• 제목/요약/키워드: mental and physical function

검색결과 277건 처리시간 0.033초

금원사대가의학(金元四大家醫學)이 조선조의학(朝鮮朝醫學) 형성(形成)에 미친 영향(影響) (The influence of the four noted physicians of Geum-Won era on the completion of the medicine in the Chosun dynasty)

  • 정면;홍원식
    • 대한한의학원전학회지
    • /
    • 제9권
    • /
    • pp.432-552
    • /
    • 1996
  • The influence of the four noted physicians of Geum-Won era(金元代) on the completion of the medicine in the Chosun dynasty(朝鮮朝) can be summarized as follows. 1. The four noted physicians of Geum-Won era were Yoo-Wan-So(劉完素), Jang-Jong-Jung(張從正), Lee-Go(李杲), Ju-Jin-Heung(朱震亨). 2. Yoo-Wan-So(劉完索) made his theory on the basic of Nae-Kyung("內經") and Sane-Han-Lon("傷寒論"), his idea of medicine was characterized in his books, for exemple, application of O-Oon-Yuk-Ki(五運六氣), Ju-Wha theory(主火論) and hang-hae-seng-je theory(亢害承制論). from his theory and method of study, many deviations of oriental medicine occurred. He made an effort for study of Nae-Kyung, which had been depressed for many years, on the contrary of the way old study that Nae-Kyung had been only explained or revised, he applied the theory of Nae-Kyung to clinical care. The theory of Yuk-Gi-Byung-Gi(六氣病機) and On-Yeul-Byung(溫熱病) had much influenced on his students and posterities, not to mention Jang-Ja-Wha and Ju-Jin-Heung, who were among the four noted physicians therefore he became the father of Yuk-Gi(六氣) and On-Yeul(溫熱) schools. 3. Jang-Jong-Jung(張從正) emulated Yoo-Wan-So as a model, and followed his Yuk-Gi-Chi-Byung(六氣致病) theory, but he insisted on the use of the chiaphoretic, the emetic and the paregoric to get rid of the causes, specially he insisted on the use of the paregoric, so they called him Gong-Ha-Pa(攻下派). He insisted on the theory that if we would strenthen ourselves we should use food, id get rid of cause, should use the paregoric, emetic and diaphoretic. Jang-Jong-Jung'S Gang-Sim-Wha(降心火) theory, which he improved Yoo-Wan-So's Han-Ryang(寒凉) theory influenced to originate Ju-Jin-Heung'S Ja-Eum-Gang-Wha(滋陰降火) theory. 4. Lee-Go(李杲) insisted on the theory that Bi-Wi(脾胃) played a loading role in the physiological function and pathological change, and that the internal disease was originated by the need of Gi(氣) came from the disorder of digestive organs, and that the causes of internal disease were the irregular meal, the overwork, and mental shock. Lee-Go made an effort for study about the struggle of Jung-Sa(正邪) and in the theory of the prescription he asserted the method of Seung-Yang-Bo-Gi(升陽補氣), but he also used the method of Go-Han-Gang-Wha(苦寒降火). 5. The authors of Eui-Hak-Jung-Jun("醫學正傳"), Eui-Hak-Ib-Moon("醫學入門"), and Man-Byung-Whoi-Choon("萬病回春") analyzed the medical theory of the four noted physicians and added their own experiences. They helped organizing existing complicated theories of the four noted physicians imported in our country, and affected the formation of medical science in the Choson dynasty largely. Eui-Hak-Jung-Jun("醫學正傳") was written by Woo-Dan(虞槫), in this book, he quoted the theories of Yoo-Wan-So, Jang-Jong-Jung, Lee-Go, Ju-Jin-Heung, especially, Ju-Jin-Heung was respected by him, it affected the writing of Eui-Lim-Choal-Yo("醫林撮要"). Eui-Hak-ib-Moon("醫學入門"), written by Lee-Chun(李杲), followed the medical science of Lee-Go and ju-jin-heung from the four noted physicians of Geum-Won era. Its characteristics of Taoism, idea of caring of health, and organization affected Dong-Eui-Bo-Kham("東醫寶鑑"). Gong-Jung-Hyun(龔延賢) wrote Man-Byung-Whoi-Choon("萬病回春") using the best part of the theories of Yoo-Wan-So, Jang-Jong-Jung, Lee-Go, Ju-Jin-Heung, this book affected Dong-Eui-Soo-Se-Bo-Won("東醫壽世保元") partly. 