혈액투석환자의 가족지지에 대한 지각과 불안과의 관계연구

오현숙 성인간호학회 1991 성인간호학회지 Vol.3 No.-

Recently, the number of patients requiring dialysis therapy is requiring dialysis therapy is rapidly increasing due to expanded medical insurance support for dialysis and improved economic status of our country. Through the hemodialysis proved to be the most successful method for managing C.R.F. those who are undergoing hemodialysis treatment became to feel severe anxiety. In this situation the perceived family support is very important, which is the primary and direct support system mediating or buffering anxiety and helping hemodialysis patients coping their anxiety effectively. Therefore this study was designed to identify the correlation between perceived family support and anxiety in patients on hemodialysis for the purpose of proving effective nursing intervention, health maintenance and rehabilitation. The instruments for this study were the F.E.S. designed by Rudolf Moos and Ensel, the anxiety scale in patients on hemodialysis a designed by Cho Jong Sook. The subjects for this study were 107 patients on hemodialysis four general hospital in two cities. The study method used was questionnaire and the data were collected from, 12 to Mar. 3, 1990. The study method used was questionnaire and the data were collected from Feb. 12, to mar, 3, 1990. The data were analyzed by the percentage, T-test, ANOVA, Pearson Correlations Coefficients. The results of analysis were as follows. There was significant difference of No of Family members in family support. There was a significant difference of opinion of renal transplantation in anxiety. There was a significant relation between perceived family support and anxiety by rehabilitation grading. There was a significant correlation between perceived family support & anxiety. In conclusion, it is necessary to patients on hemodialysis adapt to social problems effectively. In addition to establish a realistic nursing plan for releiving anxiety, positive family support and rehabilitation in patients on hemodialysis.

푸코의 윤리 : 자기의 배려에서 광기의 윤리로 From Care of Self to Ethics of Madness

오현숙 경희대학교 인문학연구소 2003 인문학연구 Vol.7 No.-

Foucault's notion of ethics in his later writings is contradictory to his theory of discourse and power. His ethics signifies "care of self." Subject fashions it into the practices of freedom in order to escape his condition subjugated by law or power. That is to say, subject reestablishes the relation with itself voluntarily, not to depend on the coercive rules. Care of self includes the self's government which self recognizes and moderates itself. But on the other side, care of self means Parrhesia which self says everything freely and tells the truth in the open like an agora. Practicing these cares of self, self transforms its life into a work, called an "art of existence." Care of self also is an art of caring other. Self moderates itself not to dominate other. For example, Socrates who practices temperance, dialogues with an interlocutor to discover his own new self. Diogenes makes a mockery of power by trickery and subverts the position of power. In this sense, care of self and Parrhesia mean an "act" of changing the relation between self and other, or self and power. But ethics could be confronted with the moral or the law of society when self embraces other excluded from a society. In order to protect the nation and the public good, a society removes other. If self embraces the prohibited other, self causes a scandal to question collective habits, opinions, and institutional rules. As a result, self is excluded like other. To practice ethics is a dangerous game. As Diogenes and Antigone transgress a moral for other and bring out a scandal, they could become the mad. Foucault's ethics is similar to ethics of madness.

