류마티스 질환자의 피로와 통증 비교연구 : 강직성척추염, 섬유조직염, 루프스환자를 중심으로

이여진,임난영,이은영 성인간호학회 2000 성인간호학회지 Vol.12 No.4

This study was designed to order descriptive data for nursing intervention for relief of fatigue and pain, and to distinguish by the characteristic difference and the symptoms such as fatigue and pain on Ankylosing Spondylitis(AS), Fibromyalgia(FM), and Systemic Lupus Erythematosus(SLE) patients. The sample consisted of 92 Patients(AS 29: FM 30; SLE 33) who visited H-University Rheumatism Hospital in Seoul The data were collected by a structured questionnaire from May 1. 1999 to April 30, 2000. The results were as follows: Patients of 95% experienced fatigue in the last week and a fatigue score of three disease groups were above average. The fatigue score of FM patients was highest in the other disease, but which was not a statistically significant difference(F= 1.417. p=.248). The mean score of AS and FM patients in pain was higher than the SLE patients, and there was the statistical significance among the three groups on pain (F=8.239. p=.001). There wasn't a statistical difference among three groups on coping wtih pain(F= 1.451, p=.240). There wasn't any correlation between fatigue and pain in each disease (AS. r=.008. p=.966; FM: r=.328, p=.077: SLE: r=.237,p=.185). Therefore, morning stillness and pain management during sleeping is needed through good body alignment in the AS patients. Adequate rest for fatigue and multiple coping strategies for pain maybe basic nursing intervention in FM and SLE. According to their fatigue rhythm. a regular exercise program is needed for rheumatic disease because they complained of fatigue above average and their fatigue was repeated bettor and worse only during the one week.

학점은행제 교육과정 간호사들의 임상경력에 따른 간호과정 재교육의 효과 비교 : 숙련성, 비판적사고 성향, 임상의사결정 능력을 중심으로

이여진 한국간호과학회 간호행정학회 2009 간호행정학회지 Vol.15 No.2

Purpose: This study investigated the effects of reeducation of nursing process on nurses' expertise, critical thinking disposition, and clinical decision making. Methods: Data were collected from March to June, 2007. The subjects were 47 Academic Credit Bank System Student Nurses. They were taught ‘nursing process’ during 1 semester(15weeks). 47 nurses were divided into three groups according to clinical experience(under 3 years, 3 to under 5 years, 5 years or more). After 15 weeks, the effects of education were compared using a paired t-test between pre-test and post-test. Results: There was a significant difference in the 3 to under 5 years experienced nurses's expertise(t=-3.659, p=.004) between the pre-test and post-test. There was a significant difference in the 5 years or more experienced nurses's expertise(t=-5.781, p<.001) and critical thinking disposition(t=-3.345, p=.003) between the pre-test and post-test. There were no significant differences in clinical decision making(accuracy, proficiency, and confidence) of 3 groups. Conclusion: Reeducation of nursing process is a valuable teaching and an evaluation strategy for 5 years or more experienced nurses to improve expertise and critical thinking disposition. We need to develop continuing education program for improving nurses' clinical decision making.

법적인 측면에서의 간호기록 작성방법 교육이 임상간호사의 간호기록작성 지식과 이행에 미치는 효과

김은영,이여진 한국간호과학회 간호행정학회 2011 간호행정학회지 Vol.17 No.3

Purpose: The purpose of this study was to examine the effects on knowledge and performance in clinical nurses who participated in education on nursing recording focusing on the legal aspects. Method: The participants were working in medical departments in one hospital. There were 32 nurses in the experimental group and 25 in the control group. Pre-test was conducted on the two groups before education, and, in order to examine the effects of education, a post-test was conducted after three weeks. For the experimental group, the education on nursing recording focusing on legal aspects was provided as a lecture-led one-to-one training. Results: Significant differences were found between the experimental and control groups in knowledge (F=15.728, p<.001), and performance (F=42.454, p<.001). Conclusions: The results of this study indicate that education on nurse recording enhances the knowledge and performance of the nurses. Thus education on nurse recording focusing on legal aspects should be required in the area of nursing science.

만성관절염과 루푸스의 피로, 통증, 및 통증효능감에 관한 연구

임난영,이은영,양용숙,정순애,차경옥,이여진 대한류마티스 건강전문학회 2000 근관절건강학회지 Vol.7 No.1

This study was designed to distinguish by the characteristic difference and the degree of symptoms such as fatigue, pain, coping to pain, and efficacy on pain, and to offer descriptive data for nursing intervention for improving coping ability to pain along each characteristics of disease in chronic arthritis and systemic lupus erythematosus. The subjects were 135 outpatients in the hospital for rheumatic disease in H-University, Seoul. The data were collected by structural questionnaire, from April 29 to June 29, 1999. The results were that the fatigue score was high in the OA patients while the RA patients and SLE patients experienced middle range of fatigue score, but which was not statistically different. Although the RA patients felt higher pain than other diseases, they have well coped with their pain than the others. In efficacy on pain the SLE patients had higher score than others but all of the disease showed lower score. No statistically significant difference among the three croup was recorded in efficacy on pain. Therefore, pain management in the RA patients was primary nursing intervention because they felt severe pain and have well coped with pain while they had lower pain efficacy score than the others. It is also important that fatigue management and coping strategies on pain for the OA patients and SLE patients are specially supportive in the nursing intervention.

