Establishment of Reference Intervals of Osteocalcin according to Age in Women for Health Promotion Center

강지순,유병주,오정은,김건재,Kang, Ji-Soon,Yoo, Byoung-Joo,Oh, Jung-Eun,Kim, Geon-Jae The Korean Society of Nuclear Medicine Technology 2009 핵의학 기술 Vol.13 No.1

목적 : Bone Gla protein (BGP)라고도 불리는 Osteocalcin은 조골세포에 의해 합성되는 비 콜라겐성 뼈 단백질이다. 혈청 Osteocalcin은 골 대사의 생화학적 지표로 이용되고 있다. Osteocalcin수치의 참고치는 연령에 따라 제조회사에서 권장하는 참고치가 있으나 검사실 자체적으로 정하도록 권고하고 있다. 본 연구는 현재 사용되어지고 있는 연령별 Osteocalcin 참고치를 재설정해 보고하고자 하였다. 실험재료 및 방법 : 2007년 8월부터 2008년 9월 사이에 본원 건강검진 센터를 방문하였던 20~80세의 정상 성인 여자 864명을 대상으로 하였다. 혈청 Osteocalcin은 면역방사계측법(IRMA)을 이용한 Kit (OSTEO-RIACT, CIS Bio international, Gif-sur-Yvette, France)를 사용하였으며, 각각의 결과는 통계 프로그램인 SPSS 12.0을 이용하여 분석하였다. 결과 : Hoffmann 방법을 시행하여 얻은 Osteocalcin 참고치는 다음과 같다. 20~30세에서는 8.8~39.4 ng/mL에서 6.3~28.8 ng/mL로 31~40세에서는 7.7~31.9 ng/mL에서 5.9~17.4 ng/mL로 41~50세에서는 8.0~36.0 ng/mL에서 5.5~20.1 ng/mL로 51~60세에서는 8.0~50.5 ng/mL에서 6.7~27.0 ng/mL로 61~80세에서는 12.9~55.9 ng/mL에서 7.5~27.5 ng/mL로 변경되었다. Osteocalcin 참고치는 제조회사 권장 참고치와 차이가 있었다. 결론 : 대사성 골질환의 지료로서 사용되어지고 있는 Osteocalcin의 참고치를 정확하게 제공함으로서 임상적 의사결정에 유용하게 이용할 수 있다. 한 번 정한 참고치는 계속 사용하지 말고 지속적으로 재평가를 시행해야 할 것으로 사료된다. Purpose: Osteocalcin is also known as the bone gamma-carboxyglutamic acid (Gla) protein (BGP), is noncollagenous bone protein synthesized by osteoblasts. Serum concentrations of Osteocalcin have been used as a biochemical marker of bone turnover. The reference intervals of Osteocalcin is categorized by kit corporation according to the age. However, each laboratory should establish its own reference intervals. In this study, the variation in the serum Osteocalcin level were used to find actual standard age-specific Osteocalcin reference intervals. Materials and Methods: We have selected 864 healthy females aged 20~80 years who visited a health promotion center between Aug. 2007 and Sep. 2008. The Osteocalcin IRMA Kit (OSTEO-RIACT, CIS Bio international, Gif-sur-Yvette, France) was used for the quantification. Each results were analyzed with the SPSS 12.0 statistical software. Results: The analyzed reference intervals of Osteocalcin by using Hoffmann method are from 8.8~39.4 ng/mL to 6.3~28.8 ng/mL for the case of the age from 20 to 30, from 7.7~31.9 ng/mL to 5.9~17.4 ng/mL for the case of the age from 31 to 40, and from 8.0~36.0 ng/mL to 5.5~20.1 ng/mL for the case of the age from 41 to 50, and from 8.0~50.5 ng/mL to 6.7~27.0 ng/mL for the case of the age from 51 to 60, and from 12.9~55.9 ng/mL to 7.5~27.5 ng/mL for the case of the age from 61 to 80. Reference intervals of Osteocalcin were not in agreement with those recommended by the manufacturers. Conclusions: Osteocalcin is used as an indication of metabolic bone diseases. So in our study we wanted to provide reference intervals of Osteocalcin that can be useful to a clinical decisions. Also, previous reference intervals should not be re-used and new intervals should be set by continuous analyzing.