胃手術患者의 手術後處置와 看護에 關한 臨床的 硏究

吳賢淑 충남대학교 의과대학 지역사회의학연구소 1980 충남의대잡지 Vol.7 No.2

A clinical study was made of 101 cases which had been treated operation in dept. of G-S of Chungnam National University due to diseases of stomach and duodenum, from January 1978 to June 1980. The study was focused to postoperative management and nursing after operation of .stomach and duodenum. 1. Of the 101 cases, 57 were peptic ulcer and 44 were stomach carcinoma. 2. The sex distribution of 101 patients was 79 males and 22 females, the ratio being 3.6 : 1. 3. The peak incidence of diseases were fourth decade (34.7%) the next was fifth decade (24.8%) 4. In operative methodes, subtotal gastrectomy and gastrojejunostomy was performed in 77 cases of 101 cases (76.2%) 5. The average duration of postoperative admission was 12 days. 6. The onset of removal of restoration of peristalsis and gas passing after operation was 3.5 days in average. 7. The onset of removal of levin tube after operation was 4.3 days in average. 8. The onset of defecation after operation was 4.4 days in average. 9. In performing oral intake after operation, any specific diet table was not seemed to be needed in our research. The beginning of oral intake and amount of oral intake after operation was as follows. Clear liquid. fluid being 4.4 days, liquid diet 5.5 days, soft diet 6.9 days in average and clear liquid fluid being 327.4 ml, liquid dief 770.6ml, soft diet 1178.8ml in averag.

불확실성의 간호이론 구성

오현숙 성인간호학회 2001 성인간호학회지 Vol.13 No.2

The purpose of this study was to understand the nature and structure of "uncertainty of chronically ill patients" by explaining it more scientifically. This study is based on the unique experiences, which individual uncertainty experiences differ from others. In this sense, Q-methodology which includes self-psychology and abductive logics is applied to the study. The results indicate that there are six type of uncertainty of chronically ill patients : my own fault, self-esteem loss, self-care determination, cure-doubt, reality-restructure, and past-tenacity reality-absence. Thus, "uncertainty of chronically ill patients" is defined from the study as the process in which continuous transition and evaluation of possibility cause changes in human recognition, attitude, action, etc.. The significance of the study is threefold : (1) discovery of six types of uncertainty of chronically ill patients in Korean people, (2) the better understanding of "uncertainty of chronically ill Patients", (3) possible develop-ments of nursing concept and assessment and intervention technique based on the new dimension of the understanding in uncertainty for nursing of chronically ill patients from this research.

