈등의 해결에는 도움이 되지 않지만 개인적인 가치문제에 주로 관심을 둠으로써 가치의 내면화 과정을 강조한다. 가치분석 모형은 정의적 요소가 부족하다는 비판을 받지만 가치문제에 대한 분석적인 사고과정의 절차를 제시함으로써 합리적인 해결을 강조한다. 본 연구에서는 가치 탐구의 심리적 측면과 논리적 측면을 고려하여 상호보완적 입장에서, 가치문제의 인식과 명료화, 갈등상황에 관련된 생물학적 지식 파악, 갈등상황에 관련된 사람들의 입장 고려, 대안 탐색, 각 대안의 결과 예측, 대안의 선택, 대안에 대한평가, 최종적 가치판단 및 선택의 공언 단계가 포함된 가치 탐구 모형을 개발하였다. 개발된 모형에 근거하여 가치 탐구 교육목표를 설정하였으며, 생물교육에서 가치 탐구에 적합한 교육내용으로 동물 복제, 시험관 아기, 유전공학, 생장 호르몬 투여 문제, 뇌사, 장기 이식, 실험 동물을 선정하였고, 이를 제 6차 및 제7차 과학과 교육과정의 교육내용과 관련지어 조직하였다. 또한, 가치 탐구 교육에 적합한 수업모형으로 생물윤리적 가치명료화 의사결정 모델, 가치분석 모형에 따른 조별 발표, 역할극 및 토론, web forum을 이용한 토론을 선정하였고, 학생들의 가치 탐구 능력의 변화를 평가하기 위한 방법으로 면담법을 선정하였다.