6. our medical science was developed from the experience of the treatment of disease obtained from human life, these medical knowledge was arranged and organized in Hyang-Yak-Jib-Sung-Bang("鄕藥集成方"), medical books imported from China was organized in Eui-Bang-Yoo-Chwi("醫方類聚"), which formed the base of medical development in the Chosun dynasty. 7. Eui-Lim-Choal-Yo("醫林撮要") was written by Jung-Kyung-Sun(鄭敬先) and revised by Yang-Yui-Soo(楊禮壽). It was written on the base of Woo-Dan's Eui-Jung-Jun, which compiled the medical science of the four noted physicians of Geum-Won era. It contained confusing theories of the four noted physicians of Geum-Won era and organized medical books of Myung era, therefore it completed the basic form of Byun-Geung-Non-Chi (辨證論治) influenced the writing of Dong-Eui-Bo-Kham("東醫寶鑑"). 8. Dong-Eui-Bo-Kham("東醫寶鑑") was written on the base of basic theory of Eum-Yang-O-Haeng(陰陽五行) and the theory of respondence of heaven and man(天人相應說) in Nae-Kyung. It contained several theories and knowledge, such as the theory of Essence(精), vitalforce(氣), and spirit(神) of Taoism, medical science of geum-won era, our original medical knowledge and experience. It had established the basic organization of our medical science and completed the Byun-Geung-Non-Chi (辨證論治). Dong-Eui-Bo-Kham developed medical science from simple medical treatment to protective medical science by caring of health. And it also discussed human cultivation and Huh-Joon's(許浚) own view of human life through the book. Dong-Eui-Bo-Kham adopted most part of Lee-Go(李杲) and Ju-Jin-Heung's(朱震亨) theory and new theory of "The kidney is the basis of apriority. The spleen is the basis of posterior", so it emphasized the role of spleen and kidney(脾腎) for Jang-Boo-Byung-Gi(臟腑病機). It contained Ju-Jin-Heung's theory of the cause and treatment of disease by colour or fatness of man(black or white, fat or thin). It also contained Ju-Jin-Heung's theory of "phlegm break out fever, fever break out palsy"(痰生熱 熱生風) and the theory of Sang-Wha(相火論). Dong-Eui-Bo-Kham contained Lee-Go's theory of Wha-Yu-Won-Bool-Yang-Lib (火與元氣不兩立論) quoted the theory of Bi-Wi(脾胃論) and the theory of Nae-Oi-Sang-Byun(內外傷辨). For the use of medicine, it followed the theory by Lee-Go. lt used Yoo-Wan-So'S theory of Oh-Gi-Kwa-Keug-Gae-Wi-Yul-Byung(五志過極皆爲熱病) for the treatment of hurt-spirit(傷神) because fever was considered as the cause of disease. It also used Jang-Jons-Jung's theory of Saeng-Keug-Je-Seung(生克制勝) for the treatment of mental disease. 9. Lee-je-ma's Dong-Eui-Soo-Se-Bo-Won("東醫壽世保元") adopted medical theories of Song-Won-Myung era and analyzed these theories using the physical constitutional theory of Sa-Sang-In(四象人). It added Dong-Mu's main idea to complete the theory and clinics of Sa-Sang-Eui-Hak(四象醫學). Lee-Je-Ma didn't quote the four noted physicians of Geum-Won era to discuss that the physical constitutional theory of disease and medicine from Tae-Eum-In(太陰人), So-Yang-In(少陽人), So-Eum-In(少陰人), and Tae-Yang-In(太陽人) was invented from their theories.

