일부지방 고등학교학생의 건강행위에 대한 건강지각, 건강통제위에 관한 연구

지혜련 中央醫學社 1988 中央醫學 Vol.53 No.3

아동놀이 이론의 통합을 위한 개념적 접근

지혜련 연세대학교 생활과학연구소 1992 生活科學論集 Vol.6 No.-

This essay examines definition and categories of various theories of play in an attempt to arrive at an integrated approach. Features of play that are included in many definitions include pleasurable affect, intrinsic, motivation, flexibility, nonliterality, active engagement, and freedom from externally imposed rules. Definitions that differentiate between play and "not-play" include meta-cognition, exploration, mastery, and imitation. Six types of play were found to be useful in synthesizing categories of play; they are parent-child play, exploration, play with motion, constructions, symbolic play, and games with rules. The relationship of social development, cognition, and processes of play therapy to the above categories was explored.

장티프스에 관한 임상적 관찰

지혜련 순천청암대학 1984 論文集-順川看護專門大學 Vol.10 No.-

The author made a comparative clinical observation on 50 typhoid fever patients with complications and on 105 typhoid fever patients with no complications who were admitted and treated at Chunnam National University Hospital from the beginning of January 1983 to the end of September 1984. The following results were obtained : 1. Monthly distribution were prominent in June, July and August with 40.6% of total cases. Most illness occurred in the summer (June- August) and autumn ( September~ Nobember). 2. The age distribution of the patients was the highest in 20∼29 age group. Most of cases (74.8%) visited the hospital within 2 weeks after the onset of the disease. Sex distribution of the patients was 1:1.5, and predominant in the female. 3. Duration between onset and admission was shorter in the group with no complications (10.5 days) than the group with complications (14.4 days). 4. By methods of treatment before admission, 29.7% of the group with no complications treated at medical clinics, 39.6% had no treatment. 39.O% of the group with complications treated at medical clinics, 27.1% had no treatment. 5. The most common symptoms were fever, chillness, headache in both groups. In the group with complications, anemia, melena, hepatomegaly and general weakness were more prominent. 6. Temperature of patients on admission : Over 50.0% of the both groups were 37℃ or less, rest of patients were 37℃ over. 7. In W.B.C.counts,58.1% of the group with no complications were between 5,OO0/㎣∼10,000/㎣, 26.7% were 5,000/㎣ or less. 52.0% of the group with complications were between 5,000/㎣∼10,000/㎣, 32.0% were 5,000/㎣ or less. 8. In initial widal test, 47.O% of the group with no complications and 44.0% of the group with complications showed a counts of 160 titer or more . 9. The positive rates for each seperate culture method were as fellows: 14.0% in the blood culture, 10.2% in the stool culture and abscent in the urine culture. 10. The results of chemical liver function test were more prominent in the group with complications than the group with no complications. 11. Duration of hospital stay of the patients averaged 8.6days in the group with no complications and 12.0 days in the group with complications. 12. Complications were found in 50 cases (32.2%) The most common complications were hepatitis in 19 cases (12,3%) and intestinal hemorrhage in 12 cases (7.8%)

건강관리 실천과 그에 영향을 미치는 요인 조사 연구

지혜련,Ji, Hye-Ryeon 한국지역사회간호학회 1990 지역사회간호학회지 Vol.2 No.1

CFD를 이용한 여객선 내 Car-Deck Ventilation 거동 해석

지혜련,황윤식,이상훈 대한조선학회 2012 대한조선학회 학술대회자료집 Vol.2012 No.5

Ro-Pax 는 여객과 더불어 승용차, 트레일러, 컨테이너 등의 화물을 운반하는 선박으로서, 승용차와 함께 탑승하는 승객들의 안전을 위해 Car-Deck 공간은 시간당 일정수의 공기 순환이 되도록 설계 되어야 한다. 운용 조건에 따라 Ventilation Fan 들의 작동 모드를 달리하여 설계하고, 각 조건에서의 공기 유동이 설계단계에서 예상한 바와 동일하게 나타나는지 사전에 확인할 필요가 있다. 본 연구에서는 Ro-Pax의 3가지 운용 조건에 따른 각 Deck 내의 유동 현상을 살펴보고, Ventilation 성능개선 방안을 검토하였다. Car-Deck 중앙부에 위치한 Main Entrance 구조물 후미의 국부적인 유동 정체 현상의 발생 여부를 확인하고 개선 방향을 검토하였다. 또한 Car-Deck 내 위치한 Local Room 들의 Ventilation 성능 평가와 개선안을 도출해 보았다.

