포커스 그룹 인터뷰를 이용한 환자안전전담자의 환자 및 보호자 대상 환자 안전 교육 경험 분석

김윤숙,김문숙,황지인,김혜란,김현아,김효선,천자혜,곽미정,Kim, Yoon-Sook,Kim, Moon-Sook,Hwang, Jee-In,Kim, Hye-Ran,Kim, Hyun-Ah,Kim, Hyuo-Sun,Chun, Ja-Hae,Kwak, Mi-Jeong 한국의료질향상학회 2019 한국의료질향상학회지 Vol.25 No.2

Purpose: The purpose of this study is to provide basic data for the development of the most appropriate and effective educational materials for patients and their caregivers through the educational experiences of patient safety officer. Methods: This study is a qualitative analysis that involves using the focus group interview to understand the patient safety education experience of the patient safety officer. Results: The patient safety education experience of the patient safety officer is divided into four topics: (1) patient safety education content (2) patient safety education method (3) patient safety education status (4) activation and improvement of patient safety education. Additionally, the study incorporated twelve subtopics: (a) falls (b) speak up (c) patient safety campaign (d) patient safety rounding and a one on one training (e) education through medical staff (f) education using broadcast, video, post, among others (g) a lot of education in patient (h) patients not interested in patient safety education (i) patient safety education is less effective (j) human and medical expenses support (k) provision of standardized educational materials (l) patient safety culture for patient participation. Conclusions: This study indicate that education for patients and the caregivers should be inclusive and protective of stakeholders from the risks involved in patient safety events. The experience of patient safety officer is necessary for patient safety education for both patients and the caregivers since it is the source of basic data for the future development of patient safety education.

국외 환자대상의 환자안전 교육 사례

김윤숙,곽미정,김문숙,김현아,김효선,천자혜,황지인,Kim, Yoon-Sook,Kwak, Mi-Jeong,Kim, Moon-Sook,Kim, Hyun-Ah,Kim, Hyuo-Sun,Chun, Ja-Hae,Hwang, Jee-In 한국의료질향상학회 2019 한국의료질향상학회지 Vol.25 No.1

Purpose: The purpose of this study was to share program and/or resource on patient safety education for patients and families conducted overseas agency. This study will help the patient safety officer establish and implement an educational plan for patients and families. Methods: We searched the Internet for patient safety related organizations. We chose an institution that provided education for patients and families. Results: Most of the program and/or resource was about patient and family involvement; Taking Care of Myself, My Questions for This Visit, Patient Prep Card, 20 Tips to Help Prevent Medical Errors, Ask Me 3(R), Health and Safety Passport, My Medication log etc. Conclusions: It is necessary to distribute educational materials for patients and families in the country through the results of this study. For patient safety, education and publicity are needed so that developed educational materials can be actively used.

노인환자 스크리닝 결과와 낙상위험도 간의 관계

김윤숙,이종민,최재경,신진영,한설희,Kim, Yoon-Sook,Lee, Jong-Min,Choi, Jae-Kyung,Shin, Jin-Yeong,Han, Seol-Heui 한국의료질향상학회 2017 한국의료질향상학회지 Vol.23 No.2

Background: The purpose of this study was to examine associations between classification of the Geriatric Screening for Care-10 (GSC-10) and the Morse Fall Scale (MFS) among elderly inpatients. Methods: Among elderly inpatients aged over 65 admitted to hospital (from November 1, 2016 to July 31, 2017), the data for 5,780 patients (who were evaluated using the Morse Fall Scale and the Geriatric Screening for Care-10) were analyzed using x2-tests and t-tests to examine differences between the GSC-10 and MFS, according to general characteristics of elderly inpatients (i.e., gender) using IBM SPSS Statistics 24. Results: : Scores for the GSC-10 were significantly higher in women than men for depression (p<.001), delirium (p=.048), functional decline (p<.001), incontinence (p<.001), and pain (p<.001). Statistically significant differences in all domains of the GSC-10 for elderly hospitalized patients were found for the classification of fall risk. Conclusion: The findings of this study, as supported by the GSC-10, indicate that the most common problems experienced by the elderly are related to the risk of falling. In order to reduce the incidence of falls in elderly inpatients, customized fall prevention based on the GSC-10 results is necessary.

