李章熙論 ㅡ 詩에 드러난 죽음意識을 중심으로 ㅡ

閔涍淑 성심어문학회 1986 성심어문논집 Vol.9 No.-

간호 지식관리시스템 개발

민효숙,문원희,김미자,김선미,황윤신,황관옥,심희숙 충남대학교 간호과학연구소 2006 충남대 간호학술지 Vol.9 No.1

The purpose of this study were to develop Knowledge Management System for the nurse and to identify its effectiveness. The program was developed in development of the contents and programing. And the system was operated to 85 nurse for three weeks. Data collection were performed during the period of May 1, 2005 to December 30, 2005. The data was collected from 85 nurses using questionnaires. In order to ascertain the validity of clinical application of the system, Prior experience of the computer mediated communication, user satisfaction and utilization were analyzed. The instruments for the study were satisfaction(Kim, 2000), utilization(Kim, 2002). The collected data were analysed by descriptive statistics, using SPSS WIN 11.0 program. The results showed average score which is the satisfaction(6.09) showed middle satisfaction scores. It is concluded that if Nursing Knowledge Management System is operated considering all the above factors, It wound be one of the best qualified continuing clinical method for nurses.

직장암 환자의 건강관련 삶의 질

민효숙,김지연 대한대장항문학회 2009 Annals of Coloproctolgy Vol.25 No.2

Purpose: This study was a latitudinal descriptive effort to understand the degree of quality of life of patients who had undergone a rectal cancer operation. Methods: The Korean versions of European Orgaization for Research and Treatment of Cancer (EORTC)-Quality of life Questionnaire 30 (QLQ-C30) and Colorectal Cancer-specific Core Questionnaire (QLQ-CR38) were used to examine the degree of quality of life of patients who had undergone a rectal cancer operation. The subjects of this study were 155 patients who had been diagnosed as having rectal cancer and who had received an anterior resection (AR), a low anterior resection (LAR), or an abdominoperineal resection (APR). Results: In our study, patients’ responses were combined and converted to a 0-100 scale according to the guidelines provided by the EORTC Center. From these guidelines, high functional scores (0-100) represent good function and high symptom scores (100-0) signify more problems. The APR patients had their social and family life disrupted (social functioning) and were less able to get about and look after themselves (physical functioning), and they felt themselves to be less attractive (body image). In addition, the scores for stoma problems were worse than those for pain and for male sexual problems. The AR patients and the LAR patients, despite suffering diarrhea, symptoms of insomnia, and defecation problems, had better quality of life than the APR patients without anorectal function. Conclusion: If the quality of life of rectal cancer patients is to be maintained and their rate of survival is to be increased, an understanding of the patients’ situation, education on self-management related to stoma, and active provision of support from medical teams to solve the discomfort caused by the operation are needed. Purpose: This study was a latitudinal descriptive effort to understand the degree of quality of life of patients who had undergone a rectal cancer operation. Methods: The Korean versions of European Orgaization for Research and Treatment of Cancer (EORTC)-Quality of life Questionnaire 30 (QLQ-C30) and Colorectal Cancer-specific Core Questionnaire (QLQ-CR38) were used to examine the degree of quality of life of patients who had undergone a rectal cancer operation. The subjects of this study were 155 patients who had been diagnosed as having rectal cancer and who had received an anterior resection (AR), a low anterior resection (LAR), or an abdominoperineal resection (APR). Results: In our study, patients’ responses were combined and converted to a 0-100 scale according to the guidelines provided by the EORTC Center. From these guidelines, high functional scores (0-100) represent good function and high symptom scores (100-0) signify more problems. The APR patients had their social and family life disrupted (social functioning) and were less able to get about and look after themselves (physical functioning), and they felt themselves to be less attractive (body image). In addition, the scores for stoma problems were worse than those for pain and for male sexual problems. The AR patients and the LAR patients, despite suffering diarrhea, symptoms of insomnia, and defecation problems, had better quality of life than the APR patients without anorectal function. Conclusion: If the quality of life of rectal cancer patients is to be maintained and their rate of survival is to be increased, an understanding of the patients’ situation, education on self-management related to stoma, and active provision of support from medical teams to solve the discomfort caused by the operation are needed.