수술실 간호사의 간호업무 분석

권성복,조경숙,박영숙,김동옥,이여진,이은희 대한간호행정학회 2008 간호행정학회지 Vol.14 No.1

Purpose: The purpose of this study was to identify nurses' duties and tasks for job analysis of the nurses in the operating room. Methods: This study was descriptive investigation research using the 3-point likert scale questionnaires and the level of importance, difficulty and the frequency of each duty and task were analyzed. Data were collected by 422 OR nurses from 57 hospitals. Results: Job of OR nurses included 13 duties and 105 tasks. The 13 duties were ‘management of operative patient’, ‘assistive work for operation’, ‘supportive work for operation’, ‘infection control in OR’, ‘management of equipments and instruments for operation’, ‘administrating medicine for operation’, ‘supplies management for operation’, ‘safety management for operation’, ‘environmental management for operating room’, ‘administrative work for operation’, ‘education for operating room personnel’, ‘development of operation procedure books’ and ‘self development of OR personnel’. Conclusion: This study identified duties and tasks performed by OR nurses. Based on these results, the importance, frequency, and difficulty in this study will provide research evidence for developing training programs for OR nurses.

Blended learning을 이용한 임상실습 오리엔테이션 프로그램의 효과

이여진(Yi, Yeo-Jin) 한국간호교육학회 2008 한국간호교육학회지 Vol.14 No.1

간호대학생의 조직사회화에 영향을 미치는 요인

이여진(Yi, Yeo Jin) 한국간호교육학회 2014 한국간호교육학회지 Vol.20 No.4

Purpose: This study investigates the influence of education satisfaction, communication competence, and group cohesion on organizational socialization in nursing students. Method: The subjects were 175 third year nursing students. Data were collected from June 3 to 14, 2013 through a self-reporting questionnaire. Data analysis was performed by multiple regression using the SPSSWIN 21.0 program. Results: The organizational socialization score of nursing students averaged 3.79 points (5 Likert scale). Practice education satisfaction, communication competence and group cohesion of nursing students influenced organizational socialization (R² 52.5%, F=49.051, p<.001). Conclusion: For nursing students, practice education satisfaction, communication competence and group cohesion are significant variables for organizational socialization. Thus, in order to enhance the organizational socialization of nursing students, there is a need to develop a differentiated practicum curriculum that considers nursing student demands in collaboration with nursing faculty and administrators on the basis of education programs, including concepts of communication competence and group cohesion.

인구학적, 흡연 및 금연관련 요인이 청소년 흡연자의 금연성공에 미치는 영향

이여진(Yeo-Jin Yi),이군자(Kun-Ja Lee),김영숙(Young-Sook Kim) 한국콘텐츠학회 2011 한국콘텐츠학회논문지 Vol.11 No.4

본 연구는 청소년의 6개월간의 금연성공률을 미치는 영향요인을 확인하기 위하여 시도되었다. 연구대상자는 인천광역시 보건소 금연클리닉에 등록한 925명의 청소년이었다. 수집한 자료는 로지스탁회귀분석을 이용하여 영향요인을 분석하였다. 청소년의 6개월 금연성공의 주요요인은 금연시도를 한 적이 있는 것 보다 금연시도를 한 적이 없는 것이었고(OR=9.48), 음주를 안 하는 것보다 음주(OR=4.61)를 하는 것이, 가족이나 친구의 권유(OR=3.93), 금연방법(인지 행동요법과 니코틴 대체요법의 병행(OR=2.45), 여학생보다는 남학생(OR=1.78)이, 중학생 보다는 고등학생(OR=1.65)이, 호기 CO농도가 낮을수록(OR=0.95), 니코틴 의존도가 낮을수록(OR=0.76)이었다. 청소년을 위한 금연정책은 금연 뿐 아니라 청소년기 이전부터 흡연예방을 강조해야 한다. 가족, 금연상담사 및 건강관리자들은 금연을 시도하는 청소년이 첫 시도에 금연에 성공하도록 도와주어야 하며, 특히 여학생과 중학생의 경우에는 금연을 위한 동기를 부여하고 금연상담을 더 많이 해야 한다. 청소년 흡연자의 호기 CO 농도가 높거나 니코틴 의존도가 높다면, 이들에게는 인지-행동 요법과 함께 니코틴 대체요법도 효과적이라고 생각한다. This study aimed to identify success factors of smoking cessation for 6 months in Adolescent smokers. Data were collected from January to December, 2008. The 925 adolescent smokers were registered smoking cessation clinic at public health center in Incheon. Data (demographic, smoking, smoking cessation) were analyzed by logistic regression. Major factors are attempting to quit smoking(no trial, OR=9.48), alcohol drinking (yes, OR=4.61), information source for registration(family, friends's ask, OR=3.94), cessation methods(cognitive+behavior+ nicotine alternative therapy, OR=2.45), gender(male, OR=1.78), grade in school(high schooler, OR=1.65), expiration CO concentration (OR=0.95), and nicotine dependency(OR=0.76). Therefore, smoking cessation policy for adolescence should be emphasized on smoking prevention as well as smoking cessation. We have to help the adolescent to succeed in smoking cessation when they attempt to quit smoking at first time. Female student smokers and middle school smokers should be given advice for smoking cessation motives and more times of counselling for smoking cessation. If adolescent smokers have high expiration CO concentration and high nicotine dependency, they should not only take cognitive-behavior therapy but also nicotine alternative therapy.