21세기의 식품관리기술: 전자 코

김윤숙,Kim, Yoon-Sook 한국식품연구원 2011 食品技術 Vol.24 No.2

자궁경부암 환자의 삶의 질 분석

김윤숙,김분한,Kim, Yoon-Sook,Kim, Boon-Han 한국호스피스완화의료학회 2004 한국호스피스.완화의료학회지 Vol.7 No.1

목적: 본 연구는 자궁경부암 환자의 삶의 질을 파악하고, 질병 진행 단계와 치료 형태에 따른 삶의 질을 분석하는데 있다. 방법: 자료 수집은 3개의 종합병원에서 자궁경부암 환자 67명을 대상으로 하였으며, 자료수집 기간은 3월 15일부터 6월 4일까지 이었다. 연구 도구로는 Ferrell[18]의 삶의 질-암 환자용 도구(Quality of Life-cancer version)를 번역하여, 자궁경부암 환자에게 맞지 않는 4문항을 제외한 총 37문항으로 사용하였다. 자료 분석은 SPSS 통계프로그램을 이용하여, t-test, ANOVA, Scheffe test로 검증하였고 도구의 신뢰도 검증은 Cronbach's Alpha를 산출하였다. 결과: 자궁경부암 환자의 질병 진행 단계에 따른 삶의 질 정도는 유의한 차이가 있었다.(F=5.06, P=.003) 질병 진행 단계에 따른 영역별 삶의 질 정도에서는 신체적 안녕 영역(F=3.97 P=.012), 정신적 안녕 영역(F=3.91, P=.013), 사회적 안녕 영역(F=4.96, P=.004)에는 유의한 차이를 보였으나, 영적 안녕 영역(F=1.36, P=.262)은 유의한 차이를 보이지 않았다. 치료 형태에 따른 삶의 질정도는 유의한 차이를 보이지 않았다.(t=-1.83, P=.073) 치료 형태에 따른 영역별 삶의 질정도에서는 정신적 안녕 영역(t=-2.14, P=.037), 사회적 안녕 영역(t=-2.15, P=.036)에는 유의한 차이를 보였으나, 신체적 안녕 영역(t=-.93, P=.356), 영적 안녕 영역(t=.73, P=.469)에는 유의한 차이가 없었다. 결론: 자궁경부암 환자의 삶의 질은 질병 진행단계와 치료 형태 및 일반적 특성에 따라 차이가 있었다. 그러므로 자궁경부암 환자에게 질병 진행 단계와 치료 형태 및 일반적 특성을 고려한 간호 중재를 적용할 필요가 있다. Purpose: The porpose of this descriptive study was grasp the QOL (Quality of Life) of cervix cancer patient and to analysis QOL (Quality of Life) by stage of disease, type of treatment and de me graphic characteristics Methods: Data were collected from 67 patients with cervical cancer from 3 General Hospitals from March 15 to June 4 using The "QOL (Quality of Life)-Cancer Version" inventory made by Ferrell et al (1995). The data were analysed by using SPSS $PC^+$ program including t-test, ANOVA, and Scheffe test. Results: Progressing stage of disease and QOL, the significant between the progressing stage of disease and QOL was significant (F=5.06, P=.003). The degree of difference between the progresstion of the stage of the disease and each item in the test was physical well-being (F=3.97 P=.012), the items of psychological well-being (F=3.91, P=.013), the items of social well-being (F=4.96, P=.004). It show a significant difference, but the item of spiritual well-being (F=1.36, P=.262) was not significant difference. The significance between the type of treatment and QOL was insignificant. The degree of difference between each area of life was the psychological well-being (t=-2.14, P=.037), the social well-being (t=-2.15, P=.036). But the physical well-being (t=-.93, P=.356), the spiritual well-being (t=.73, P=.469) was insignificant. Conclusion: As a result, The QOL of patients with cervical cancer is differentiated by the stage of disease, the type of treatment, and the demographic data. Therefore, there is a need to apply nursing intervention to patients with cervical cancer by considering the stage of disease, the type of treatment, and the demographic data.