  • PDF

예술에서 살펴본 인공지능의 미래 산업화 가능성 - 영화와 인공지능 예술을 중심으로 (A Study on Industrial Potential of Artificial Intelligence through the Cases of Film and Artificial Intelligence Art)

  • 김희영
    • 만화애니메이션 연구
    • /
    • 통권50호
    • /
    • pp.423-452
    • /
    • 2018
  • 인공지능의 미래 산업화 가능성을 인공지능 예술과 영화를 통해서 연구하였다. 인공지능 분야는 과거와 현재를 통해 인간을 모방하여 발전하고 있으므로 영화와 인공지능 예술에서 제시하는 미래상을 파악하는 것이 중요하다고 유추할 수 있을 것이다. 인간의 가치는 인공지능 영화와 예술에서 다르게 표현된다. 인공지능 영화와 예술은 각각 인간 가치의 외적인 면과 내적인 면에 관심을 가진다. 대체로 영화는 인간과 인공지능의 형체와 기능 등에서 서로 유사한 외형적인 측면을 바라보지만, 인공지능 예술은 인공지능 기술 발전에 기인한 인간의 소외와 소통의 부재에 대해 다룬다. 영화에서의 인공지능은 인공지능 기술에 대한 상상을 시각화하는 방향으로, 인공지능 예술에서는 기술을 활용하여 작품을 제작하여 구현하는 방식으로 발현된다. 오늘날 영화에서 상상력으로 보여준 인공지능의 미래는 기술적으로 실현되고 있다. 인공지능 예술은 주로 현재 기술을 통해 나타날 수 있는 인공지능 기술의 문제와 인공지능 기술발전에서 야기될 수 있는 인간적인 문제를 반영하고 있다. 영화와 인공지능 예술은 전반적으로 현재의 문제를 반영하고 있어 그것들을 통해 인공지능의 미래를 조망할 수 있을 것이다. 영화에서 살펴본 인공지능의 미래상은 인간의 편의를 제공하는 인공지능 서비스형태, 사이보그 인공지능 산업, 외골격 로봇과 외골격 슈트를 활용한 산업, 인공지능 비서 등의 산업이다. 인공지능 예술을 통해 인공지능 기술의 문제점과 인간의 가치문제의 관점으로 인공지능의 미래상을 고찰하면, 실수를 통해 생각하는 인공지능, 라이프로깅의 활용을 통해 자신과 소통하고, 반성적 사고를 통하여 소통의 실패를 만회하며, 인간적인 우연성을 통해 인공지능 예술가의 영역을 확장하는 형태 등이 있을 수 있다. 따라서 영화와 인공지능 예술을 통해 연구한 인공지능의 미래 산업화 가능성은 인간의 오감영역을 확장하는 산업, 인간의 부족한 신체 능력을 향상하는 산업, 인간의 신체적 능력을 향상하는 산업, 인간의 심리적 정신적 영역을 치유하는 산업이다.

'기(氣)' 현상에 대한 철학적 고찰 (Philosophic Investigation of the 'Ghi(氣)' Phenomena)

  • 이현주
    • 동서간호학연구지
    • /
    • 제3권1호
    • /
    • pp.50-67
    • /
    • 1998
  • When recognition of the Ghi(氣) which exist in all things, is changed on the aspects of the science of nursing, the view of health and nursing will be more efficient and can be developed as the proper concept for Korean culture. I think it is nessary to confirm which philosophical basis of the will be applicable to nursing and how to it has to be developed. Therefore I can for the research of the Ghi phenomena to attain the Thoughts of philosophy that is appropriate to expound those phenomena. And I attempt to induct "the fusion of horizons" to unify the view of the I world between Korea and the West. The Ghi is very energetic and omnipresent among the universe, Nature, and the human being. So it can organize all the primary elements of mental and I physical function of human as like life, mind, breath, feeling, energy, etc. A general concept of the Ghi is described as follows ; (1) The Ghi is the origin and essence to organize the universe, Nature, and the human being. (2) It is the perpetually movable thing. (3) And there are continuous transmission between the Ghi of the universe and the human through 'body, mind, and soul. For review on the philosophic basis of the Ghi, I studied out the identity of the doctrine of Li and Ch'i(理氣論) in the field of philosophy of Korea and the West. In Korea, the concept of the Vigor is based on Ch'i monolism(기일원론) and Li Ch'i dualism (이기이원론) of Yul-gok Lee's, Toi-kye Lee's, Hwa-dam's, and/or Hekang's. These are indispensable for the view of the world of Korea as Metaphysical ideology, Concrete science, Materialism, Ontology, and Epistemology. From the viewpoint of the philosophy of the West, the doctrine of Li and Ch'i(이기론) of Korea is identical with the doctrine of Li and Ch'i(이기론) of Joo-ja, Idea of Plato, Metaphysics of Aristotle, World Spirit(Weltgeist) of Hegel, and Existentialism of Heidegger. In the nursing theory of the West, some of them referred to the Ghi as like Energy field theory of Rogers and Energy exchange of Neuman. Though there are different in terminology, "energy" and the "Ghi" are induced comparable therapeutic action between the human and the environments. With the nursing theory of Korea, I have made an attempt to compare the Ghi with metaparadigm of nursing-the human being, the environment, the health, and the nursing. For the most part, the alternative therapy is resonable to the frame of the nursing theory of Korea. It is easy to apply alternative therapy on the every spot of nursing. So this therapy could be a kind of forms as nursing therapy in the nursing centers where take the duties of supporting in local societies. In result, independent nursing intervention will be activated by the nurse who puts up with the major parts. It is available to apply this therapy to palliation of pain, insomnia of infant, Sanhujori (산후조리), pain of menstruation, arthritis. And the alternative therapy makes it possible to propose the nursing model which represent originality, tradition, and history of the nursing of Korea. Additionally, in the field of the nursing, it is indispensable to choose a suitable methodology which is considered whether it is matched with a theory of philosophy in the boundary and object of the research. Because there are many way to get the knowledge of nursing related to the Ghi. In the science of nursing, context of sociocultural background and frame are required to understand the person who need to take care of (nursing client). But the value systems of the West and the East are distinctive each other as well as the behavior of health persuance. Therefore it is the basic research data of great worth to review philosophical the Ghi phenomena which is well known to Korean.

