일 대학병원의 가정간호서비스 내용 및 만족도 조사

김영혜,박남희,김덕선,이화자,김정순,Kim, Young-Hae,Park, Nam-Hee,Kim, Duk-Sun,Lee, Hwa-Za,Kim, Jung-Sun 한국가정간호학회 2003 가정간호학회지 Vol.10 No.1

This study was done to examine the home care service provided by home care nurses and the level of client satisfaction. Data were collected from 110 clients who received the home care service at the P-hospital in Pusan from 23th April, 2001 to 30th November, 2002. The tool for measurement of satisfaction was composed of 16 items and was 4 score scale. Data was analyzed by using SPSS/WIN 10.5 program, the results of this study are summarized as follows; 1) 77.3% among 110 clients were over sixty years old. By the disease pattern. subjects were distributed into cancer(52.7%), cerebro-vascular disease(22.7%) and the others. 36.4% of clients were received home visits from 10 to 20 times by home care nurse. 2) The total number of home care services was 20,828. And most of the clients received the health education and training. 3) The mean score of satisfaction on provided home care services was $3.36\pm0.45$, out of 4. among 16 items. 'The home care nurses were kind enough' was highest ($3.59\pm0.49$), the total level of satisfaction of home care services was very high. with total mean score $53.84\pm7.16$. As mentioned above. the satisfaction level of home care services was very high. so we can except that the prospect of home care services is very challengeable. Therefore. we should try to expand the service recipients with promotional education to the home care clients under the cooperation with medical staff and make more efforts to develop the management system about clients' information. to improve the quality of the service, to assure close ties with the public health centers for the continuous home care service linking.

가정간호를 받는 만성질환자 가족의 체험

김영혜,김명수,정정심,김윤희,김영순,최남연,류성미,고영희,Kim, Young-Hae,Kim, Moung-Su,Jung, Jung-Sim,Kim, Yun-Hee,Kim, Young-Soon,Choi, Nam-Yeun,Rhu, Sung-Mee,Go, Young-Hee 한국가정간호학회 2003 가정간호학회지 Vol.10 No.1

The purpose of this study was the family caring for the patients under home care nursing in the two college hospitals in Busan and Kyungnam Province. Researchers deep-interviewed the participants and asked using the non-constructed questions. 'What did you experience through home care nursing?'. The results are summarized as follows ; First, there were 196 final meaningful statements in the end and 32 constructed meanings, which were classified into 13 themes. These themes were again divided into four categories such as introduction, development, turn and conclusion. In the 'Introduction' three themes were included as follows ; 'feeling their eyes blinded', 'feeling a burden to have such a patient at home', and so on. In the 'conclusion' consisted of four such as 'finding it worthwhile to take care of them at home despite in the suffocated reality', 'pinning hope on the patient', 'retiring the world at first, but later going outdoors and feeling better', and 'realizing the real meaning of family through the difficult situation'. On the basis of this research results, home care nurses have to include the patients' family among home care clients and gradually change the home care nursing into the positive direction by sensitively responding to their requests.

일 종합병원 응급실 내원아동의 Triage 및 발단단계별 통계적 고찰

김영혜,이화자,조석주,Kim Young Hae,Lee Hwa Ja,Cho Seok Ju 한국아동간호학회 1999 Child Health Nursing Research Vol.5 No.2

