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      • SCOPUSKCI등재

        간호실무에서 신봉이론(Espoused theories)에 대한 탐색적 연구

        서문자,김혜숙,이은희,박영숙,조경숙,강현숙,임난영,김주현,이소우,조복희,이명하,지성애,하양숙,손영희,권성복,김희진,추진아 성인간호학회 2001 성인간호학회지 Vol.13 No.1

        As a nursing practice involves nurses' actions in a specific context of health care, this study has focused on exploring the espoused theories in nursing practice within the action science perspectives, Espoused theories are the belief, principles, and rationale expressed by the practitioner as guiding her/his actions in a situation of practice. The data were analysed qualitatively and 25 elements of espoused theories of nursing action were identified and clustered into 6 categories. The 25 elements of espoused theories are as follows: The clinical nurse worked in wholistic and individual nursing, focussed on the patient's needed, comfort and supportive nursing (5 theories of nursing goal) ; excellent skills, knowledge based, assessment and data collection, explaining, educating or a scientific basis(6 theories of nursing intervention): advocacy, value oriented, treatment, account- ability and commitment(4 theories of nursing ethics) ; human respect. partnership, trust(3 theories of patient-nurse relationship) : knowledgable, accumulated clinical experiences and personally lived experiences. positive perspectives(4 theories of nurse), role of intervention. rewarding peer relationship(3 theories of situations) The above mentioned espoused theories are similar to that of nursing textbooks which students learned through basic nursing education and almost the same as the Acts ofa Nurse in Korean. However, we are doubtful whether nurses actually do as they think. Therefore. it is recommended to review the theories-in-use in order to and any discrepancies between the espoused theories and the reality of nursing actions

      • 골반 내 농양 1예

        조인숙,이해혁,김태희,이권해,남계현,이임순,김정식,박성진 순천향의학연구소 2004 Journal of Soonchunhyang Medical Science Vol.10 No.2

        Pelvic inflammatory disease (PID) is a disease that affects young, sexually active, reproductive age women. Most pathogens are Chlamydia trachomatis and Neisseria Gonorrheae transmitted sexually. One of serious acute complication of PID is tubo-ovarian abscess (TOA) that involves the fallopian tube, ovary and adjacent structures (eg, bowel, pelvic peritoneum). The microbiology of TOAs is polymicrobial with anaerobic organisms and causal organisms of PID. Common anaerobic organisms are Peptostretococcus spp, Bacteriodes spp, Prevotella spp, Escherichia coli and aerobic streptococci. Treatment is necessary to admission for intravenous broad-spectrum antibiotics and surgery is often reserved for patients with suspected rupture or patients who fail to respond to antibiotics. So, we reported this case found pelvic abscess due to ruptured tube-ovarian abscess.

      • KCI등재

        향요법 발반사마사지가 복지시설노인의 스트레스, 우울 및 수면에 미치는 효과

        이정란,홍해숙 대한기초간호자연과학회 2005 Journal of korean biological nursing science Vol.7 No.2

        The purpose of this study was to investigate the effects of aromatherapy and foot reflex massage on stress, depression, and sleep pattern of institutionalized elderly. The design of this study was nonequivalent control group pre-posttest design. The data were collected from February 24 to April 9 of 2005. Fifty-one elderly were divided into two groups, 26 institutionalized elderly for the experimental group and 25 institutionalized elderly for the control group. The experimental group underwent aromatherapy and foot reflex massage two days per week(40 minutes per session) over five weeks period. Stress(subjective stress and serum cortisol level), depression, and sleep pattern were assessed in both groups before and after intervention. Five weeks after intervention were spended, the experimental group was again assessed. Five weeks without intervention were spended, the control group was again assessed. The data were analyzed by the statisticial SPSS WIN 12. The results of this study were as follows; ㆍStress of the experimental group with the intervention was significantly lower than that of the control group. ㆍDepression of the experimental group was significantly lower than that the control group. ㆍSleep pattern of the experimental group was significantly higher than that of the control group. In conclusion, the aromatherapy and foot reflex massage program had positive effect on Institutionalized elderly's on stress(subjective stress and serum cortisol level), depression, and sleep pattern.

