에이즈 상담과 교육의 차이

장순복 대한에이즈예방협회 1997 레드리본 Vol.15 No.-

제3차 아시아 태평양지역 에이즈 대회를 돌아보고 - 태국의 에이즈 대응 현황 -

장순복 대한에이즈예방협회 1995 레드리본 Vol.7 No.-

가임여성의 에이즈관련 지식과 태도

장순복 대한에이즈예방협회 1995 레드리본 Vol.4 No.-

1994년 8월에 일본의 요꼬하마에서 개최된 제10차 국제 에이즈 학술 대회에서 Michael Merson 박사도 에이즈 예방의 걸림돌은 정보의 부족, 차별의식, 무관심이라고 천명하였듯이 에이즈 예방을 위해서는 에이즈에 관련된 적절한 지식과 함께 예방행위를 할 수 있는 심리적 동인이 되는 에이즈 관련 태도를 파악해야 한다.

보건소 에이즈 사례관리자가 경험하는 문제와 대안

장순복,황금복,이영숙 대한에이즈예방협회 1998 레드리본 Vol.23 No.-

간호학생의 산부 실습 성취도 평가

장순복,박소미,송주은,김은숙 연세대학교 간호정책연구소 1999 간호학탐구 Vol.8 No.2

The purpose of this study was to provide basic data for clinical education plan. The research questions were : 1. What is the order of the clinical practice achievement level increase after 3weeks of labour room practice of nursing students? 2. Is there any pre-post difference of the clinical practice achievement level between the junior and senior nursing students? 3. What are the factors related to the increase of the clinical practice achievement level? The design of this study was an evaluation study with survey. The subjects were 148 nursing students of junior and senior at the College of Nursing, Y University. The measurement tool was consisted of 29 items with 11 domain, developed by the researchers. The data was collected by self report with voluntary will after informed consent at the time of 3 weeks clinical practice completion. Data was analyzed with descriptive statistics and t-test. The results were as follows : 1. Physical assessment, lab data interpretation, nursing diagnosis, and interview skill were in order of increase level after the 3 weeks of clinical practice in the general domain. 2. Assessment of uterine contraction, fetal monitoring, management of labour pain, enface labour experience, promotion of uterine retraction, abdominal palpation, and promotion of maternal infant attachment were in order of increase level after the 3weeks of clinical practice in the partrient women care domain nursing care of labour woman. 3. There was significant differences between the junior and the senior clinical practice achievement increase after 3weeks. But it was shown that the increasement of the senior was lower than the junior. 4. There was the most dominant distribution(40.6%) of knowledge for fetal assessment, the most dominant distribution(41.3%) of interpretation of fetal assessment, and the most dominant distribution of action were the rest of the above. It was concluded that the clinical practice achievement level is not rely on the student background rather than on the process. It is suggested that the study to find out the difference of clinical practice process, and to suggest the maximum practice frequency for each students while they are at the labour room.

Factors of Occurrence of Amenorrhea and Climacteric Symptoms in Breast Cancer Patients Underwent Chemotherapy

장순복,이경희,정재원 한국여성건강간호학회 2008 여성건강간호학회지 Vol.14 No.3

Purpose: This study aimed to investigate the factors of occurrence of amenorrhea and the severity of climacteric symptoms in breast cancer patients who underwent chemotherapy. Method: Women diagnosed with breast cancer without metastasis or recurrence, had surgery followed by chemotherapy, and had menses at the time of surgery were recruited from S hospital located in Seoul. A total of 99 women aged 31 thru 55 years participated and filled out a structured questionnaire including the Functional Assessment Cancer Therapy-Breast plus Endocrine Symptom when they visited the clinic for follow-up. Result: In 88 women amenorrhea occurred within an average of 2 months since beginning chemotherapy, and menstruation was resumed in only 11 women. About 98% of women aged over 40 experienced a cessation in menses thus age was an apparent factor of amenorrhea (Exp(B)=.76, p<.05). Presence of chronic disease (ß=.25, p<.05) and body weight change (ß=.30, p<.01) were significant factors influencing the severity of climacteric symptoms. Conclusion: Nurses need to have clinical evidences of menstrual changes due to breast cancer treatment. Information about premature menopause and climacteric symptoms should be provided according to women's health conditions so that they cope better during their survival.