간호교육에서의 학습용 보드게임 적용 효과

강지순(Kang, Ji Soon),김정애(Kim, Jung Ae),정은숙(Jeong, Eun Sook) 학습자중심교과교육학회 2018 학습자중심교과교육연구 Vol.18 No.21

본 연구는 보드게임을 교수-학습방법으로 적용하여 학습동기, 자기주도성, 학습몰 입과 학업적 자기효능감, 학업만족도에 미치는 효과를 검증하였다. 연구대상자는 G 도에 소재한 대학의 간호학과 3학년 학생으로 실험군은 76명, 대조군은 78명 총 154 명을 대상으로 하였다. 보드게임 수업은 2017년 1학기 성인간호학 15주 수업에서 후반부 3주 동안 총 6시간에 걸쳐 2개 분반에 적용하였다. 실험군의 수업설계는 오리 엔테이션, 중간고사 및 기말고사를 제외한 강의식 수업 9주와 보드게임 수업 3주로 하였고, 대조군은 오리엔테이션, 중간고사 및 기말고사를 제외한 강의식 수업 12주로 진행하였다. 연구 자료는 Repeated measure ANOVA와 paired t-test로 분석하였 다. 연구결과, 보드게임 수업을 적용한 실험군은 강의식 수업을 적용한 대조군보다 학습에 대한 학습동기, 학습몰입, 학업적 자기효능감, 학습만족도 점수가 높아 통계 적으로 유의한 차이가 있었으나, 자기주도성 점수는 유의한 차이가 없었다. 본 연구로 학습동기, 학습몰입과 학업적 자기효능감, 학업만족도를 높일 수 있는 교수-학습 방법으로써의 보드게임의 효용성이 확인되었다. 본 연구는 보드게임 학습방법의 효과를 유아나 초등생이 아닌 간호학생을 대상으로 확인하였다는데 의의가 있으며, 보드게임을 활용한 교수학습법이 유용한 학습전략으로 활용될 수 있음을 확인하였다 This study examined the effects of a board game learning on learning motivation, learning self-direction, learning flow, academic self-efficacy, and learning satisfaction. Participants of this study were 154 nursing students in G-do, 76 students in the experimental group and 78 students in the control group. The board game class in adult nursing was held in the first semester of 2018 . Both experimental group and control group were given the same course orientation, traditional lectures, midterm and final exams. Duding the 3 weeks before final exam, board game learning was given to experimental group, traditional lectures to control group. Data were analyzed by frequency, percentage, χ 2 -test, t-test, repeated measures ANOVA and paired t-test . The results showed significant differences between the experimental group and the control group in the learning motivation, learning flow, academic self-efficacy, learning satisfaction. There was no significant difference in self-direction scores, however. Therefore, This results showed the usefulness of the board game learning but also for nursing students has positive effects on several learning outcomes as a effective teaching-learning method, not only for children and younger students. This new learning strategy with a board game could apply to various nursing subjects.

간호대학생의 학년별 핵심기본간호술에 대한 학습경험, 중요성인식, 수행자신감, 학습 자기효능감의 차이비교

강지순(Kang ji-soon) 한국콘텐츠학회 2016 한국콘텐츠학회 종합학술대회 논문집 Vol.2016 No.5

간호대학생의 영아심폐소생술에 대한 지식, 태도, 수행능력

강지순(Kang ji-soon) 한국콘텐츠학회 2016 한국콘텐츠학회 종합학술대회 논문집 Vol.2016 No.5

뇌졸중 환자 가족의 지식 및 교육 요구도

강지순(Ji Soon Kang) 한국장애인재활협회 2017 재활복지 Vol.21 No.1

본 연구는 뇌졸중 환자 가족을 대상으로 질환에 대한 지식 및 교육요구도 정도를 파악하기 위한 조사연구로 뇌졸중 환자 가족교육프로그램 개발에 필요한 기본자료를 제공하고자 시도되었다. 연구 대상자는 G시 소재 3개의 재활병원 뇌졸중 환자가족 116명을 대상으로 하였다. 자료분석은 일반적 특성에 따른 뇌졸중관련 지식, 교육요구도는 독립 t-test와 ANOVA로 분석하였고, 사후검정은 Tukey test로 분석하였다. 연구결과는 뇌졸중관련 일반지식은 총 6점 만점에 평균 4.54점이었고, 종교, 교육정도에서 통계적으로 유의한 차이를 나타냈다. 뇌졸중관련 증상지식 부분은 총 15점 만점으로 평균 10.34점이었고 교육정도와 월수입정도에 따라 유의한 차이가 있었다. 뇌졸중관련 위험요인지식은 총 16점 만점에 평균 8.98점이었고 교육정도, 결혼여부, 직업에서 유의하게 차이가 있었다. 교육요구도는 5점 만점에 평균 4.70점으로 높게 측정되었고 교육정도, 수입에서 유의하게 차이를 나타냈다. 따라서 뇌졸중 환자의 가족들을 대상으로 뇌졸중에 대한 지식과 일반적 특성에 따른 대상자의 지식, 교육요구도를 고려하여 뇌졸중 환자의 질적간호 향상을 위한 차별화된 뇌졸중 환자 가족을 위한 교육 프로그램 개발을 제언한다. The purpose of this study is to provide basic data for the development of family education program for stroke patients by investigating the degree of knowledge and educational needs of stroke patients. The subjects of the research were 116 families of the stroke patients at 3 rehabilitation hospitals located in the city G. In the data analysis, knowledge related to stroke and education needs were analyzed by independent t-test and ANOVA. Post-test was analyzed by Tukey test. As a results, the general knowledge about stroke was 4.54 points out of the total of 6 points, and there was a statistically significant difference in religion and education level. The full score of the symptoms knowledge of stroke was 15 points. Stroke - related symptom knowledge was a total score of 15 points out of 10.34 points, and there was a significant difference according to degree of education and monthly income. The knowledge of risk factors related to stroke was 8.98 points out of a total of 16 points and there were significant differences in education level, marital status and occupation. Educational needs were measured as 4.70 points on the scale of 5 points, which showed significant difference in education level and income. This study suggests the development of educational programs for families of different stroke patients to improve the quality of nursing care of stroke patients considering their knowledge and general needs for their knowledge and education needs of stroke patients.

