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일회성 웃음 요법이 수술 전 유방암 환자의 스트레스 반응에 미치는 효과
한혜정(Han HaeJeong),박아리스(Park Aris),김현선(Kim Hyun Sun),문한경(Moon HanKyung),박연환(Park Yeon-Hwan) 대한종양간호학회 2011 Asian Oncology Nursing Vol.11 No.2
Purpose: The purpose of this study was to examine the effects of laughter therapy on mood, state anxiety, and serum cortisol based on a Stress-Coping Model for preoperative breast cancer patients. Methods: The study used a nonequivalent control group pretest-posttest design. The participants were 40 breast cancer patients who were admitted to one general hospital for surgery in 2009 (experimental group 23, control group 17). The experimental group received one hour laughter therapy consisting of dance, lots of laughter techniques, and meditation. Results: The mean ages were 47 years (experimental group) and 49 years (control group). There were no significant differences in demographic and disease-related characteristics between the two groups. After the intervention, the scores of mood and state-anxiety of experimental group were significantly improved than those of control group. However, no difference was found in serum cortisol. Conclusion: The laughter therapy was partially effective in improving stress response in patients with breast cancer. Further research is needed to develop and evaluate the longer periods of interventions to testify the effects on serum cortisol, and other biochemical variables.
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‘병동 중심의 처치수가 산정지침 개발’ 등을 통한 간호업무 표준화 및 그 효과
한혜정,설미진,김영주,박소영,박아리스,문한경,이현영 한국의료QA학회 2009 한국의료질향상학회지 Vol.15 No.1
문제: 병동 처치수가 산정 부정확 및 누락으로 인한 부적절한 재고관리로 진료차질, 불필요한 업무발생 및 수익이 감소한다. 목적: 병동 처치수가 산정 정확화를 위한 업무 표준화 도구 및 시스템을 개발하여 적정 재고관리를 통한 수익증대 및 직무만족도를 향상시킨다. 의료기관: 서울시 종로구에 소재한 대학병원 질 향상 활동: 병동중심의 처치 산정지침 개발 및 수가물품의 적정재고 관리방안을 모색하였다. 개선효과: 병동중심의 처치수가 산정 지침서를 제작하여 업무표준화를 기하였음. 응급청구 품목 및 수량이 ’07년 대비 71%감소하고 타 병동 차용품목이 활동 전에 비해 61% 감소, 수량은 77% 감소함. 응급청구 총소요시간이 활동 전에 비해 ’07년 대비 77% 감소하고 타 병동 차용 총 소요시간이 61% 감소함. 전년 동기간 대비 수익이 4% 증가하였으며 또한 54병동과 보험 심사팀에서 직원들의 직무만족도가 향상되었다.
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당뇨병 환자 발관리(foot care) 프로그램 개발 및 그 적용효과
심영숙,권미혜,김성아,김영주,김유중,김잔디,박아리스,이선정,이정숙,정진희,허영란 병원간호사회 2002 임상간호연구 Vol.8 No.1
Purpose : This study was carried out to prevent DM patients from foot problem. First of all, the researchers studied DM patients' foot care compliance level, and then found out the item that was most difficult for the DM patient to perform (comply). Based on this data the researchers developed a foot care program to apply this program to the DM patients for prevention of foot problem. Method : The study was made to the 54 subjects without foot problem, who had been DM patients and admitted to the DM ward of the S University Hospital, and the data had been collected from April 2000 through August 2001. Both the questionnaires and the foot care program adopted as a research instrument were developed by the researchers and consisted of total 15 items on the foot care compliance. The higher score means the higher compliance level. The data was analyzed by SPSS 10.0 computerized program. Results : 1) The development of foot care program The foot care program is made up of three stages of starting, activity and finishing stage. The starting stage is the process of assessing foot care status when the patient is admitted to the hospital. At activity stage the researcher provides an individual education concerning foot care and exercise, and then gives a direct demonstration of foot massage to the DM patient. The patients, in turn, try to do foot and leg massages by themselves in compliance with a series of due process. Following this process the DM patients do daily check-up of foot care themselves for one week. By doing this the DM patients learn how to be accustomed to regular foot care. At finishing stage the DM patients watch foot care video, and this is the end of the foot care program. 2) The effect of foot care program The score after performing foot care shows the effects of the 'foot care program', and it is identified that the score gradually increased upto average 84.7 points (p=0.000) at the time of being discharged from the hospital and average 88.9 points (p=0.000) compared to the 67.9 points before being admitted to the hospital. 3) The corelation between the subjects' general characteristics and their compliance level of foot care program Any variables such as sex, age, occupation, marriage, education level, current treatment status, disease transfer period, complication and surgical operation had no effect on the foot care compliance score. The results of this study reveal that the effects of the foot care program provided to the DM patients had been continuously retained even after discharging from the hospital as well as inpatient period. Therefore, it is thought that the clinical application of 'foot care program', which is planned to prevent from the occurrence of foot problem, should be made continuously. In addition, it is also proposed to identify by a third party researcher's direct observation whether the DM patients actually perform the foot care program, even though the scores on the self-reporting questionnaires improved. The researchers propose that a long-term tracing research is required for identifying the occurrence of foot problem for the DM patients who performed foot care program and the patients who did not.
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