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이정미(Lee, Chong Mi),조복희(Cho, Bok-Hee) 대한근관절건강학회 2014 근관절건강학회지 Vol.21 No.1
Purpose: The purpose of this study was to investigate the factors increasing fall risk in the residential environment risk and the perceived fall risk among the older adults who received home care services to provide information for developing a comprehensive falls intervention program. Methods: The subjects were 227 community-dwelling elderly aged 65 years and over who were taken care of by home-visiting nurses of the national health centers. The data were collected from July to August in 2012 using the Chois residential environmental risk scale (2010) and the Hongs fall risk scale (2011). Results: Requires an assistive devices to walk, modified residential environment, health security, approval certificate of LTC, residential safety perception, residential environment risk, and perception of fall risk were statistically significant risk factors. A multiple logistic regression analysis showed that room & kitchen, physical perception, medication & ADL perception, floor-related environmental perception, and daily living tool-related perception were statistically significant predictors of fall. Conclusion: The results showed that the residential environment and the perceived fall risk were associated with fall experiences among the elderly. It is necessary to develope multifactorial intervention programs considering both environmental and perceived risk factors as well as physical risk factors to reduce and prevent falls among the elderly.
산전검사상 신경모세포종으로 진단되었던 복막뒤 악성 기형종의
이정미 ( Chong Mi Yi ),김미숙 ( Mi Suk Kim ),최윤석 ( Youn Seok Choi ),정경재 ( Kyung Jae Jung ),이영환 ( Young Hwan Lee ),김정식 ( Jung Sik Kim ) 대한산부인과학회 2005 Obstetrics & Gynecology Science Vol.48 No.3
Through a routine antenatal ultrasound examination of 37-year-old woman at 38 weeks` gestation, a 6cm-diameter mixed solid and cystic mass was found in the left suprarenal area of her fetus. The following antenatal magnetic resonance image showed a larger
고충실도 시뮬레이션 기반 교육이 간호학생의 임상수행능력과 간호수행 자신감에 미치는 효과
이정미(Chong-Mi Lee),소향숙(Hyang-Sook So),김윤경(Younkyoung Kim),김정이(Jeong-Ee Kim),안민정(Minjeong An) 한국콘텐츠학회 2014 한국콘텐츠학회논문지 Vol.14 No.10
본 연구는 국내 고충실도 시뮬레이터를 이용한 시뮬레이션 기반 교육 관련 선행연구들을 체계적으로 고찰하여 간호학생의 임상수행능력과 간호수행 자신감에 대한 효과를 분석하고, 이를 이용해 근거중심의 가이드라인 제공 및 향후 연구방향을 제시하고자 시도되었다. 데이터베이스인 한국교육학술정보원(RISS), 한국학술정보(KISS)와 Google Scholar에서 2005년부터 2014년까지의 문헌을 대상으로 키워드 ‘간호와 시뮬레이션’ 또는 ‘간호와 시뮬레이터’로 검색하였다. 총 183편의 연구 중 16편의 논문이 최종 선정되었고, Quality Assessment Tool for Quantitative Studies를 이용해 문헌의 질을 확인하였다. 연구결과, 시뮬레이션 기반 교육은 간호학생의 임상수행능력과 자신감 증진에 긍정적인 효과가 있었고, 간호학생들의 직접 간호수행이 힘든 중환자와 분만간호 분야에서 임상실습 교육의 효과적인 교수-학습전략이 될 수 있음을 확인하였다. 시뮬레이션 기반 교육의 효과를 극대화하기 위해 교육자와 시설 등의 적절한 지원이 필요하다. 향후 결과의 일반화를 높이기 위해 충분한 표본수를 고려한 무작위대조연구, 교육효과 평가를 위한 표준화된 도구 개발 및 시뮬레이션이후 제공되는 디브리핑의 효과를 분석하는 연구를 고려해 볼 것을 제언한다. The purpose of this review was to evaluate the effects of simulation-based education on clinical competence and confidence in nursing students and summarize the available evidence on the simulation-based intervention. A systematic review using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses: the PRISMA Statement was conducted. Studies published between 2005 and 2014 were reviewed using the following databases: RISS, KISS, and Google Scholar. The keywords used were nursing and either simulation or simulator. Selected studies were assessed for methodological quality using Quality Assessment Tool for Quantitative Studies. Seventeen studies were identified, including a total of 1,912 nursing students. All the 16 studies found simulation as a valid strategy on clinical competence and confidence in nursing education. This review provides updated evidence for simulation-based learning in nursing education. Further studies are needed to increase generalizability using randomized controlled trials, enough sample size, and longitudinal study design. In addition, valid measurements are needed to assess the main outcomes.