복식호흡이 조기진통 임부의 불안과 자궁수축 빈도에 미치는 효과

장순복,박현정,배춘희,심정언 병원간호사회 2007 임상간호연구 Vol.13 No.3

Purpose: This pilot study was aimed to examine the effect of abdominal breathing on the frequency of uterine contraction and anxiety of pregnant women with preterm labor. This study utilized pre-experimental design and nonequivalent control group pre-post test quasi-experimental design. Method: Subjects were 35 women in total; 5 in experimental group and 30 in control group. Following the protocol by Shim Joung-Ohn(2005), pregnant women who were admitted to the hospital for preterm labor were assigned to the experimental group. They were instructed to perform abdominal breathing 25 times at the start of uterine contraction, which took 5 minutes. Three sets of 5-minutes abdominal breathing(25 times) were performed daily for three days. Before and after the abdominal breathing of the experimental group, Visual Analogue Scale was employed in order to assess the psychological anxiety level of the experimental group. Blood pressure, pulse, and skin temperature were measured to obtain data on the physical anxiety level. Frequencies of uterine contraction were collected using tocodynamometer. For the women in the control group, nursing and medical records were reviewed. The collected data were analyzed using the SPSS program. Results: After abdominal breathing, there was a statistically significant decline in the psychological anxiety level of the experimental group(t=3.11, p=.01). With regard to the physical anxiety level, no statistically significant drop was detected in blood pressure and pulse, skin temperature rose significantly(t=-5.98, p=.00). There was no statistically significant reduction in the frequency of uterine contraction(t=1.94, p=.06). Conclusion: The findings of the study confirmed that abdominal breathing reduced the psychological anxiety of pregnant women with preterm labor and raised their skin temperature, one of the indicators of relaxation response. Besides, the frequency of uterine contraction tended to decrease, although the degree of the decrease was not statistically significant. This suggests that abdominal breathing has a positive effect on uterine muscle relaxation.

신생이 비디오 상영이 포함된 가정간호가 초산모의 양육능력에 미치는 효과

장순복,송주은 대한간호학회 여성건강간호학회 2000 여성건강간호학회지 Vol.6 No.1

한국 임부의 태교요인 -동양 민속행위적인 임부의 자가관리-

장순복,박영주,최연순,정재원 한국간호과학회 1996 Journal of Korean Academy of Nursing Vol.25 No.2

All human health behavior is deeply rooted one's beliefs or value system usually encompassed within the culture in which they live. The Taegyo, based on Oriental folk medicine, is defined as the behavior and self care of pregnant women administered for herself and her fetus(unborn child). Taegyo is believed to be desirable, effective, and healthy behavior by most of Korean pregnant women. It is essential in our contemporary culture, to ascertain what the components of Taegyo are and to integrate them into current, western nursing care, particularly in the area of prenatal care. 910 Korean women were the subjects of this study, who were in a gestation period of pregnancy between 10 weeks to three months postpartum. The subjects were selected by clustered smpling from 10 representative cities in Korea. Data was collected from February 10 to March 30 1995 by a constructed Questionnaire which consisted of 95 items. The questionnaire was developed through three steps such as content analysis, calculation of content validity index, and pretest. Data was analyzed by descriptive statistics and rotated matrix factor analysis with pc-SAS. The mean age of the subjects was 28.9 years : 36.5% of them were employed and the mean income per month was about 2000 dollars. The component of Taegyo was clustered into five factors such as fetus psychological stability(equity), fetus personality development, maternal-fetal interaction, fetus intellectual development and physical health promotion. The variance of each factor were 23.7%, 8.3%, 4. 7%, 4.1%, and 3.3% respectively in that order. The Eigen value of each factor was 13.03, 4.57, 2.60, 2.23, and l.83 respectively. It was found that the Taegyo is an unique and holistic self care behavior of Korean pregnant women. Therefore it has been concluded that this study has broadened the understandability of the implications the Taegyo. It is suggested that further studies on the effects of the Taegyo are needed to provide a scientific basis for professional maternity nursing.

십대 여학생의 성행태와 성경험 관련요인

장순복,김소야자,한인영,박영주,강현철,이선경 한국간호과학회 2001 Journal of Korean Academy of Nursing Vol.5 No.1

The purpose of this study was to investigate the rate of pregnancy, abortion, delivery and contraceptive use and the relationship between the related factors and the early coitus among Korean teenagers. Method: The subjects of this study were 12,733 teenagers age 13-19 years in 7 major cities and 9 provinces in Korea. Data was collected from 2 Oct., to 28 Oct., 2000 and analyzed by using SPSS 10.0 Program. Results: The results showed pregnancy rate 4.5%, delivery rate 0.5%, abortion rate 0.4%. Adolescent girls who experienced coitus relatively went to vocational school, coeduaction school, night school in the general characteristics (p=0.000). Adolescent girls who experienced coitus tend to go to video room (18.5%), go the singing room (60.7%), the bar (54.8%), petting with the partner during the dates. There were overlapping juvenile delinquencies such as drinking (89.2%), pornography (65.3%), bond inhalation (2.7%), leaving homes (43.7%), smoking (14.5%), cyber sex (70.8%), phone sex (12.9%). Adolescent girls who experienced coitus were more suffering from Wangtta (26.1%) than who had not. They showed significant positive attitudes toward coitus; such as feeling of excitement (6.6%), nature (37.9%), beauty (8.7%). On the other hand, they had more guilty (2.8%) than the inexperienced (p=0.000). The main factors relating to early coitus were 'to confirm love' (46.9%), 'afraid of rejection' (32.2%). They think the benefits of coitus were 'more intimacy with boyfriends' (20.6%), 'satisfaction of curiosity' (16.8%). The losses on coitus were 'worry about pregnancy' (73.7%) and 'unability to refuse sexual contacts' (28.7%) Conclusion: It could be concluded that it is necessary to plan different sex education programs according to general characteristics and delinquency behaviors of teenage girls in Korea.