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장기요양시설에서 치매 노인을 돌보는 간호사의 도덕적 고뇌에 대한 경험
김춘길(Kim, Chun-Gil),이영희(Lee, Young Hee) 한국노인간호학회 2020 노인간호학회지 Vol.22 No.3
Purpose: This study aimed to understand nurses experiences of moral distress when caring for elderly dementia patients who reside in long-term care centers. Methods: Colaizzi’s phenomenological approach was used for this study. The participants included eight nurses. Semi-structured in-depth interviews were used to collect data from February to August 2019. Results: Three categories emerged from the analysis. The nurses reported experiences of moral distress when caring for older adults with dementia. Theses experiences included “worrying about sincere care”, “a sense of guilt about task-oriented care”, “a feeling of helplessness because they cannot advocate care”. Seven theme clusters and 17 themes emerged in this study. The participants stated feeling conflicted about the meaning of care when they know secondary problemes will occur, but inevitably choose the next-best care option. The nurses could not provide proper care to their patients due to their overburdened workloads. The participants experienced a sense of guilt for caring only about the task at hand, without empathy. They felt helpless because that could not represent human rights and felt the gap between principle and reality as a nurse. Conclusion: These results suggest nurses’ moral distress must be considered to improve elderly dementia care. It is ethically and morally necessary for education programs to focus on caring for elderly dementia patients, and these findings can guide the program’s content and direction.
일 복지관 이용 노인의 생활습관 및 우울이 영양상태에 미치는 영향
김춘길(Kim Chun-Gil),박혜자(Park Hyea-Ja),정승교(Chaung Seung-Kyo) 기본간호학회 2007 기본간호학회지 Vol.14 No.1
Purpose: This study was conducted to evaluate nutritional status, and the effects of lifestyles and depression on nutritional status of elderly people (NSE). Method: The participants were 280 elders who visited the Y city Senior Welfare Center between August 2006 and October 2006. Data were collected using a structured questionnaire that included general characteristics, lifestyle checklist, depression scale, and nutritional risk index. Also, Body Mass Index (BMI) was calculated from height and weight. T-test, ANOVA, Duncan test, Pearson coefficients correlation and stepwise multiple regression were used to analyze the data using the SPSS Win 12.0 program. Results: The NSE mean score was mid level at 5.03. BMI was 23.42 which indicates overweight. Depression was the factor that influenced the nutritional risk index most strongly, accounting for 17.3% of the total variance in the NSE. A combination of significance of health, concerns about health, housing, condition of teeth, activity, and smoking pattern accounted for 29.8% of the variance in the NSE. Condition of teeth accounted for only 3.8% of the variance in BMI. Conclusion: It is necessary to be aware that variance in the NSE can be affected by several factors including depression and lifestyle and that depression is strongly related to poorer NSE.
전자공업 발전을 위한 신기술 벤처창업과 기술교육 방향에 관한 연구
김춘길(Chun Gil Kim),이승환(Seung Hwan Lee) 대한공업교육학회 1999 대한공업교육학회지 Vol.24 No.1
Making Venture Business is the best way for our country to advance our country, and to solve economic problems. To success the Venture Business is how to choose industry management, and another important fact is to support detail information the beginning of found. In this paper shows various business marking Venture Business and government`s promotion plans. In addition to this, this suggests how we improve our problems in Venture business
미국 CHAP 인정도구에 의한 지역사회 가정간호 시범사업의 평가
이성은,김성실,김춘길,안양희,양순옥,박경숙,Yi, Sung-Eun,Kim, Sung-Sil,Kim, Chun-Gil,Ahn, Yang-Heui,Yang, Soon-Ok,Park, Gyung-Suk 한국가정간호학회 2006 가정간호학회지 Vol.13 No.1
Chunchoen Community Home Nursing Program (CCHNP) sponsored by Chuncheon City and Gangwondo Nurses Association was the first trial of community based home health nursing in Korea. The services have started since 1996. The purpose of the study was the evaluation CCHNP to establish standard of community based nursing program in Korea. The methods of evaluation were quantitative and Qualitative approaches. Evaluation for organization and management were conducted by the American Community Health Accreditation Program Standards With the result. several recommendations were suggested : It is necessary to expand the program to all the Gangwondo cities. And the liaison system is necessary between medical care facilities and community nursing home agency to establish the continuity of health care delivery system in home nursing program. Also it is necessary to set up the supporting system between community home nursing care agency and hospital home nursing department. Finally, the National Health Insurance should cover the cost of community home nursing care.
유병로(Byung Rho Ryu),김춘길(Chun Gil Kim) 대한공업교육학회 2000 대한공업교육학회지 Vol.25 No.1
The purpose of this study was to review trends in electronics industry in order to suggest the directions for electronic industrial education. The study was conducted through reviewing available literature. Electronics industry change from hardware industry to hardware embeded in software & information process industry. Therefore mastering electronic troubleshooting skill is critical for electronic engineering technology graduates entering the modern workplace. Teaching electronic troubleshooting skill is not an option.