  • PDF

일부 농촌지역 거주 노인들에 대한 포괄적 노인평가 (Comprehensive Geriatric Assessment for Community Living Elderly in a Rural Area)

  • 이정애;신희영;정은경;신준호
    • 농촌의학ㆍ지역보건
    • /
    • 제27권1호
    • /
    • pp.21-31
    • /
    • 2002
  • 일부 농촌 지역사회 거주 노인들의 신체적, 정신적, 기능적, 사회환경적 상태를 포함하는 포괄적 노인평가를 시행하여 지역사회 중심 노인보건사업의 기초자료를 얻고자 하였다. 전라남도 일개 군에서 층화 집락추출한 지역사회 거주 65세 이상 노인 388명을 대상으로 조사를 하였다. 조사내용은 노인들의 인구사회학적 특성, 현병력, 신체적, 정신적 건강상태, 일상생활활동(ADL), 도구적 일상생활활동(IADL) 및 대상노인들의 사회적, 환경적 평가를 포함하였다. 주요 연구결과는 다음과 같다. 1. 전체 388명 중 남자가 169명(43.6%)이었고 여자가 219명(56.4%)이었으며, 평균연령은 남자 $73.5{\pm}6.4$세, 여자 $74.0{\pm}6.2$세였다. 2. 조사노인 1인당 평균 1.6개의 질환을 가지고 있었으며, 3개 이상의 질환을 가지고 있는 노인들은 약 19%나 되었다. 3. 신체적 건강상태는 시각기능의 감소가 남녀 각각 50.9%, 65.3%로 다른 기능에 비해 가장 많았고, 씹거나 삼키는 데 어려움이 있는 구강기능의 감소도 34.3%, 39.3%로 그 다음을 차지하였으며, 상대적으로 상지, 하지 기능의 감소는 1-6% 정도로 적은 편이었다. 4. 정신적 건강상태는 단기 기억력으로 살펴 본 인지기능의 감소가 33.7%, 44.7%로 적지 않았고, 노인우울 평가를 이용하여 우울증 여부를 조사한 결과 남자에서 19.1%, 여자에서 24.9%이었다. 5. 일상생활활동(ADL) 평가 결과 6가지 모두 독립적으로 수행할 수 있는 노인이 남자 72.2%, 여자 58.9% 이었으며, 도구적 일상생활활동(IADL)은 식사준비하기가 가능한 경우가 남자에서 81.1%로 여자의 92.7%에 비해 낮았고, 반대로 금전관리가 가능한 경우는 여자에서68.9%로남자의 83.5%에비해낮았다. 6. 사회적 지지체계의 평가에서는 도움이 필요할 때 제공할 수 있는 수발자가 있는 경우가 26.3%이었고, 수발자와의 관계는 배우자가 가장 많고 다음은 며느리 였다. 가족과의 거주형태별로는 49.5%가 노부부만 사는 경우였고, 다음은 노인 혼자 사는 경우로 22.9%를 차지하였다. 환경적 평가에서는 위험요소 네 가지 중 하나이상을 가진경우가83.5%나되었다. 따라서 농촌지역 거주 노인들에 대한 포괄적 평가는 지역사회 중심 노인보건프로그램을 개발하기 위한 기초자료를 제공하였다.