손 마사지가 편마비환자의 손 부종, 우울에 미치는 영향

강지순 ( Ji Soon Kang ),강현숙 ( Hyun Suk Kang ) 경희대학교 동서간호학연구소 2004 동서간호학연구지 Vol.10 No.1

Purpose; This study is to identify effects of the hand massage on the hand edema, ADL and depression of hemiplegic patients. Method; This study used a non-equivalent control group and non-synchronized design, the subjects of the study are 56 hemiplegic patients(28 for the exp. group and 28 for the cont. group), hospitalized in K oriental medical center. The experimental group has had the hand massage for 10 minutes a day for 2 weeks. Before and After the treatment, hand edema, ADL and depression of these two groups were examined. The SPSS 11.0 program package Collected data analyzed with χ2-test, Fisher`s Exact test, t-test. Results; 1. The score of ADL was significantly higher in the experimental group who had hand massage than in the control group. 2. The degree of hand edema and depression in the experimental group is reduced. But, it is not statistically significant. Conclusion; The hand massage is available for improving ADL but much effective for hand edema, and depression. Therefore, through the repeated study, we could confirm that its application is meaningful.

중소병원 간호사의 이직의도 영향요인

강지순(Kang ji-soon) 한국콘텐츠학회 2016 한국콘텐츠학회 종합학술대회 논문집 Vol.2016 No.5

대사증후군 대상자의 웹기반 건강증진 프로그램 개발연구

강지순(Ji-Soon Kang) 한국생활환경학회 2016 한국생활환경학회지 Vol.23 No.3

The purpose of this study was to develop a web-based program for the disease prevention and health promotion in clients with metabolic syndrome. The clients of this study were industry employees diagnosed with metabolic syndrome. This web-based program was developed through the process of analysis-design-development-preliminary operation–evaluation & modification. The detailed contents and screen layouts were comprised of the introduction of the program, information regarding the metabolic syndrome, educational contents for the promotion of health, selfevaluation checklists, and so on. The representative educational contents included exercise, diet, and self-management methods. Making this web-based program easily accessible to clients with metabolic syndrome will improve self-efficacy and encourage healthy behaviors, providing the means to improve the physiological parameters of the metabolic syndrome and to contemplate the disease prevention and health promotion. The website of this program is: ttp://www.careinfo.kr.

대사증후군 대상자의 건강행위 이행에 영향을 미치는 요인

강지순(Kang, Ji Soon),강현숙(Kang, Hyun Sook),윤은경(Yun, Eun Kyoung),최현림(Choi, Hyun Rim) 한국성인간호학회 2012 성인간호학회지 Vol.24 No.2

뇌졸중 환자를 위한 환측 상지 경혈지압마사지와 손마사지의 효과 비교 연구

강현숙(Kang Hyun Sook),석소현(Sok Sohyune R.),강지순(Kang Ji Soon) 기본간호학회 2007 기본간호학회지 Vol.14 No.3

Purpose: In this study, the effects of meridian massage and hand massage on the affected upper extremity of patients with a stroke were identified. Method: A nonequivalent control group non-synchronized design was used. Participants were 84 (Experimental. 1: 28, Experimental. 2: 28, Control.: 28) patients with a stroke who were hospitalized in K oriental medical center. Experimental treatment for patients in experimental group 1 was the meridian massage for 10 minutes daily for 2 weeks, and for those in experimental group 2, hand massage for 2 minutes, 30 seconds each, daily for 2 weeks. Outcome variables were upper extremity function (grip power, shoulder pain, edema, ROM), ADL, and depression. Data were analyzed using SPSS PC+ version. Results: The score for upper extremity functions and ADL were significantly higher in experimental group 1 who had meridian massage than for experimental group 2 or the control group. Experimental group 1 showed less depression than experimental 2 or the control group. Conclusion: Meridian massage can be an effective nursing intervention to improve upper extremity function and ADL, and to decrease depression in patients stroke who have had a stroke.