이정미(Lee Chong Mi),김윤경(Kim Younkyoung) 전남대학교 간호과학연구소 2019 Nursing and Health Issues(NHI) Vol.24 No.1
Purpose: This study aimed to identify the factors influencing adjustment to college life by nursing students. Methods: The participants were 260 nursing students. Data were collected from May to July in 2015. Data analysis was performed using descriptive statistics, t-test, ANOVA, Pearson s correlational coefficients, and multiple linear regression analysis with SPSS WIN 23.0 program. Results: The mean scores of adjustment to college life (60.36±9.53), clinical practice stress (69.15± 12.28), employment stress (51.03±14.74), stress coping style (62.05±9.39), major satisfaction (6.34±1.74), satisfaction with college life (6.07±1.78), and satisfaction with practice (5.97±1.83) were more than half of the measurement range. Among general and health-related characteristics, sex, religion, family’s economic status, personality, school records, and subjective health status showed significant differences in the score of adjustment to college life. Adjustment to college life was significantly higher when the stress coping style was problem-focused coping (Model 3 =.35, p <.001), participants were male (Model 2 female =−.14, p =.008), participants had a religion (Model 3 =.15, p =.002), personality was extroverted or general (Model 2 introverted =−.11, p =.038), and school record was higher (Model 3 middle =.23. p <.001; high =.28, p <.001). The combined explanatory power of these variables was 42% (F=14.44 , p <.001). Conclusion: Based on the findings of this study, we need to consider different approaches according to students’ school record and use of stress coping styles, especially emotion-focused coping style, for college nursing students to improve their adjustment to college life.
소그룹 인지기능강화 프로그램이 인지기능, 일상생활활동, 우울, 생활만족도, 악력에 미치는 영향
강서영(Kang, Seo Young),이정미(Lee, Chong Mi) 대한근관절건강학회 2016 근관절건강학회지 Vol.23 No.3
Purpose: The purpose of this study was to evaluate effects of a cognitive improvement program on cognition, activities of daily living (ADL), depression, life satisfaction, and grasping power in small groups. Methods: A nonequivalent control group pretest-posttest design was used. Participants were 127 elders who were never diagnosed with dementia and could read (experimental: 61, control: 66). The program was consisted of 8 sessions to improve vocabulary and writing skills and fine motor skills. Each session was applied once a week for 8 weeks. A group was consisted of less than five members. Results: Cognition (t=3.82, p<.001), depression (t=-2.24, p=.027), life satisfaction (t=2.25, p=.027), and grasping power (Rt: t=2.44, p=.016, Lt: t=2.63, p=.010) except ADL (t=-0.49, p=.622) were significantly increased in the experimental group after the cognitive improvement program compared to the control group. Conclusion: This study indicates that the cognitive improvement program was effective to improve cognition, depression, life satisfaction and grasping power. Further study is needed in order to identify continuous effects of this cognitive improvement program.