  • PDF

도시공원(都市公園)의 속성(屬性)과 문제점(問題點) (Attitudes and Problems of Urban Parks, in Taegu City, Korea)

  • 최석주
    • 한국지역지리학회지
    • /
    • 제2권2호
    • /
    • pp.205-217
    • /
    • 1996
  • 본 연구에서는 대구시 도시공원의 소요량과 현황을 시기별, 지역별, 규모별로 고찰하여 도시공원의 속성을 구명하고자 한다. 그리고 도시공원 개발에 있어서의 문제점과 앞으로의 개선방안을 모색하고자 한다. 현재의 공원율은 대구시(大邱市) 외곽의 큰 산(山)이 있는 동구(東區), 수성구(壽城區), 남구(南區)에서 높게 나타나고 있다. 이것은 대구의 근교 큰 산들이 자연공원(自然公園), 도시자연공원(都市自然公園)으로 지정되어 있기 때문이다. 결국, 근교의 산(山)이 없고 시계(市界)와 접하지 않은 중구(中區), 서구(西區)에서는 면적이 작은 근린공원과 어린이공원으로 구성되어 있다. 그러나 대구시의 공원, 유원지가 지역적으로 편중되어 있으나 공원간의 연관 관례를 정립하면 녹지계통의 연결이 가능하다. 도심 공원의 조성에 있어서 대구시(大邱市)에는 많은 이전적지(移轉跡地)가 민간부문에 의하여 토지의 소유권과 개발권이 전용되고 있다. 이전적지에 대해 당국에서는 도시 전체적 측면의 종합적 계획 및 검토, 이전적지에 대한 이용에 관해서 시민 의사를 적극적으로 반영하여 도시공간(都市空間)을 효율적으로 개발해야 할 것이다. 도시공원(都市公園)은 도시속의 녹지지점(綠地據點)으로서 도시가 팽창하고 인구가 증가하여 도시환경(都市環境)이 과밀화 될수록 그 중요성은 더욱 증대될 것이다. 따라서 도시공원의 조성(造成)은 형태와 규모에 관계없이 도시생활(都市生活)의 질(質)을 향상 시킬 수 있는 방향으로 나아가야 할 것이다. 도시공원은 주민사회(住民社會)에 있어서 반드시 있어야 할 개방된 공간으로 고려되어야 한다. 현대도시의 개발(開發)과 관리(管理)에 있어서도 도시민(都市民)을 위한 도시민에 의한 도시민의 공간이라는 철저한 인식하에서 이루어져야 한다. 공설과 공공(公共)공간은 누구나 이용할 수 있는 도시의 마당과 같은 것이며, 따라서 공원(公園)은 구미에서 도입된 계획이론과 이념의 차원보다도 우리의 공권(公園)답게 꾸며지고 이용 되어야 한다.

  • PDF

도시보건소 직원의 보건소 업무에 대한 인식 및 견해 (A Study on Perception and Attitudes of Health Workers Towards the Organization and Activities of Urban Health Centers)

