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섬유근통 증후군 환자를 위한 인지행동 프로그램의 효과: 무작위 대조군 전후실험설계
공경란(Kong, Kyoung Ran),이은남(Lee, Eun Nam) 한국간호과학회 2021 Journal of Korean Academy of Nursing Vol.51 No.3
Purpose: This study developed a cognitive behavioral therapy program aimed at altering the physical condition, emotions, and behaviors of fibromyalgia patients, and confirmed the program’s clinical applicability. The program was developed by analyzing previous studies conducting in-depth interviews with fibromyalgia patients, drawing on cognitive behavior theory to establish the program contents, recruiting experts to test its validity, and conducting a preliminary survey. Methods: To confirm the program’s effect, this study used a randomized controlled trial design. The participants were outpatients diagnosed with fibromyalgia in Dong-A University Hospital, Busan. The 30 patients in the experimental group took part in the program, which comprised 8 sessions (90 to 120 minutes) based on cognitive behavior theory, delivered over 8 weeks. Hypothesis testing was carried out using the repeated measures ANOVA. Results: The analysis revealed significant differences between the experimental and control groups in positive automatic thoughts, pain, fatigue, depression, and interpersonal relationships. However, there was no significant difference between the groups in terms of sleep disorders and negative automatic thoughts. Conclusion: This program is a positive effect on physical condition, emotions, and behaviors. It is thus expected to be used to help fibromyalgia patients improve their disease conditions.
장희순,공경란,이은남,강지연,장문정,Jang, Hee Soon,Kong, Kyoung Ran,Lee, Eun Nam,Kang, Jiyeon,Jang, Moon Jung 한국중환자간호학회 2016 중환자간호학회지 Vol.9 No.2
Purpose: The purpose of this study was to identify the attributes of the concept, of psychological resistance to antihypertensive medication. Methods: The study was conducted in accordance with Walker and Avant's conceptual analysis process. We reviewed 47 related studies selected from 4 international and Korean databases including Medline, CINAHL, NDSL, and RISS to perform the analytical processes from January 1980 to September 2015. Results: The attributes of psychological resistance to antihypertensive medication include 1) reservation, 2) opposition, 3) denial, 4) refusal, and 5) seeking alternative therapy. The antecedents of the concept can be classified into patient factors such as reactance trait and knowledge deficit, provider factors, interpersonal factors, and environmental factors. The consequences of psychological resistance to antihypertensive medication are non-compliance, deterioration of the disease, developing complications, increased anxiety, and changes in life. Conclusions: The concept of psycho logical resistance to antihypertensive medication can provide guidance for the development of an intervention program that promotes the compliance to medication regimen of hypertensive patients. Further research needs to be done to develop a measurement tool for psychological resistance to antihypertensive medication.
박진희(Park, Jin Hee),공경란(Kong, Kyoung Ran) 한국간호행정학회 2021 간호행정학회지 Vol.27 No.3
Purpose: The purpose of this study was to describe nurses" experience of near misses in medication errors. Methods: Data were collected from April, 3 to October 30, 2019 through in-depth interviews with nine nurses who had worked in hospitals. Data was analyzed using Colaizzi"s phenomenological methodology. Results: The three themes that emerged from the analysis were: Shameful things to hide, Inevitable matter to happen, and Step to move forward. Conclusion: The result has shown that nurses" experience of near misses in medication administration has happened not only because of individual matters but also institutional problems. Therefore, to improve the situation and prevent serious medication errors for nurses, both, individual and institutional problems need to be assessed, analyzed and change.
간호학 임상실습 교육 개선에 관한 연구 : 교내실습교육(기본간호학 및 건강사정)을 중심으로
전소연(So Yeun, Jun),박서현(Seo Hyun, Park),공경란(Kyoung Ran, Kong),이명인(Myung In, Lee) 한국간호연구학회 2020 한국간호연구학회지 Vol.4 No.1
Purpose : This study was conducted to analyze the current state of fundamental nursing and health assessment practice education in nursing colleges in Korea to derive effective clinical practice education management plans for nursing students. Methods : From August 19 to September 15, 2019, an online survey was conducted by 86 nursing departments of universities nationwide. Data were analyzed for frequency and percentage, mean and standard deviation using SPSS / WIN 24.0. Results : The number of respondents among the 86 nursing colleges nationwide was 50%, and the average number of credits required for in-school training was 5.73. 95.4% of the respondents needed adjustment for 1,000 hours of clinical practice, and 51.2% of respondents said that the appropriate time was 700 and 800 hours. Conclusion : In order to improve the quality of nursing practice education, it is necessary to adjust 1,000 hours of clinical practice time, including fundamental nursing and health assessment practice of clinical practice time, to expand the perception of simulation practice and to rest. Government or rating agency standard. As a result, we suggest a study on the diagnosis and improvement of current clinical practice education, and a practical operating system of fundamental nursing and health assessment practice courses.