경로당 이용 만족도에 따른 노인의 생활만족도에 관한 연구

오현숙 대구대학교 사회복지연구소 2003 社會福祉硏究 Vol.24 No.-

본 연구는 노인의 다양한 여가활동을 위한 시설 중 경로당을 이용하는 노인 경로당 이용만족도가 생활만족도에 미치는 영향을 파악하여 경로당 운영의 활성화와 노인복지 증진을 위한 기초자료를 제시하고자 함에 목적이 있다. 이를 위하여 대구광역시내에 거주하고 있으면서 경로당을 이용하고 있는 노인232명을 최종대상으로 선정하여 다음과 같은 결과를 얻었다. 첫째, 노인의 인구 ·사회학적 특성에 따른 생활만족도는 남성, 배우자와 동거하는 노인. 종교를 가지고 있으며, 본인이 지각하는 건강상태가 좋고, 본인이 지각하는 경제수준이 보통인 노인이 생활만족도가 높았다. 둘째, 경로당 이용 만족도는 지역사회의 지원만족도가 가장 높으며. 시설환경만족도가 가장 낮았다. 셋째, 경로당 이용 만족도가 생활만족도에 미치는 영향은 지역사치지원 만족도,시설환경만족도 순이며 여가프로그램만족도는 영향을 미치지 않는 것으로 나타났다. 넷째, 노인의 생활만족도에 영향을 미치는 시설만족도 요인은 냉난방시설이 가장 크며, 지역사회지원 요인은 의료기관과의 연계, 노인에 대한 관심, 지역유지의 지원순이었다. 이러한 결과를 기초로 하여 경로당 이용 노인의 생활만족도를 향상시키기 위한방안을 제시하면 첫째, 시설환경의 현대화가 필요하다, 둘째, 노인 여가프로그램을 노인의 욕구와 수준을 고려하여 현대화해야 한다. 셋째, 경로당을 개방하여 지역사회와 교류를 활발하게 해야 한다. 마지막으로 사회복지사의 전문적 개입을 통해 경로당을 지역사회 노인여가시설의 중심센터로 업 그래이드 시킴으로서 노인의 경로당 이용만족도의 상승과 더불어 생활만족도가 향상될 수 있을 것이다. This study alms to understand life satisfaction level of the elderly who use the respect -for- ageds house, the difference of life satisfaction level in terms of diverse specific property of use satisfaction level of the respect -for- ageds house. to analyze affecting factors on life satisfaction. and finally to propose social work practice plans to improve life satisfaction level of the elderly For this purpose, satisfaction level of the facilities environment, satisfaction level of leisure program and satisfaction level of resource of community social support factors are selected as major factors affecting life satisfaction level of the elderly then their influences are manifested, and at the same time, suggestions are made to improve eldely's life satisfaction. Conclusions from the research are as follows : First, life satisfaction level in terms of demographic specific property is high when sex is man. when spousal exist. when having religion. when self recognizing health status was good and finally when perceptual economic status was good. Second. in the use satisfaction level of the respect -for- ageds house, community social support factor is the highest and facilities environment satisfaction factor is the lowest. Third, life satisfaction level in terms of the use satisfaction level of the respect-for- ageds house has satisfaction of community social support, facilities environment satisfaction factor and influence in the sequence. Fourth, in life satisfaction level in terms of facilities environment satisfaction factor, air-conditioned facilities is the highest, and community social support factor has the linkage system with madical agency, concern for the elderly and social support of the community residents and influence in the sequence. And proposed social work practice plans to improve elderly's life satisfaction level based on these researches are as follows : First, facilities environment promotion and modernization considering facilities environment satisfaction factor in the respect -for- ageds house, there requires the process of renovating its facilities to accomodate the needs of the elderly. Second, leisure program promotion and normalize there requires the divers program which are applicable to, and approrite for the elderly of demographic specific status must be developed in terms of needs of the elderly so that they joined in programs and enjoyed their leisure more actively and positively. Third, open of the respect -for- ageds house in order to activity exchange with community support resource The end, there requires securing professional social workers expert's guiding mangement will have to follow up with application of various and professional program in order to improve undiversified and non- professional program, vulnerable facilities sector, a low participation in the respect -for- ageds house by community residents, Also activty exchange to medical agency, community welfare center, community resdents. religion agency et. and efforts change of perception will have to fallow up for increasing a facility of leisure welfare service for improving elderly's life satisfaction.

불확실성 개념에 관한 연구

오현숙,안황란 충남대학교 간호과학연구소 2005 충남대 간호학술지 Vol.8 No.1

Purpose: The study has been conducted to identify conceptual system uncertainty of Americans and to compare conceptual system of Americans with that of koreans in 1999. Method: The major questions to get qualitative data was “Please list three items(words or sentences) in the order as they occur to you when you think about uncertainty.” And 7 additive open -ended question were used to enhance the reliability and validity. Data analysis involved three levels of increasing complexity and abstractness with a grouping process of concept with meaning and value to form a more abstract and a greater in scope. Result: Initial level l grouping with listed words or setences yields 14 distinct categories : relationship / family / time / health / trenscental power / life / luck / emotion / society / confusion / doubt / unawareness / unpredictability / others. Categories of confusion was new categories identified from this study in comparing with those categories in Koreans in 1999. Categories of subjectivity was not identified from this study. Level two abstraction with the above 14 categories from level one grouping yields the categories of 'subjectivity of uncertainty', 'outcome', and 'social environment'. The final abstraction yields the greatest concepts in scope of 'human', 'environment', 'concurrent concept'. Conclusion: The results could provide theoretical support on the universarity of the concept of uncertainty.