  • 이재무;강복수;이경수;김천태
    • Journal of Yeungnam Medical Science
    • /
    • 제12권2호
    • /
    • pp.347-365
    • /
    • 1995
  • 도시 보건소 직원의 보건소 업무에 대한 인식 및 태도를 파악하기 위하여 대구직할시 7개 보건소 직원 310명을 대상으로 1994년 8월 15일부터 9월 30일까지 설문조사를 실시하여 252명(회수율 81.3%)의 자료를 분석하여 다음과 같은 결과를 얻었다. 조사대상은 남자가 95명(37.3%), 여자가 157명(62.3%)이고, 60.3%가 대졸이상자였다. 현재 근무부서의 시설이 보건사업을 수행하는데 적합하다고 한 의견이 28.6%, 적합하지 않다가 51.1%였고, 보유 기자재가 사업수행에 적합하다가 19.4%, 적합하지 않다가 39.0%였으며, 보건소의 인력수가 적정하다가 28.6%, 적합하지 않다가 44.8%였다. 근무부서의 예산이 보건사업 수행에 적합하다고 한 의견이 13.1%, 적합하지 않다가 38.5%였다. 지방자치제 실시후 사업내용이 바뀌어야 한다고 한 의견이 51.9%, 지방자치제의 실시가 자신의 근무부서의 업무에 도움이 된다고 한 의견이 25.4%, 도움되지 않는다가 24.6%였다. 지방자치제 실시에 따라 보건소의 조직과 기능이 개선되어야 한다는 의견은 78.6%였다. 사업 목표량의 설정이 해당 부서나 지역의 실정에 비추어 맞게 책정되어 있다는 의견이 11.1%, '그렇지 않다'가 43.3%였다. 업무 수행을 위한 전문적인 지식이나 기술에 대한 교육을 더 받아야 한다고 한 의견이 57.5%, 더 받을 필요없다가 20.6%였고, 자신의 업무수행에 자율성이 있다고 생각하는 견해가 35.7%, 자율성이 없다가 25.8%였으며, 현재 하고 일에 만족한다가 39.3%, 만족하지 못한다가 16.3%였다. 보건소의 인사관리에 대해서는 11.5% 합리적이라고 하였고, 47.3%가 불합리적 이라고 하였으며, 보건소가 주민들로부터 신뢰를 받고 있다는 의견이 41.3%, '그렇지 않다'는 의견이 13.1%였다. 보건소에서 지역주민에게 제공하는 서비스 중에서 잘 시행되고 있는 사업은 결핵관리, 일반진료, 모자보건사업의 순이었으며, 부족한 사업은 보건교육, 치과진료, 위생, 통합보건사업의 순이었다. 향후 보건소에서 주민에게 제공해야 할 서비스로는 노인보건사업, 가정의료사업, 재활보건사업, 당뇨병관리, 고혈압관리, 학교보건사업, 정신보건사업의 순으로 지적하였다. 보건소 근무자들은 시설, 기자재, 인력, 예산, 인사관리, 사업목표량의 설정 및 평가, 인사관리 등에 대해서는 부정적인 의견이 많았으며, 업무수행을 위한 보수교육, 지방자치제 실시를 통한 업무의 변화, 업무의 자율성, 업무의 만족도 면에서는 대체로 긍정적인 의견을 가진 것으로 나타났다.

  • PDF

간호원의 환자교육 활동에 관한 연구 (Study of Patient Teaching in The Clinical Area)

