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치매주간보호센터 이용자와 비이용자의 인지기능, 우울, 일상생활활동, 신체균형감각 비교
김화순(Kim, Hwasoon),이영휘(Lee, Young Whee),박지선(Park, Ji Seon),전진우(Jeon, Jin Woo),안주영(Ahn, Ju Young) 한국노인간호학회 2020 노인간호학회지 Vol.22 No.1
Purpose: The purpose of this study was to identify the effects of patients’ use of dementia day care centers by comparing cognitive function, depression, activity of daily living (ADL) and postural balance in users and non-users. Methods: Participants in this descriptive study were 72 dementia patients who had started using dementia day care centers, and 33 dementia patients who received home visiting service irregularly, instead of using the centers. Data were collected for ADL, instrumental activity of daily living (IADL), cognitive function, depression, and postural balance. Data were analyzed using SPSS/WIN 25.0 program. Results: The mean age of the participants was 78.8±5.95 years and 73.3% of them were women. There was no significant difference in age, gender and cognition scores between users and non-users. The statistically significant variables predicting cognitive function after 3 months were cognitive function at the beginning and use of a day care center. Depression score at the beginning and use of a day care center significantly predicted depression. ADL scores at the beginning, dementia day care center use, and dementia type also significantly predicted ADL scores. IADL scores at the beginning and marital status significantly predicted IADL scores. Conclusion: According to the results, elders regularly using dementia day care showed a delay in cognitive decline, a lessening of depression, and improved activities of daily living. Therefore, there is a need to increase day care centers for people with dementia and to encourage to use a daycare center is recommended.
혈액투석 중 저강도운동이 환자의 피로, 일상생활활동수행, 긍정심리자본 및 혈압에 미치는 효과
김의정(Kim, Eui Jeung),이현숙(Lee, Hyun Suk),신희정(Shin, Hee Jeo),홍미정(Hong, Mi Jeong),김소영(Kim, So Young),김선애(Kim, Seon Ae),김화순(Kim, Hwasoon) 기본간호학회 2019 기본간호학회지 Vol.26 No.1
Purpose: The purpose of this study was to estimate the effects of a video low intensity exercise program provided during hemodialysis on fatigue, activity of daily living, positive psychological capital and blood pressure of patients being treated. Methods: A non-equivalent control group pre-post test design was used. Participants were 85 hemodialysis patients assigned to either the experimental group (n=41) or the control group (n=44). The experimental group exercised for about 25 minutes 3 times a week for 8 weeks. Data analyses involved descriptive statistics, x² test, t-test, multiple regression and repeated measure ANOVA using SPSS/WIN 23.0. Results: The exercise intervention significantly reduced post hemodialysis fatigue and significantly increased positive psychological capital. There was a significant interaction effect on time by group in blood pressure. Systolic blood pressure changes in the experimental group were stable but, changes in the control group tended to increase gradually. Conclusion: To reduce fatigue and increase positive psychological capital for hemodialysis patients, providing exercise during hemodialysis is recommended. Furthermore individualized exercise in terms of intensity, time, duration, etc should be developed and tested. Also, to reduce drastic blood pressure changes during hemodialysis, exercise should be provided.
치매주간보호센터 이용 노인의 인지·신체기능, 문제행동 및 이용중단 이유
김화순(Kim, Hwasoon),이영휘(Lee, Young Whee) 기본간호학회 2016 기본간호학회지 Vol.23 No.1
Purpose: Purpose of this retrospective study was to investigate cognitive function, physical function, and problematic behaviors of elders who attended dementia daycare centers, and to identify reasons why they stopped using the center. Methods: Participants were 176 elders, 60 years or over, attending one of four dementia daycare centers in Incheon. Data were collected from center documents. Results: Mean age was 80.5 years. When admitted to the centers mean scores for the mini-mental status examination, activity of daily living, and instrumental activity of daily living (IADL) were 12.31, 9.53, and 25.09 respectively. Participants received day care service for an average of 17.98 months. The reasons for leaving the center were worsening dementia and health (40.2%), and problematic behaviors (20.1%). Conclusion: Results show that elders began to use day care services when their cognitive function and IADL had declined considerably. As the ultimate goal of dementia daycare service is to delay the worsening of cognitive capability and decreases in activities daily living, the effect of the service can be maximized when the service is provided as early as possible in the course of progressively severe dementia. Active promotion should be exerted in the community to encourage early use of this service.