      • 초산모와 경산모에 있어서 돌보는 방법의 구별능력 비교

        이혜경,김금숙 충남대학교 의과대학 지역사회의학연구소 1989 충남의대잡지 Vol.16 No.2

        The purpose of this study was to evaluate the differentiate of baby attitude and mothering method by parity. 60 primiparous and multiparous women were examined in this study. The data were analized statistically by means of t-test. The finding of these study could be summerized as follows: 1. There was no significant difference in baby attitudy score on primiparous 33.1, multiparous 34.1. 2. There was no significant difference in score of BITS on primiparous women versus multiparous women in the 4 month baby; primiparous 110.5, multiparous 121.07. 3. There was significant difference in score of BITS on primiparous women versus multiparous-women in the 8 month baby; primiparous 112.27, multiparous 128.83(P<0.02). 4. There was significant difference n score of BITS on primiparous women versus multiparous women in the 4 month baby and 8 month baby; primiparous 111.30, multiparous 124.52(P<0.05). 5. There was no significant difference in Factor I score of BITS on primiparous women versus multiparous women in the 4 month baby; primiparous 10.39, multiparous 11.60. 6. There was no significant difference in Factor I score of BITS on primiparous women versus multiparous women in the 4 month baby; primiparous 12.27, multiparous 12.00. 7. There was no significant difference in Factor I score of BITS on primiparous women versus multiparous women in the 4 month baby; primiparous 18.56, multiparous 18.00. 8. There was no significant difference in Factor I score of BITS on primiparous women versus multiparous women in the 4 month baby; primiparous 17.40, multiparous 18.92.

      • KCI등재
      • KCI등재후보

        호스피스 환자와 비호스피스 환자의 영적 안녕과 삶의 질

        이해숙,도복늠 성인간호학회 2003 성인간호학회지 Vol.15 No.3

        Purpose : This study was conducted to find out the effects of hospice care by evaluating the spiritual well-being and quality of life in the hospice and nonhospice patients. Method : The research design was composed of descriptive study. The data were collected using the questionnaire with interview from 30 hospice patients at three hospice institutes and 30 nonhospice patients at two general hospitals. The tools used for this study were 14-item questionnaire regarding general characteristics, a revised Spiritual Well-being Survey(Paloutzion and Ellision, 1982) and 22-item of revised Megill Quality of Life questionnaire. Result : The spiritual well-being of the hospice patients was higher than that of nonhospice patients(F=5.52, p=0.023). The global quality of life of the nonhospice patients(F=8.84, p=0.004). There was spiritual well-being and quality of life of the hospice patients and non hospice patients. Conclusion : The hospice care effects on spiritual well-being and quality of life of the terminal cancer patients.

      • 부산지역 모 공단 및 인근지역 사업체의 산업보건 실태에 관한 조사연구

        이동영,손혜숙,이채언,박형종,김대환,엄상화,최성용,유병철 인제대학교 1993 仁濟醫學 Vol.14 No.4

        부산지역 공단 및 인근지역 사업체의 산업보건실태를 파악하기 위하여 205개 사업체의 보건담당자를 대상으로 1990년도의 보건실태에 관한 설문조사를 하였다. 조사내용을 일반사항, 보건관리실태에 관한 사항, 작업장 유해환경 및 보호구 지급사항, 건강관련 사항 및 근무조건에 관한 사항 등으로 대별하여 분석ㆍ관찰하였다. In order to obtain the fundamental data for developing more effective and acceptable programs of public health manegement in an industrial complex, 205 health manager in the plants answered the questionaire of the status of industrial health during 1990. The questionaire consisted of general charateristics, health care status, environmental problems, health problems, and others. 72.4% of 205 plants had less than 100 workers. Fabricated metal manufacture was 32.4%. Although Footwear manufacture was 6.4%, the percentage of workers was 33.1% of total workers. The percentage(56.2) of retired women was higher than that(38.2) of men. 51.9% of total plants has recieving group health care services. 85.4% of plants was exposed to noise, 66.5% was exposed to dust. Ear plug and mask were given to prevent noise and dust in 69.2% and 68.6%, respectively. Among 22,299 workers, 618(2.8%) were diagnosed as suspected non-occupatinal disease. 85.9% of them worked on continuously and had their disease treated. The cases suspected for occupational disease was 100 workers. 82.5% of them changed their post. 45% had the compensation for their occuaptional disease. The rate of working: accidents was 2.3%.

      • 지구화와 국민국가의 전망

        이혜숙 경상대학교 사회과학연구소 2002 사회과학연구 Vol.20 No.1

        Today's general social change is suggestively brought out by the concept of globalization. The comparatively self-satisfied and independent subject of the unified form of a modern nation-state itself is receiving experimentally extreme threats in the process of globalization. At this point, the sovereignty of nation-state seems to have been outreached by transnational power networks, especially those of global capitalism and postmodern culture. There exist two contrasting perspectives on how globalization affects individual nation-states. One asserts that globalization, increasing global economic interdependence and integration, will finally produce a world that is culturally homogenized and integration. By contrast, the other insists that globalization which increases competition and economic insecurity will induce people to resist and stick to their own cultures. Regarding the two perspectives, this paper argues that each has only a partial truth. This paper suggests that Korea needs to adopt global universalism and open nationalism as a way to keep a delicate balance in the process of globalization

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