건강관리 실천과 그에 영향을 미치는 요인 조사 연구

지혜련 한국지역사회간호학회 1992 지역사회간호학회지 Vol.2 No.1

일 도시 간호사의 간호 활동시 무균법에 대한 지식, 태도 및 실천에 관한 조사 연구

지혜련 순천청암대학 1990 論文集-順川看護專門大學 Vol.14 No.-

This study was designed to survey the knowledge, attitude and practice of asepsis by nurses in clinical nursing activities in order to control nosocomial infection and assist in nursing education. Data were collected from December 1st to 8th, 1990 through questionaires from 138 nurses at 4 hospitals in Sun Cheon city. The data was given to 3 groups-those with 1 year of experience;those with 2-3 years of experience;and those with 3 or more years of experience. The results obtained are summarized as follows; 1. Knowledge of asepsis 63.54% of the respondents have the right Knowledge. There were no apparent differences in Knowledge for asepsis in 3 groups. a) 1 year group : 66.24% b) 2-3 years group : 63.88% c) 3 year or more working group : 66.81% 2. Attitude toward asepsis 90.20% of the respondents have the right attitude. There were no differences in attitude for asepsis also. a) 1 yeargroup : 89.64% b) 2-3 years group : 88.88% c) 3 year or more working group : 91.82% 3. Practice of asepsis 73.29% of the respondents follow the principle of asepsis. There were no differences in practice for asepsis also. a) 1 year group : 77.49% b) 2-3 years group : 76.04% c) 3 year or more working group : 75.84% 4. No significant difference between knowledge and attitude was find as well as between knowledge and practice for asepsis in clinical nursing. 5. However, a significant difference was found between the attitude and the practice of asepsis(P<0.001).

치매간호중재 프로그램이 경증 치매노인의 인지기능, 우울 및 사회적 행동에 미치는 효과

지혜련,최순희,조명숙 노인간호학회 2003 노인간호학회지 Vol.5 No.2

Purpose : This study was conducted to investigate the effects of a nursing intervention program on levels of cognitive function, depression, and social behavior in elderly people with mild dementia. Methods : The participants in this study were 18 senior residents who had scores ranging from 15 to 23 on the MMSE-K. were 60 years of age or older and living in the city of G, Korea. The length of time for the intervention and data collection was from July 4 to August 29, 2002. The dementia nursing intervention program consisted of hand exercise to enhance brain function, music therapy, art therapy, and cognitive therapy. The program was administered twice a week for 90 minutes per session for eight weeks. Measurement tools were the MMSE-K developed by Kwon & Park (1989), Korean version of the SODS standardized by Bae (1996), and the social behavior measurement tool developed by Dastoor (1975). The data were analysed by frequency, percentage, mean, SD, and Wilcoxon signed ranks test using SPSS/PC+. Results : Cognitive function (z=-3.421, p= .001) in elderly people with dementia improved significantly after receiving the nursing intervention program. After being in the program, elderly people in the intervention group were significantly less depressed than before the intervention (z=-2.584, p= .010). But there was no significant difference between scores before and after the program for social behavior (z=-l .613, p= .107). Also orientation (z=-2.448, p= .014), function of language (z=-2.257, p= .024), and understanding and judgement (z=-3.317, p=.001) in the elders with dementia were significantly improved after receiving the nursing intervention program. Conclusions : These findings confirmed that the nursing intervention program for dementia made a contribution towards improving cognitive function and to reducing depression in the elderly people with mild dementia. Therefore, it is recommended that this program be used in clinical practice as an effective nursing intervention for elderly people with mild dementia.

