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박현애,Mi-Ok Park 대한의료정보학회 2010 Healthcare Informatics Research Vol.16 No.4
Objectives: The aim of this study was to develop nursing practice guidelines and algorithms for the pre- and postoperative care of gastric cancer patients. Methods: The guidelines and algorithms were developed based on a literature review and subject-matter experts’ knowledge. The usefulness and applicability of the developed guidelines and algorithms were evaluated by the expert group. Results: The guidelines comprised 64 recommendations and algorithms for admission care, preoperative care on the day before the operation, preoperative care on the operation day, immediate postoperative assessment, postoperative care, and discharge care of gastric cancer patients. After appropriate evaluation, the experts declared the guidelines to be both useful and applicable. Conclusions: The guidelines developed in this study can be used for patient care and for training nursing students and novice nurses. In addition, these guidelines can be integrated into the electronic nursing record system for clinical decision support in the future. This will improve the quality of clinical nursing and the expertise of nurses.
남녀 중학생의 식행동, 영양지식 및 체형, 체중조절과 영양교육에 관한 인식비교
박현애,이승교,원향례,Park, Hyun-Ae,Rhie, Sung-Gyo,Won, Hyang-Rye 한국지역사회생활과학회 2007 한국지역사회생활과학회지 Vol.18 No.3
The purpose of this study is to find out how important providing nutrition education to young students is. The study is based on the assumption that students' food behavior, nutrition knowledge and cognition of body image, weight control and nutrition education are considerably influenced by gender. A total of 495 students (249 boy and 246 girl students) were surveyed in one middle school located Siheungsi, Gyeonggido. The average height and weight of the boy and girl students are 164.6 cm, 54.4 kg and l58.5cm, 47kg, respectively. According to average BMI, the boy students($20.0kg/m^2$) are in the normal state. However, the girl students($18.2kg/m^2$) are underweight. For the status of meal intake, 52.4% of the students took breakfast everyday. Female students had dinner with lower intake frequency than males(p<0.05). For snack intake, the kinds of snack differ according to gender(p<0.05); more milk for male and more fruit for female students. The scores of dietary behavior based on Mini Dietary Assessment were 21.5/30 for male and 21.3/30 for female students. The nutrition knowledge scores of 4.6/10 for male and 4.6/10 for female students were not significantly different according to gender. The score of dietary behavior is based on Mini Dietary Assessment. The survey shows that in terms of the experience of weight control, 35.5% of the girl students have made an effort to watch their weight and 21.8% of the boy students have tried controlling their weight(p<0.0001). It turns out that the students who have been provided nutrition education are more satisfied with their body shape than those who have never been provided nutrition education(p<0.05).
『관자(管子)』 4편(編)의 심(心)의 의미에 대한 연구(硏究)
박현애 ( Hyun Ae Park ),정창현 ( Chang Hyun Jeong ),장우창 ( Woo Chang Jang ),백유상 ( You Sang Baik ) 대한한의학원전학회(구 대한원전의사학회) 2011 대한한의학원전학회지 Vol.24 No.6
The four chapters of 『Gwanja(管子)』 explains the concepts of Do(道), Deok(德), Junggi(精氣) philosophically. Because it contains thoughts about control of Mind(心), it has been considered as one of the useful references of ancient chinese philosophy. In this respect, we can think about the connections between the four chapters of 『Gwanja(管子)』 and Oriental medicine in philosophical perspectives. In the investigating about Oriental medical philosophy in this study, the meaning of mind(心) is classified from various angles, for example, political, self-improvemental, and physiological. Espesially the physiological meaning of mind(心) may receive attention and meaningful consideration of Oriental medicine.