The subjects, under 18 old, 2,694 children who visited ER during 1998, were surveyed by the Triage and other statitical data. The results were as follows 1. The male to female ratio was 1.7 : 1, and the toddler(1-4 old) was the majority. 2. Triage ; critical 1.3%, acute 14.6%, urgent 29.5%, nonemergent 54.6%. 3. The reasons of visiting ER ; 1) The children had diseases(46.5%), injury (36.9%), TA(5.6%) and toxication(1.0%). 2) In diseases, male to female ratio was 1.5 : 1 and in injury, male to female was 2 : 1. 3) Among the children having in TA, 12-18 old groups was the majority(34.9%). 4. The time of visiting : the 20:00 - 22:00 was the majority(16.9%). 5. By monthly and seasonal distribution ; Jan. (9.7%), Mar. and May(9% respectively, Dec. and July(6.7%) respectively. The children who visted ER in spring and autumn showed higher portion than those of summer and winter. 6. Results ; admission(27.4%), discharge(68.4%), operations(2.8%), and DOA and DAA(0.4%), The mortality of the infancy and toddler groups was 83.3%. The infancy group showed the highest rate of admission. 7. The time of staying in ER ; 1-2 hrs was the major group(23.3%) and the average was 4.6 hours. 8. By clinical departments ; Ped. was 34.4%, PS was 20.8%, Dental Surgery was 10.3% and Dermatology was 0.9%. 9. The types of visting ; the group who visited by themselves was 80%, transfer from the primary and secondary clinic was 17% and OPD was 3.0%. 10. The traffic means . by the own cars and taxi were 87.6%, by hospital ambulance was 6.1% and by 119 ambulance was 4.3%.

병원 「행복한 가정운동」활동 사례발표

김영혜,Kim, Yeong-Hye 한국가톨릭의료협회 1989 한국가톨릭병원협회지 Vol.20 No.-

간호사의 모유수유에 대한 지식정도가 모유수유 간호활동에 미치는 영향 - 산과외래, 분만실, 산과병실 및 신생아실 간호사를 중심으로

김영혜,김미정,Kim Young Hae,Kim Mi Jung 한국아동간호학회 1997 Child Health Nursing Research Vol.3 No.1

This study was attempted to identify the knowledge to breast-feeding and the performance of nursing activities for breast-feeding and to test 'how does the degree of knowledge to breast-feeding influence the nursing activities for breast-feeding?' The subjects were 180 nurses working in delivery rooms, nursery, obstetrics & pediatrics wards or OPD of obstetrics & gynecology of 8 general hospitals in Pusan as of August 3 through 13, 1996. The results are abstracted as follows. 1) Subject nurses' age, 25-29 was 45.6%(the major), education levels graduates from junior college were 95.0%, unmarried status was 62.2%, 76.5% of married nurses had children, 39.7% in-service education for Breast-Feeding, 33.7% did nursing activities for breast-feeding actively, the reason for inadequate activities for breast-feeding was 'too much other tasks.' 2) The degree of knowledge to breast-feeding ; mean score was 13.54, the degree of performance of nursing activities for breast-feeding : 92.38±20.93 points out of possible 145 points (3.19±.74 out of possible 5 points) moaned that it was a low level. 3) The hypothesis 'the nurses who have higher degrees of knowledge to breast-feeding will show higher degrees of performance of nursing activities for breast-feeding than the nurses who have lower degrees of knowledge to breast-feeding' was tested by t-test(t=-.01, P=.9888), but rejected because it turned out statistically not significant at the level of P<.05. Above results suggested the degrees of knowledge to breast-feeding and the degrees of performance of nursing activities for breast-feeding were generally low and the degree of knowledge didn't influence the nursing activities. Researchers believe that the education for breast-feeding by the nurses need to be performed systemically & practically and new method of breast-feeding education program need to include hospital managers as well as nurses related mothers and their family. In audition, researchers propose the introduction of &lactation specialist system&, for the specialist can change the attitude of feeding-mothers positively with their specialty and authority.