  • 강규숙
    • 대한간호학회지
    • /
    • 제2권1호
    • /
    • pp.3-33
    • /
    • 1971
  • Nursing of today has as one of its objectives the solving of problems related to human needs arising from the demands of a rapidly changing society. This nursing objective, I believe, can he attained by the appropriate application of scientific principles in the giving of comprehensive nursing care. Comprehensive nursing care may be defined as nursing care which meets all of the patient's needs. the needs of patients are said to fall into five broad categories: physical needs, psychological needs, environmental needs, socio-economic needs, and teaching needs. Most people who become ill have adjustment problems related to their new situation. Because patient teaching is one of the most important functions of professional nursing, the success of this teaching may be used as a gauge for evaluating comprehensive nursing care. This represents a challenge foe the future. A questionnaire consisting of 67 items was distributed to 200 professional nurses working ill direct patient care at Yonsei University Medical Center in Seoul, Korea. 160 (80,0%) nurses of the total sample returned completed questionnaires 81 (50.6%) nurses were graduates of 3 fear diploma courser 79 (49.4%) nurses were graduates of 4 year collegiate nursing schools in Korea 141 (88,1%) nurses had under 5 years of clinical experience in a medical center, while 19 (11.9%) nurses had more than 5years of clinical experience. Three hypotheses were tested: 1. “Nurses had high levels of concept and knowledge toward patient teaching”-This was demonstrated by the use of a statistical method, the mean average. 2. “Nurses graduating from collegiate programs and diploma school programs of nursing show differences in concepts and knowledge toward patient teaching”-This was demonstrated by a statistical method, the mean average, although the results showed little difference between the two groups. 3. “Nurses having different amounts of clinical experience showed differences in concepts and knowledge toward patient teaching”-This was demonstrated by the use of a statistical method, the mean average. 2. “Nurses graduating from collegiate programs and diploma school programs of nursing show differences in concepts and knowledge toward patient teaching”-This was demonstrated by a statistical method, the mean average, although the results showed little difference between the two groups. 3. “Nurses having different amounts of clinical experience showed differences in concepts and knowledge toward patient teaching”-This was demonstrated by the use of the T-test. Conclusions of this study are as follow: Before attempting the explanation, of the results, the questionnaire will he explained. The questionnaire contained 67 questions divided into 9 sections. These sections were: concept, content, time, prior preparation, method, purpose, condition, evaluation, and recommendations for patient teaching. 1. The nurse's concept of patient teaching: Most of the nurses had high levels of concepts and knowledge toward patient teaching. Though nursing service was task-centered at the turn of the century, the emphasis today is put on patient-centered nursing. But we find some of the nurses (39.4%) still are task-centered. After, patient teaching, only a few of the nurses (14.4%) checked this as “normal teaching.”It seems therefore that patient teaching is often done unconsciously. Accordingly it would he desirable to have correct concepts and knowledge of teaching taught in schools of nursing. 2. Contents of patient teaching: Most nurses (97.5%) had good information about content of patient teaching. They teach their patients during admission about their diseases, tests, treatments, and before discharge give nurses instruction about simple nursing care, personal hygiene, special diets, rest and sleep, elimination etc. 3. Time of patient teaching: Teaching can be accomplished even if there is no time set aside specifically for it. -a large part of the nurse's teaching can be done while she is giving nursing care. If she believes she has to wait for time free from other activities, she may miss many teaching opportunities. But generally proper time for patient teaching is in the midmorning or midafternoon since one and a half or two hours required. Nurses meet their patients in all stages of health: often tile patient is in a condition in which learning is impossible-pain, mental confusion, debilitation, loss of sensory perception, fear and anxiety-any of these conditions may preclude the possibility of successful teaching. 4. Prior preparation for patient teaching: The teaching aids, nurses use are charts (53.1%), periodicals (23.8%), and books (7.0%) Some of the respondents (28.1%) reported that they had had good preparation for the teaching which they were doing, others (27.5%) reported adequate preparation, and others (43.8%) reported that their preparation for teaching was inadequate. If nurses have advance preparation for normal teaching and are aware of their objectives in teaching patients, they can do effective teaching. 5. Method of patient teaching: The methods of individual patient teaching, the nurses in this study used, were conversation (55.6%) and individual discussion (19.2%) . And the methods of group patient teaching they used were demonstration (42.3%) and lecture (26.2%) They should also he prepared to use pamphlet and simple audio-visual aids for their teaching. 6. Purposes of patient teaching: The purposes of patient teaching is to help the patient recover completely, but the majority of the respondents (40.6%) don't know this. So it is necessary for them to understand correctly the purpose of patient teaching and nursing care. 7. Condition of patient teaching: The majority of respondents (75.0%) reported there were some troubles in teaching uncooperative patients. It would seem that the nurse's leaching would be improved if, in her preparation, she was given a better understanding of the patient and communication skills. The majority of respondents in the total group, felt teaching is their responsibility and they should teach their patient's family as well as the patient. The place for teaching is most often at the patient's bedside (95.6%) but the conference room (3.1%) is also used. It is important that privacy be provided in learning situations with involve personal matters. 8. Evaluation of patient teaching: The majority of respondents (76.3%,) felt leaching is a highly systematic and organized function requiring special preparation in a college or university, they have the idea that teaching is a continuous and ever-present activity of all people throughout their lives. The suggestion mentioned the most frequently for improving preparation was a course in patient teaching included in the basic nursing program. 9. Recommendations: 1) It is recommended, that in clinical nursing, patient teaching be emphasized. 2) It is recommended, that insertive education the concepts and purposes of patient teaching he renewed for all nurses. In addition to this new knowledge, methods and materials which can be applied to patient teaching should be given also. 3) It is recommended, in group patient teaching, we try to embark on team teaching.

  • PDF