건강아파트 주민지도자 대상 지역사회역량강화 교육의 효과
최인희(Choi, In Hee),이정미(Lee, Chong Mi),조인숙(Cho, In Sook),강서영(Kang, Seo Young),김윤경(Kim, Younkyoung) 대한근관절건강학회 2018 근관절건강학회지 Vol.25 No.1
Purpose: The purpose of this study was to investigate the effects of a community-based empowerment program for resident leaders participating in the Healthy Apartment project. Methods: The design of this study was a single group pre-post test design. This program was consisted of 4-hour sessions. The total participants were 22 leaders. Results: The participants showed significant changes in social support (Z=-2.33, p=.020), collective action (Z=-3.91, p<.001), conflict and homogeneity (Z=-2.03, p=.042), and community perception index (Z=-3.97, p<.001) as sub factors of the individual level of SC-IQ (Integrated Questionnaire for the Measurement of Social Capital). They also showed significant changes in necessity of the resident organization (Z=-4.13, p<.001), resident participation (Z=-3.84, p<.001), convergence of resident opinion (Z=-3.94, p<.001) and the role of community leaders (Z=-3.94, p<.001) as sub factors of the perception and confidence of resident leaders (Z=-3.85, p<.001). Conclusion: Results indicate that the community-based empowerment program is effective in perceptions of social capital on the individual level and improvement of recognition as resident leaders and confidence for resident leaders.
IT 환경에서 소방공무원의 근골격계 증상이 건강관련 삶의 질에 미치는 영향
오경재(Gyung-Jae Oh),이정미(Jeong-Mi Lee),양충용(Chung-Yong Yang),박형주(Hyung-Ju Park),박윤희(Yun-Hee Park),유찬욱(Chan-Uk Yoo),강은영(Eun-Yeong Kang),정복희(Bok-Hee Chong) 한국전자통신학회 2014 한국전자통신학회 논문지 Vol.9 No.3
본 연구의 목적은 최근 IT환경에서 소방관의 건강 관련 삶의 질에 대하여 작업 관련 근골격계 질환의 영향을 평가하고자 하였다. 평가는 구조화된 설문지를 이용하였으며, 직접 대면 면담 방식으로 진행되었다. 연구는 전체 366명의 소방관이 참여하였다. 평가 방법은 근골격계 질환의 증상에 대한 평가를 위해 NIOSH의 증상 표를 이용한 자가 평가식 설문지로 측정하였으며, 건강관련 삶의 질의 평가를 위해 SF-36을 근거로 측정하였다. 근골격계 질환의 유병률은 상지에서 38.0%, 허리에서 35.5%, 하지에서 21.6%이었으며, 59.3%에서 신체의 두 부위 이상에서 증상이 발생하였다. 근골격계 질환의 증상을 갖는 소방관은 상지에 근골격계 질환의 증상을 갖지 않는 소방관보다 감정 기복 제한을 제외한 삶의 질의 7 범주에서 유의한 낮은 점수를 보였다. 반면에 근골격계 질환의 증상을 갖는 소방관은 하지나 허리에 근골격계 질환의 증상을 갖지 않는 소방관보다 삶의 질의 모든 범주에서 유의한 낮은 점수를 보였다. 이러한 결과는 근골격계 질환이 삶의 질에 부정적 효과를 갖음을 유추할 수 있다. 따라서 소방관에서 근골격계 질환의 예방은 건강 관련 삶의 질을 향상하기 위한 효과적인 중재적 전략으로 고려할 수 있을 것이다 This study was conducted to assess the impact of work-related musculoskeletal disorders (WMSDs) on health related quality of life(QoL) in the firefighter under the recent IT environment. The data were collected by face to face interview using a structured questionnaire in the 366 respondents. WMSDs symptoms were measured by a self-assessed questionnaire on symptom table of NIOSH and health-related QoL was measured by SF-36. The prevalence of WMSDs was 38.0% in upper limbs, 35.5% in the low back, 21.6% in lower limbs, and 59.3% in two or more parts of the body. Subjects with symptoms of WMSDs had significantly lower scores in 7 dimensions of QoL except ‘emotional role limitation’ than those without symptoms of WMSDs at the area of upper extremities (neck, shoulder, arm/wrist, and hand/wrist/fingers). On the other hand, subjects with symptoms of WMSDs had significantly lower scores on all QoL dimensions than those without symptoms of WMSDs at the area of lower back or lower extremities. These results suggest that WMSDs had a negative effect on QoL. Therefore, prevention of WMSDs should be considered intervention strategies for improvement of QoL, especially in firefighters