Feasibility and Safety of a Gastroscopy-Guided Laparoscopic Local Resection for Duodenal Submucosal Tumor

Young-Hye Kim(김영혜),Ji-Ho Park,Dong-Whan Kim,Young- Joon Lee,Sang-Ho Jeong,Tae-Han Kim,Han-Gil Kim,Jin-Kyu Cho,Jae-Myeong Kim,Seung-Jin Kwag,Ju-Yeon Kim,Young-Tae Ju,Chi-Young Jeong,Eun-Jung Jung 대한외과학회 2021 대한외과학회 학술대회 초록집 Vol.2021 No.5

편두통환자와 건강인의 삼일체형 분류 비교

김영혜 ( Younq Hae Kim ),이내용 ( Nae Young Lee ),강연황 ( Youn Whang Kang ) 경희대학교 동서의학연구소 2009 동서간호학연구지 Vol.15 No.2

건강인과 편두통환자를 대상으로 집단 간 삼일체형을 비교 분석하여 아래의 결과를 얻었다. 첫째, 연구 대상자의 운기체형에 의한 좌우측 삼일체형을 비교하면 건강인의 죄측 삼일체형에서 양실증이 36.6%,신실증이 35.2%, 음실증이 28.2%로 각각 나타났고, 우측에서 신실증 45.8%, 양실증 37.4%, 음실증 16.8%의 순으로 나타났다. 건강 인은 양실증, 신실증 혹은 신실증,양실증이 음실증보다 훨씬 더 많았으며 좌우 동일체질은 매우 적었다. 이번 연구에서 운기체 형조견집으로 오운육기를 조사한 바 좌우가 같은 경우가 거의 없다는 것을 알게 되었다. 편두통환자의 좌우 삼일체형에서는 먼저, 좌측에서 음실증이 46.7%로 가장 많았고 그 다음으로 양설증이 35.4%, 신실증이 17.9%의 순으로 나타났다. 우측에서는 음실증이 47.9%로 가장 많았고 신설증 29.3%, 양실증 22.8%의 순으로 나타났다. 즉 편두통 환자의 좌우측은 모두 음실증이 가장 많은 분포를 보였다. 편두통 환자집단에서는 좌측 혹은 우측 모두 음실증 체형이 월등하게 많았고, 건강인 집단에서는 좌우 모두 양실증 체형이 많았다. 이는 음실증 체형이 양실증 체형에 비해 전형적 편두통 유발 요인이 될 수 있음을 시사하는 것으로, Joo 등(2003)의 연구에서 편두통 환자들의 체형을 운기체형조견집 또는 복진 법으로 분별했을때 음실증이 많았던 결과와 일치한다. 이는 삼 일체형 상으로 음실증의 반응이 있는 사람들에게는 편두통이 더 많이 발생하여 체형이 음실증일 경우 양실증인 경우에 비해 편두통에 좀더 취약한 것으로 생각된다. 이는 Park과 Yoo (2005), Lee (2009), Schwartz (2003)의 연구에서 음실증이 있는 쪽으로 오는 편두통의 경우에는 더욱 쉽게 진단할 수 있었으며 치료도 효과적이었다는 것과 같은 맥락에서 이해될 수 있다. Park과 Yoo (2005)의 연구에서 건강인 여성의 28.6%가 음실증 체형인 것에 비해 편두통 여성 환자의 빈도가 55.0%로 월등하게 높았던 점을 보아도 음실증 소인을 가진 사람이 기후, 환경, 음식, 스트레스 등에 노출되면 내부인자의 발동(Kim, 2005)으로 편두통을 유발할 수 있음을 유추할 수 있다. 침구학의 경락이론과 두통의 관계를 연구한 Park과 Yoo (2002)의 결과에서는 두통의 부위가 인체의 두부에 있는 경락중에 담경락, 방광경락, 비장경락, 페경락과 관련 있다고 보고 하면서 편두통은 두부에 한정된 병이 아니라, 오장육부의 균형 상태 이상으로 장부의 부조화라고 제안하였다. 본 연구에서도 편두통 환자의 삼일체형의 분포에 차이가 있어 Park과Yoo (2002)의 결과와 일치하였다. 삼일체형은 환경 인자에 의한 장부의 전체적인 균형과 조화 상태를 파악하여 공통적으로 발생 되는 장부의 허실을 함께 묶어 분별하는 것(Yoo,2007)이므로, 여러 유발요인과 환경인자들을 미연에 방지하면 편두통을 해 소하는데 도움이 될 것이다. 같은 맥락에서 Park과Yoo (2002), Yoo (2004; 2007)는 편두통과 동반되는 여러 질환들도 음실증 체형과 관련 있는 장부의 기능조절이 질병예방이나 건강증진의 한 방법이 될 수 있다고 하였다. 