『관자(管子)』의 정치철학(政治哲學)과 『황제내경(黃帝內經)』의 통합사상(統合思想)의 연관성에 대한 연구(硏究)
박현애 ( Hyun Ae Park ),김수중 ( Su Joong Kim ),정창현 ( Chang Hyun Jeong ),장우창 ( Chang Jang,Woo ),백유상 ( You Sang Baik ) 대한한의학원전학회 ( 구 대한원전의사학회 ) 2012 대한한의학원전학회지 Vol.25 No.1
Objective : In Guanja there is a clear system with xin and shengren as the central figure, which can be correlated with the united thought can be found in Huangjenaegyeong . Method : In studying Oriental medicine, we will try to compare the Guanza and Huangjenaegyeong, in that what Sin is doing and how Seongin(聖人) does the work to achieve his prupose, and how Sin has philosophical meaning. Result : Guanja targets a unified government with the king centered, always issues an order, at the same time Guanja survey the system of the military, economy, retainer, people in the gross. In Guanja the Seongin is the ideal king, who understands the four seasons and command in timely, and rule his people using Muui(無爲). Sin is the center which achieve Dao(道) in mankind, and in the government system it is compared as the king to the rellation between king and retainer. Huangjenaegyeong is a medicine book which persued the united medical theory and algorithm. It made the general system algorithm, and united many different theories with the Seongin centered, who understand the 天氣 (including four seasons) and can control the human body. In this book, Sin is the center which control other organs. Conclusion : Political philoshphy in Guanja and the united thought in Huangjenaegyeong can be correlated in that two both aim for the systematization and the unity.
박현애 ( Hyeoun-ae Park ) 한국보건사회연구원 1989 保健社會硏究 Vol.9 No.2
분 연구의 목적은 관상동맥질환의 위험요인과 가능한 질병상태를 로지스틱 회귀분석을 이용하여 이산, 다중상태의 확률과정으로 모형화한 후 여러가지 예방책을 시뮬레이션을 통해 예측하는 데 있다. 관상동맥질환의 진행과정을 모형화하는데 사용된 질병상태는 건강한 경우, 관상동맥질환을 앓는 경우, 관상동맥질환으로 사망하는 경우, 관상동맥질환이 아닌 다른 원인으로 사망하는 경우 등이다. 질병상태간의 추이확률(Transition Probabilities)은 성별, 나이, 관상동맥질환의 이환여부, 콜레스테롤, 혈압등 위험요인에 따라 달라진다. 이들 중 관상동맥질환의 이환여부는 모형설정시 두개의 분지를 도입함으로 통제하였으며, 성별, 나이는 40세에서 59세사이의 남자 자료를 사용하여 통제하였다. 본 연구를 위해 핀란드 North Karelia 프로젝트에서 얻은 자료를 사용하였으며 이 자료의 특징은 코호트로서 위험요인과 6년간의 관상동맥질환의 질병상태변화에 따른 기록을 포함하고 있는 점이다. 로지스틱 회귀분석의 계수추정은 최대우도추정법(Maximun Likelihood Method)을 적용하였으며, 적합도 검증(Goodness of Fit Test)은 위험도의 10분위 방법(Desiles of Risk Approach)을 사용하였다. 모형의 수행평가(Evaluation of Model Performance)는 회귀분석의 계층추정시 사용한 자료의 재치환(Resubstitution)방법을 사용하였다. 시뮬레이션을 통해 관상동맥질환의 예방시 고위험집단(High Risk Group)과 전체인구를 대상으로 했을때 관상동맥질환의 이환율과 사망률의 감소를 추정하였다. 연구결과 로지스틱 회귀분석을 통해 관상동맥질환의 이환율과 사망율은 예측하는데 콜레스테롤과 이완기 혈압이 유의한 변수였으며 콜레스테롤이 이완기 혈압보다는 높은 설명력을 보였다. 적합도 검증을 통해 콜레스테롤과 이완기 혈압으로 이루어진 로지스틱 모형을 사용한 시뮬레시션에서 얻은 관상동맥질환이 이환자와 사망자수는 실제로 관찰된 결과와 통계학적으로 일치하였다. 도한 관상동맥질환의 유병율과 사망율을 낮추려면 전체인구를 대상으로 하는 것이 고위험집단을 중심으로 예방대책을 수립하는것 보다 더 효율적인 것으로 나타났다.