지속적인 치매간호중재프로그램이 지역사회 경증치매노인의 인지기능 및 우울에 미치는 효과

지혜련,최순희,조명숙,주리애 노인간호학회 2004 노인간호학회지 Vol.6 No.2

Purpose : This study was conducted to investigate the effects of the program on the levels of cognitive function and depression in the elderly with mild dementia in the community. Method : The subjects of this study were 32 senior residents who had scores ranging from 15 to 23 on the MMSE-K, who were 60 years of age or older in the city of G, Korea. The first dementia nursing intervention program consisted of hand exercise to enhance brain function, music therapy, art therapy, and cognitive therapy from Oct.24 to Dec.17, 2002. The program was administered twice a week for 90 minutes totally 16 times. After the program, the second program which consisted of hand exercise, horticultural therapy was administered to the experimental group whose scores were less than 24 on the MMSE-K, twice a week for 90 minutes totally 10 times from Jan.7 to Feb.11, 2003. Measurement tools were the MMSE-K developed by Kwon & Park (1989), Korean version of the SGDS standardized by Bae (1996). The data were analysed by frequency, percentage, x²-test, Fisher's exact probability test, Wilcoxon signed ranks test, Mann-Whitney and ANCOVA using SPSS/PC +. Result: Cognitive function(z=-4.39, p= .000) in the elderly with dementia after receiving the first nursing intervention program was significantly more improved than before the intervention. Also, depression was significantly more reduced than before the intervention (z=-3.87, p=.000). In terms of comparing with two groups, the levels of cognitive function in the experimental group were significantly higher than those of the control group with no second nursing intervention program. Especially, orientation(F=14.443, p=.001) and recall of memory(F=4.738, p=.038) in the elderly with dementia after receiving the second nursing intervention program were significantly more improved than the control group. Also, the level of depression in the experimental group was significantly lower than the control group (F=13.628, p= .001). Conclusion: These findings confirmed that the continuous dementia nursing intervention program made a contribution in improving cognitive function and in reducing depression in the elderly with mild dementia. Therefore, it is recommended that this program be used in clinical practice as an effective nursing intervention for the elderly with mild dementia in the community.

간호사의 간호상과 직무만족도와의 관계연구

지혜련 順天靑巖大學 1994 論文集-順天靑巖大學 Vol.18 No.-

This study attempted to analyze and confirm the correlation between self-image and the degree of Nurse's job satisfaction. The subjects of the survey were 194 nurses who working on hospitals by means of questionaire from Nov. 28 to Dec. 9 1994 in Sunchon City. The research instruments was based on the SINS(22 items) developed by Hass, and Nurse's job satisfaction scale(20 itesm) developed by Na, Myung Sook. The collected data was analized by t-test, ANOVA, pearson correlation according to purpose of study. The results of this study can be summarized as follows; 1. The mean score for self-image of nurses was 3.077(range 1-5). The most effective component for nursing image was the intellectual capacities of nurses, the nature and the role of nursing, cost of nursing education, nurses, work load, remuneration and opportunities for social life. 2. The mean score for job satisfaction was 2.868(range 1-5). The most effective component for job satisfaction was Interaction, autonomy, professional status, task reguirement, nurse-doctor relationship, administration and salary. 3. An analysis of the relationship of nursing image and the general characteristics was found to be statistically significant for : clinical experience (F=2.69, P<0.05), level of acceptance of professional nursing(F=7.10, P<0.001) and the meaningful- ness of nursing profession(F=4.19, P<0.01). 4. An analysis of the relationship of the job satisfaction and general characteristics was found to be statistically significant for : clinical experience(F=4.33, P<0.01), position(F=2.81, P<0.05) the nurses intention to stay(F=4.51, P<0.01), the nurses professional motivation(F=6.20, P<0.001), level of acceptance of professional nursing (F=5.82, P<0.001) and the meaningfulness of nursing profession(F=3.63, P<0.01). 5. There was significant positive correlation between self-image and job satisfaction(r=0.51341, P<0.001). The results of this study show that the higher the self-image of nurses the higher job satisfaction.