즉 음실증 체형과 관련 있는 심장, 비장, 폐, 담, 방광을 조절하면 훨씬 편두통을 관리하기가 쉽다는 의미도 된다. Kim (2005)에 따르면 한의학에서는 장부의 강약이 정해져 서 태어난 이상 체질이 일생동안 변하지 않고, Rhee, Choi와 Park (2006)의 연구에서도 체질에 따라, 감수성, 업무취향, 식사속도, 추위더위에 민감한 정도, 소화력, 양약부작용, 음식기호도, 돼지고기 알레르기 등에 차이를 보임을 확인할 수 있었다. 이와 같은 맥락에서 출생 후 환경과 유전인자에서 오는 체형상 음실증인 사람은 증상을 호소하지 않더라도 언젠가는 편 두통에 노출될 수 있음을 유추할 수 있다. 지금까지는 이런 잠 재적 편두통 환자를 간호 중재하는 데에 있어 체질에 대한 간호 학적 접근은 이루어진 바가 없다. 그러나 이미 한의학에서 체질 이란 잘 정리된 개념이므로 제질 특히 삼일체형을 간호학적으로 조명해 볼 가치가 있다. 구제적으로는 Yoo (2007)의 연구에서 제안한 바와 같이 한 의학의 양생 개념 즉, 도덕수양, 마음조양, 음식양생, 활동과 휴식양생, 운동양생, 수면양생, 계절양생, 성생활양생에서 간호 개념을 도입할 수 있을 것이다. 또 체질론에 기미론을 적용하여 질병 치료와 예방에 식이요법을 강조(Song, 2004)하는 방 법이 있다. 구체적으로는 Bok, Lee과 Song (2005)이 제안한 것처럼 기미론(氣味論)에 근거하여 음성과 양성 경향의 음식으 로 나누고 이것을 체질에 맞추어 양인은 기를 하강시키는 방법을 취하여 음성 음식으로 조화를 이루고, 음인은 기를 상승시키 는 방법으로 양성 경향의 음식으로 균형을 이루어 인체 음양의 균형을 맞추고 건강을 유지 증진시키는 방법을 적용해 볼 수도 있겠다. 좀더 전문적인 한의학적 접근으로 서금요법의 삼일체 형에 대한 수지침과 자침을 이용한 보사법 등의 통치처방과 음식요법, 운동요법, 뜸요법, 발지압판밟기, 사이버수지요법 등을 병용(Yoo, 2007)하면 효과적으로 편두통을 예방 관리할 수 있을 것이다. 그래서 각 개인의 삼일체형을 미리 알고 있으면 질병(편두통)에 대한 예방과 건강증진에 있어서 활용할 수 있을 것이다. 더욱이 이 연구는 제형을 고려한 편두통 관리를 위한 기초 근거 자료가 될 젓이다. This study examines the relationship between the occurrence of migraine headaches and three constitution types of Korean Hand Therapy (Seogeum Therapy). Methods: A total of 684 subjects comprised the study data: 500 healthy indi-viduals and 184 migraine sufferers. The data were analyzed according to three constitution types of Seogeum Therapy. The subjects were classified according to their constitution types and body sides. Results: There were significant differences be-tween the three types. Among the healthy group, the Yang Type and Shin Type Constitutions were more predominant than the Eum Type; the Yang and Shin Types were also more predominant than Eum Type with respect to both sides of the body. Among the migraine sufferers, the Eum Type Constitution was more predominant than the Eum Type; the Eum Type was also more predominant than the other types with respect to both sides of the body. Conclusions: These results suggest that the Eum Type Constitution might be associated with migraine headaches.