표준화 환자를 이용한 관절질환 간호사정 실습교육의 평가

이여진(Yi Yeo-Jin),임난영(Lim Nan-Young),이은희(Lee Eun-Hee),한혜자(Han Hye-Ja),김주현(Kim Joo-Hyun),손행미(Son Haeng-Mi),박영숙(Park Young-Sook),강현숙(Kang Hyun-Sook),조경숙(Cho Kyung-Sook),김동옥(Kim Dong-Oak),권성복(Kwon Sung-Bok 대한근관절건강학회 2007 근관절건강학회지 Vol.14 No.2

Purpose: This study was performed to evaluate of practicum by using standardized patient(SP) for nursing assessment. Method: This study had 2 steps. The 1st-step was pre-intervention stage including selection of a learning title, formation of case scenario, training of SP and developing the evaluation tools for students' clinical competence to assessment, 6 categories 29 items. The 2nd-step consisted of intervention and evaluation stages. 34 nursing students divided 2 groups participated in assessing the SP. Evaluation of each group was performed by 2 nursing professors. All students recorded their feelings after assessing the SP. The SP also evaluated about nursing students' attitude toward the SP. Results: ICC(Interclass correlation coefficient) between 2 groups was over 0.7 in all categories. Students' assessing score(range 0-1) was muscular-joint function status(0.41), nutritional status(0.39), history taking(0.38), IADL(0.18), ADL(0.15), and emotional status (0.07). The mean scores of the nursing students' attitude by SP was 4.03(range 1-6). Also most students showed positive reactions to the education using SP because they had the chance to experience what they could not practice in clinical setting. Conclusion: The evaluation tool revealed high reliability. Nursing students' clinical competence was below average. But they took a good attitude to SP. We recommended further research using SP with various disease.

모바일 헬스케어에서 의료정보의 보호에 관한 연구

이여진(Yeo-Jin Yi),이병문(Byung Mun Lee) 융복합지식학회 2015 융복합지식학회논문지 Vol.3 No.2

최근 모바일기기의 발전과 보급으로 그 활용도가 많아졌다. 과거 의료정보는 병원정보시스템을 중심으로 지정된 공간에서만 통용되었다. 그러나 모바일 애플리케이션의 많은 개발과 보급으로 일반 환자나 사용자들은 물론 의사나 간호사까지도 모바일 기기를 이용한 의료업무를 보고 있기 때문에 모바일 기기에 저장되고 사용되는 의료데이터의 안전한 처리가 필요하다. 모바일 기기 내부에 중요한 정보를 저장하거나 모바일 기기 외부로 중요한 데이터를 전송할 때 발생할 수 있는 취약성을 제거하기 위해 본 논문에서는 정보의 중요도에 따라서 정보에 표시를 하고 이를 관리하도록 하는 새로운 프레임워크 모델을 제시한다. 제시된 프레임워크는 내부의 라벨관리기와 메타정보 분산교환기를 통해서 내외부의 데이터의 중요성에 따른 보안기능을 적용할지를 결정하고 외부로 전송되는 경우에는 암호화된 채널을 통해서 전송하여 안전한 데이터 사용을 실현한다. Mobile device is currently developing and spread to the world. Medical information has been using in a boundary of a hospital, However, All medical data should be secured in all processing on the mobile device when a patient or a user takes a look his medical information as well as a doctor and a nurse works his/her patient`s medical information in order to care the patients, because of the spread of medical mobile applications and mobile healthcare applications. In order to remove the vulnerability such as eavesdropping when an important data is stored in a mobile device or when the sensitive data is transmitted to the other system by wireless network, this paper propose a framework model which the data should be labeled and managed according to the importance or sensitivity of the data. The framework manage to deal with every data in the mobile device by label manager and distributed exchanger for meta information of the label. In addition, it will be processed all the data securely by the secured channel when the high level labelled data is transmitted to the outside of the mobile device.