유방암 환자를 위한 포괄적 프로그램 개발과 적용 효과

민효숙,김희경,13명 한국의료QA학회 2006 가을학술대회 Vol.2005 No.2

유방암 생존자의 재발방지 행위와 삶의 질

민효숙,박선영,임정선,박미옥,원효진,김종임 한국간호과학회 2008 Journal of Korean Academy of Nursing Vol.38 No.2

Purpose: This study was to identify behaviors preventing the recurrence of breast cancer and the level of quality of life. Methods: This descriptive study was conducted using a structured questionnaire from November 1, 2006 to December 25,2006 . One hundred and twenty two women breast cancer survivors were recruited by convenience sampling. Results: The most frequent behavior for preventing recurrence of the breast cancer was dietary treatment (90.9%) and exercise (86.8%) was the second behavior. In addition, most of them perceived these behaviors as ‘very effective’ (82.8%). The degree of the quality of life of a breast cancer survivor was 5.34 point indicating a ‘medium level’. Conclusion: Breast cancer survivors pursued various behaviors for preventing recurrence of breast cancer. Therefore, the nursing interventions should be focused on a systematic educational approach considering healthy behaviors to prevent breast cancer recurrence for breast cancer survivors.

반복측정 분산분석(Repeated measure ANOVA)의 적용논문 분석

민효숙 충남대학교 간호과학연구소 2005 충남대 간호학술지 Vol.8 No.1

The purpose of this study was to analyze nursing research using Repeated measures analysis of variance. When the measurements can be thought of as responses to levels of an experimental factor of interest, the correlation can be taken into account by performing a repeated measures analysis of variance. In repeated measures analysis of variance, the effects of interest are (1) between - subject effects (such as GROUP in the previous example) (2) within - subject effects (such as TIME in the previous example) (3) interactions between the two types of effects (such as GROUP * TIME in the previous example) The ultimate goal for nursing discipline is to promote health of the human. Understanding and doing the Repeated measures analysis of variance in correct way is considered to be our goal outcome to develop more scientific empirical knowledge.

노인 직장암 환자의 삶의 질, 자아 존중감, 불안, 사회적 지지에 대한 조사

민효숙 한국간호과학회 2008 한국간호과학회 학술대회 Vol.2008 No.10

유방암단계에 따른 유방암 수술환자의 불안과 통증

김종임,민효숙 한국간호과학회 2008 한국간호과학회 학술대회 Vol.2008 No.10

유방암 환자의 영적안녕과 삶의 태도

소희영,민효숙,So, Hee-Young,Min, Hyo-Suk 한국재활간호학회 2006 재활간호학회지 Vol.9 No.1

Purpose: This research was conducted to explore the relationship between spiritual well being and life attitude among breast cancer patients who were operated, and to increase understanding for wholistic nursing care. Method: With spiritual well being from quality of life questionnaire in breast cancer survivors (QOL-BR 23) of Ferrell et al (1998) and Life attitude profile (LAP) of Recker & Peacock (1981), the data were collected by research assistant in a sample of 56 women with stage 1-stage 3 breast cancer at surgery OPD after follow-up care. Result: Mean spiritual wellbeing score of subject was 5.83 (0-10) and life attitude was 4.96 (1-7). There were significant differences in life attitude according to monthly income (F=3.22, p=.03), and in spiritual wellbeing according to monthly income (F=4.16, p=.01) and religion (t=-3.67, p=.001) among demographic characteristics. There was significant difference in spiritual wellbeing according to the period passed after operation (F=2.89, p=.04) among disease characteristics. From life attitude domain, the mean score of "will to meaning" was the highest (5.30) and "existential vacuum" was the lowest (4.58). There was a significant relationship between spiritual wellbeing and "will to meaning" subscale of life attitude (r=.521, p=.000). The correlation coefficient showed r= .513 between spiritual well being and life attitude. Conclusion: Nurses could promote positive life attitude for breast cancer patients by improving spiritual well being with the encouragement of having religion expecially for long term breast cancer survivors in the process of their rehabilitation.

유방암 환자의 삶의 질

소희영,민효숙,박선영 충남대학교 간호과학연구소 2006 충남대 간호학술지 Vol.9 No.1

Purpose. To examine the quality of life of breast cancer patients according to the phase of breast cancer. Method. To investigate this research question, data were collected using quality of life questionnaire of Ferrell (1985) with 97 breast cancer patient who is in acute (41) and stable phase (56) from Sept. 2004 to Sept. 2005. The data were analyzed by SPSS/WIN 11.0 using frequency, and t-test Results. 1. The score of quality of life with breast cancer patient in acute phase group was 3.57 (±0.34), 3.01 (±0.71) in stable phase group, and showed a significant difference(t=4.65, p= .000) between two groups. 2. There was statistically significant difference in physical domain (t=2.47, p= .015), mental domain (t=5.25, p= .000), and social domain (t=4.57, p= .000) of quality of life between two groups. Conclusion. Nurses should develop effective intervention program for improving and maintaining the quality of life according to the phase of breast cancer patient, especially stable phase patients after passing through acute phase.