Morphological and Genetic Characteristics of Pacific Cod, Gadus macrocephalus in the East Sea, Korea

김영혜 ( Yeong Hye Kim ),김종빈 ( Jong Bin Kim ),이동우 ( Dong Woo Lee ),김영섭 ( Young Seop Kim ),홍병규 ( Byung Kyu Hong ),황선재 ( Seon Jae Hwang ),박중연 ( Jung Yeon Park ) 한국어류학회 2004 한국어류학회 추계학술발표요약집 Vol.- No.-

진해만에 분포하는 개조개 (Saxidomus purpuratus)의 연령과 성장

김영혜 ( Kim Yeong Hye ),류동기 ( Lyu Dong Gi ),장대수 ( Jang Dae Su ),김종빈 ( Kim Jong Bin ),김성태 ( Kim Seong Tae ) 한국수산과학회 2003 한국수산과학회지 Vol.36 No.5

N/A Age and growth of purpulish Washington clam (Saxidomus purpuratus) was investigated from 480 samples monthly collected from January to December 2002 in Jinhae Bay, Korea. Examination of outer margins of the shell revealed that the translucent zone was formed once a year from March to April, it can be used as annulus. Ages were determined from ring radius of shell, and maximum age of the the clam was 9 years. The spawning period was from May to October, and the main spawning occurred i n July. The relationship between shell length (SL) and shell height (SH) was SH = 0 .8405× SL^(-4.9709) (R²=0.97) and that between the shell length (SL) and total weight (TW) was TW =0.9580×10-4× SL^(3.220)(R²=O.97 ) The von Bertalanffy growth equation were SL, = 125.57( 1-e-0.2523(t+0.5367) ), TW_(t) = 549.26( 1-e^(-0.2523(t+0.5367))^(3.220).

동중국해에 분포하는 물가자미(Eopsetta grigorjewi)의 연령과 성장

김영혜 ( Yeong Hye Kim ),김영섭 ( Young Seop Kim ),강현정 ( Hyun Jung Kang ),김진구 ( Jin Koo Kim ),전영열 ( Young Yull Chun ) 한국어류학회 2011 韓國魚類學會誌 Vol.23 No.1

물가자미의 표본은 동중국해 및 동해에서 중형 외끌이기선저인망에 의해 2004년 2월부터 2005년 1월까지 어획된 것이다. 총 389개체 표본의 오른쪽 이석을 연령형질로 사용하여 연령과 성장을 추정하였다. 윤문은 12~3월(주형성시기 2월), 연 1회 형성되는 것으로 나타났다. 산란시기는 2~4월(주산란시기 3월)이었다. 전장과 전중과의 상대성장식은 TW=0.5091×10(-2)TL(3.222)(r2=0.92)로 나타났고, 암·수간의 상대성장식 유의한 차이가 없는 것으로 나타났다(P>0.05). 추정된 von Bertalanffy 성장식은 L1=46.58(1-e(-0.14(t+1.32)))로 추정되었다. 암·수간의 연령별 성장에는 차이가 없는 것으로 나타났다(P>0.05). Age and growth of shotted halibut Eopsetta grigorjewi were estimated using right sagittal otoliths of 389 fish specimens from February 2004 to January 2005 in the East China Sea. Examination of outer margins of the otolith showed that the opaque zone was formed once a year and annual rings were formed from December to March. The age of specimens examined ranged from 3 to 5 years. Shotted halibut begin spawning in February and show a peak in March. Length and weight relationships showed no significant difference between females and males (P>0.05), and can be expressed as TW=0.5091×10(-2)TL(3.222)(r2=0.92). Estimated von Bertalanffy growth curve was Lt=46.58(1-e(-0.14(t+1.32))).