김화순(Kim Hwasoon),최서희(Choi Seo Hee),함영주(Ham Young Ju) 기본간호학회 2009 기본간호학회지 Vol.16 No.1
Purpose: The purpose of this study was to identify the nutritional status and to compare nutritional indicators by caloric intake for intensive care unit patients. Methods: The participants for this descriptive investigation were 62 patients who were admitted to medical and surgical ICUs and started on enteral feeding. Data were collected in a tertiary hospital and the patients were followed for 7 days after enteral feeding was initiated. For analysis, patients who received 80% less calories than their required level were categorized as the underfed group and patients who received more than 80% to their required level, as the adequately fed group. Results: Compared to daily requirements, the prescribed calories and protein for patients overall were 77.39% and 64.75% respectively. The level of calories and protein given was less than their prescription. However, a comparison of the underfed group and the adequately fed group, showed that there was no significantly difference in albumin, prealbumin and transferrin. Only body weight was significantly different between the groups. C-reactive protein had a significant correlation with prealbumin and transferrin. Conclusion: Underfeeding is a common phenomenon among ICU patients. Nutritional indicators such as prealbumin, albumin and transferrin may not sensitive indicators to assess nutritional status of ICU patients.
김화순(Kim, Hwasoon),이영휘(Lee, Young Whee),최성희(Choi, Sung Hee),함연숙(Ham, Youn Suk) 기본간호학회 2018 기본간호학회지 Vol.25 No.2
Purpose: The purpose of this study was to identify the factors that affect quality of life in elderly people with dementia. Methods: The participants for this descriptive correlational study were 97 elderly patients with dementia who were attending a daycare center or were being cared for at home. Data were collected from the participants using the Mini-Mental Status Examination-Dementia Scale, the Geriatric Depression Scale (Short Form), Activity of Daily Living (ADL) and Instrumental Activities of Daily Living (IADL) Scale. Results: There were statistically significant differences in quality of life of elders with dementia according to mobility, using dementia day-care center, and cohabitation. In multiple regression analysis, depression, activity of daily of living, using dementia day-care centers and cohabitation were significant predictors of quality of life and the four variables explained 60% of the variance in quality of life. Conclusion: Findings indicate that to enhance the quality of life for elders with dementia, depression needs to be decreased and regular use of daycare service recommended. Further, various programs enhancing physical ability need to be developed and used with these elders.
김화순(Kim, Hwasoon),이영휘(Lee, Young Whee),이지수(Lee, Ji Soo),이진영(Lee, Jin Young),추상순(Choo, Sang Soon),이보경(Lee, Bo Gyeong) 기본간호학회 2011 기본간호학회지 Vol.18 No.2
Purpose: The purpose of this study was to identify differences between intake and output balance and body weight changes and to identify factors related to differences in critically ill patients. Methods: The participants for this descriptive correlational study were 65 medical surgical ICU patients. The data were collected from patient medical records. Results: Mean age of the patients was 63.80 years (±15.21). Body weight changes for 48 hours averaged 281.54g (±2210.48). I&O balance for 48 hours corrected for insensible loss averaged 398.1ml. Differences ranged from 45mL to 7,535mL. In the distribution of absolute difference between body weight change and intake and output balance, only 40% of the patients were within less than 1,000 mL. Factors relating to accurate measure of intake and output were ventilation methods, respiration patterns, and edema status. Conclusion: Although mean values of weight change and I&O balance for all patients were very close, the range of differences was very wide indicating that, for many patients, intake and output is not an appropriate indicator of body fluid balance. Therefore, because of the frequency fever and/or hyperventilation, nurses need to use caution when using intake and output balance only to estimate current body fluid status for critically ill patients.
항혈전스타킹과 간헐적공기압박기 적용이 중환자의 심부정맥혈전 발생 예방에 미치는 효과
김화순(Kim, Hwasoon),조옥민(Cho, Ok Min),김지선(Kim, Ji Sun),장해옥(Jang, Hai Ok),김여경(Kim, Yeo Kyeong),김설희(Kim, Seol Hee),민효남(Min, Hyo Nam),곽경선(Kwak, Kyung Sun),홍기천(Hong, Kee Chun),김장용(Kim, Jang Yong),정준호(Chung, 기본간호학회 2015 기본간호학회지 Vol.22 No.3
Purpose: The purpose of this pilot study was to investigate the effects of mechanical interventions for deep vein thrombosis (DVT) prophylaxis in surgical intensive care unit (SICU) patients. Methods: The participants were assigned to the intermittent pneumatic compression (IPC) and graduated compression stocking (GCS) intervention. Patients who met the criteria were selected for comparison from our previous study. Data for 140 patients were included in the final analysis. Results: The mean age was 57.5 (±15.7) and 61.4 % were men. About forty-seven percent of the participants were 61 years or over. In the second duplex scan, 3, 2 and 1 critically ill patients developed deep vein thrombosis in the control, GCS, and IPC groups, respectively. Incidences of DVT were 6.0%, 5.0%, and 2.0% for the control, GCS, and IPC groups, respectively. This difference was not significant. Relative risks of no intervention were 3.0 and 1.2 compared with IPC and GCS application. There were no significantly different variables among the three groups before the intervention except for diagnosis on admission. Conclusion: Although it may difficult to conclude that mechanical prophylaxis effectively prevents DVT among SICU patients because there was no statistical significance in this study, but incidence rates among the three groups differed greatly. The findings reveal that further study should be conducted with larger samples and randomized controlled trial for SICU patients.