후두편평세포암종에서 Human papillomavirus의 검출과 주조직적합복합체(Major Histocompatibility Complex: MHC) Class I 발현양상
오병권,황찬승,홍영호,김훈,김춘길,민헌기,Oh, Byung-Kwon,Hwang, Chan-Seung,Hong, Young-Ho,Kim, Hoon,Kim, Chun-Gil,Min, Hun-Ki 대한기관식도과학회 1997 大韓氣管食道科學會誌 Vol.3 No.1
The development of preneoplastic and neoplastic squamous cell proliferations of body sites such as the skin, female lower genital tract, and larynx is strongly associated with specific types of human papillomaviruses (HPV). Antitumor $CD^{8+}$ cells recognize peptide antigens presented on the surface of tumor cells by major histocompatibility complex (MHC) class I molecules. The MHC class I molecule is a heterodimer composed of an integral membrane glycoprotein designated the alpha chain and a noncovalently associated, soluble protein called beta-2-microglobulin( $\beta$ -2-m). Loss of $\beta$-2-m generally eliminates antigen recognition by antitumor $CD^{8+}$ T cells. We evaluated the expression of $\beta$-2-m as a potential means of tumor escape from immune recognition and the presence of HPV DNA as a cause of laryngeal squamous cell carcinomas (SCCs). Laryngeal SCCs (n=39) were analyzed for MHC class I expression by immunohistochemistry and for presence of HPV by in situ hybridization technique. The results were as follows : 1) HPV DNA was detected in 10 (25.64%) out of 39 cases in laryngeal squamous cell carcinomas. 2) MHC class I down-regulation (heterogenous and negative expression) in HPV positive lesions was higher than HPV negative lesions. 3) The expression of MHC class I was related to cellular differentiation regardless of T-stage and nodal involvement. In conclusion, HPV was thought to be the etiological factor of SCC of larynx, and we found that the down-regulation of MHC class I was a common phenomenon In laryngeal SCC and may provide a way for tumor cells to escape from immune surveillance.
장경훈,장유철,정환우,양훈식,김훈,김춘길,Chang, Kyoung-Hoon,Chang, Yu-Chol,Jung, Hwan-Woo,Yang, Hoon-Shik,Kim, Hoon,Kim, Chun-Gil 대한기관식도과학회 1997 大韓氣管食道科學會誌 Vol.3 No.2
저자들은 1988년부터 1996년까지 중앙대학교 부속병원에서 수술적으로 치료한 47례의 타액선 종양환자를 대상으로 다음과 같은 결론을 얻었다. 1) 호발연령은 50대에서 가장 높았으며 악성종양의 경우 양성종양보다 호발연령이 높았다. 2) 여자에서 남자보다 호발하며 그 비율은 1.5;1 이었다. 3) 발생부위는 이하선이 가장 많아 48.9% 였으며, 악하선, 소타액선의 순이었으며 소타액선 종양은 구개에서 가장 많이 발생하였다. 4) 악성의 빈도는 소타액선에서 발생한 경우가 가장 높았으며, 악하선, 이하선 순이었다. 5) 가장 많은 증상은 무통성의 종물이었다. 6) 세침흡인 세포검사의 진단적 정밀도는 88.9% 였다. 7) 가장 흔한 타액선종양은 혼합종으로 전체의 57.4 %였다. 8) 악성종양 중 경부임파절 전이율은 22.2%였다. 9) 수술적 치료후 합병증의 발생률은 19.1% 였으며 일시적 안면신경마비가 가장 많았다. We have reviewed a 9-year experience with 47 patients treated for salivary tumors which arose In the parotid gland (23 patients; 48.9%), submandibular gland (15 Patients, 31.9%), minor salivary gland (8 patients; 17.0%), and sublingual gland (1 patient; 2.1%). The age of patients ranged from 12 to 71 with a mean of 42.9 years. The male to female ratio showed a female preponderance, 19:28 (1:1.5). An asymptomatic mass (91.5%) was most common presentation. With fine-needle aspiration, the predictive value of a neoplasm was 88.9%. Histopathologically, the most common salivary gland tumors was Pleomorphic adenoma(57.4%). The pleomorphic adenoma was most common in benign tumor group, and the mucoepidermoid carcinoma was most common in malignant tumor group. Of the salivary gland tumors, the incidence of cervical metastasis was 22.2%. Major postoperative complications were facial nerve paralysis and wound infection.
함승연(Ham Seung Yeon),김정식(Kim Jeong Sig),김춘길(Kim Chun Gil) 대한공업교육학회 2003 대한공업교육학회지 Vol.28 No.2
The major purpose of this study was to suggest directions to improve engineering education. For this object, first, reviewed the engineering and technology education accreditation system in the United States, and analyzed the research papers and publications, finally, suggested the improvement program to instruct several kinds of abilities to the student of engineering universities. The results of this study were as follows: First, accredited programs have been only 28 ones so far and kinds of accreditation programs are only 14 ones. The accreditation of the engineering college programs have to spread all over the country. Second, the accreditation of engineering colleges have not been executed yet. The way to improve quality to engineering colleges is to accredit programs to college students. Third, we are not a signatory to Washington Accord but Japan is a provisional status and is going to be a signatory. Acceptance to provisional status requires a positive vote by two-thirds of the signatories. The review process shall include accreditation visits to educational institutions offering engineering academic programs and to the meetings at which the outcomes of such visits are discussed and decided. We have to struggle to affiliate for Washington Accord.