기관지 천식 환자의 자가관리수행

오현숙,김부남 충남대학교 간호과학연구소 2006 충남대 간호학술지 Vol.9 No.1

Purpose: This study was to identify the self-care by adult patients with asthma Method: The data were collected from 1 February 1999 to 7 April 1999. The total of 95 questionnaires were gathered. The measurement tool used for this study was a thirty-six item questionnaire developed by the researcher who had interviewed 3 asthma patients in detail about self-care at routine care and reviewed literatures about asthma patient's self-care. The tool used this study was composed of five categories(family support, communication with health care professionals, trigger avoidance, asthma symptom control, medication area) and 35 items. The internal reliability of the tool was measured at Cronbach's α =.875. Data were analyzed by using a statistics package(SPSS) and statistical significance of the date was measured by using a descriptive statistics, ANOVA and t-test. Results: 1) Self-care of adult patients with asthma were 3.78±48 on the 5 point Likert scale. To the fifth categories of self-care, family support was 3.51±69, communication with health care professionals was 3.98±63, trigger avoidance was 3.6±.79, asthma symptom control was 4.04±.52, and medication was 3.59±61. 2) Self-care by the subject's general characteristics, showed that there were significant differences with age, sex and family type(p<.05). 3) Self-care according to illness-related characteristics, showed that there were signigicant differences with health care provider, prior intensive care unit hospitalization, inhaler use and education experiences(p<.05, p<.01). Conclusion: The results could provide nursing interventions on the family support and medication area of self-care. In applying nursing interventions, we should consider patient's age, prior ICU hospitalization, inhaler use and education experiences.

임상사회사업 실천에 있어서의 성적 이슈에 관한 고찰 : Focusing on masturbation, promiscuity and homosexuality 자위행위, 성 난잡, 그리고 동성애를 중심으로

권진숙,오현숙 한국 정신보건 사회사업학회 1995 정신보건과 사회사업 Vol.2 No.-

This study discusses a position on attitude of clinical social worker on sexual issues in Korea. Phobic reaction to sexual issues of clinical social worker in Korea are due to lack of knowledge, experience, and cultural stereotypes. It has been an obstacle when helping clients who have sexual issues. Therefore, first step of this study is to review it's historical view, perspectives of causes focusing on masturbation, promiscuity and homosexuality. Similarities in the development of people's attitute and viewpoints to those have been found. Second, Korean's position and attitude toward the issues have historical similarities between western cultures and Korean. Third, this study tries to discuss appropriate positions and effective attitudes of the clinical social worker to the issues and clients who have such problems.

全羅南道 地域의 小兒와 개의 Campylobacter jejuni 保菌率

金臣武,吳賢淑,陳福熙 대한임상병리사협회 1984 임상병리사회지 Vol.16 No.1

노인복지 만족요인분석과 지방정부의 정책방향

김정헌,오현숙,송건섭 한국정책학회 2004 韓國政策學會報 Vol.13 No.1

노인복지만족도에 영향을 미치는 요인으 무엇이며, 지방정부는 어떤 역할을 해야하는가?를 분석하였다. 노인복지만족도에 가장 영향력 있는 변수는 인구학적 변수중에는 건강수준 및 종교요인, 개인 및 환경요인은 가족관계, 자원봉사, 노인공경, 여가활동 등으로 나타났다. 노인복지 만족도를 향상시키기 위해서는 단편적인 서비스를 제공하는 것이 아니라 노인의 개인적?환경적 요인을 고려하여 서비스 체계를 연계하는 복합적이며 종합적인 서비스 대책이 중요하다. 이를 위해서 정부, 지역사회, 노인, 노인 복지 담당기관 및 서비스 전달자, 사회복지사 등이 연계적으로 협력하는 과정이 필요하다. 단기적으로 고립감 해소를 위한 전문상담기관 네트워크 구축, 사회교육, 규칙적인 운동, 종교활동의 기회를 제공할 수 있는 프로그램 개발, 사교활동을 할 수 있는 문화공간의 마련, 가족관계의 질을 향상시키기 위한 가정생활교육 프로그램 실시 등이 필요하다. 장기적으로 저소득 노인을 위한 자립지원정책, 지원사업도모, 노인강사은행 구축, 노인복지카드제도 실시 등의 정부차원의 정책적인 노력의 전개가 필요하다.