발사믹 식초 생산기술

김윤숙,Kim, Yoon-Sook 한국식품연구원 2009 食品技術 Vol.22 No.4

시니어통합진료서비스를 위한 48/6 모델

김윤숙(Yoon Sook Kim),한설희(Seol Heui Han),이종민(Jong Min Lee),최재경(Jae Kyung Choi),박재민(Jae Min Park),이건세(Kun Sei Lee),황정해(Jeong Hae Hwang) 대한임상노인의학회 2016 대한임상노인의학회지 Vol.17 No.1

The 48/6 Model of Care is a senior integrated care system that conducts screening and assessment for inpatients using six key areas, and establishes and mediates individualized multidisciplinary care plans within 48 hours of admission. The six key areas are bowel and bladder management, cognitive functioning, functional mobility, medication management, nutrition and hydration, and pain management, which have interrelated impact on the health of many seniors. These six key areas are not only assessed at the time of admission, but also during hospitalization, at time of discharge, and after discharge. The patients are continuously observed and cared for after their discharge into the community. One possible solution to resolve the social and economic burden of senior health problems is to provide treatment and preventive guidelines for early identification of senior health problems using screening and assessment tools such as the 48/6 Model of Care, which is systematic and easily applicable to the medical institution including the community.

만 2세반 영아의 역할놀이 특성에 관한 연구

김윤숙 ( Yoon Sook Kim ),조희숙 ( Hea Soog Jo ) 한국유아교육학회 2012 유아교육연구 Vol.32 No.5

본 연구는 만 2세반 영아의 역할놀이 특성을 알아보고자 하였다. 연구 참여자는 P시에 위치한 영아만을 대상으로 대학에서 운영하는 직장어린이집의 만 2세반 영아와 담임교사이다. 연구 결과에 의하면 첫째, 역할놀이감에 따른 영아들의 놀이 특성은 특정 놀이감에 집착하기, 역할놀이감 고유 기능대로 사용하기, 놀이감을 다른 물건으로 표상하여 사용하기로 나타났다. 둘째, 역할놀이에서 이루어지는 놀이내용은 개인 경험을 가작화하기, 동화내용 발전시키기, 새로운 세계 창안하기로 나타났다. 셋째, 역할놀이에서의 놀이친구는 함께 있지만 혼자놀이, 교사와 짝지어 하는 놀이로 나타났다. 넷째, 역할놀이에서의 교사는 영아와의 놀이에 적극적으로 참여하지만 주로 지식전달에 치우쳐 놀이 속으로 몰입해가지 못하는 한계를 보였다. 이러한 연구결과는 역할놀이에 대한 영아의 발달적 요구를 충족시켜주고 질 높은 역할놀이 환경 제공을 위한 기초 자료로 활용될 수 있을 것이다. To explore the characteristics of two year-old infants in role-playing activity, researchers observed 16 times total, once every week in a non-participating manner two year-old infants and their home room teachers in a nursery designed solely for infants and run by a university located in P city. Analyses of the observations yield the following generalizations: First, the infants often were obsessed with particular objects, using the particular role-playing toy with its natural functions, taking the object/toy as a symbol of other objects and therefore using it in a different way than its design was originally intended. Second, the context of role-playing appeared to be an elaboration of the infants` personal experiences, narratives developed on top of traditional fairly tale plots, or the creation of a new world. Third, in role-playing, peers were present, but they played by themselves, or utilized their teachers as their playmates. Fourth, teachers participated in the role-playing but were blocked from their inclination to deliver knowledge, and they found themselves unable to concentrate on the activity. These findings shed light on infants`developmental needs in role-playing and may be used as a basic reference to provide a high quality role-playing environment

레크리에이션사회학의 학문적 접근

김윤숙(Yoon Sook Kim) 한국여가레크리에이션학회 1998 한국여가레크리에이션학회지 Vol.15 No.-

Desirable leisure activities can relieve people from a sense of dehumanization and self-alienation in our modern society` but an improper way of using leisure time can create the contrary result. Far a positive utilization of our leisure time, we need a more systematic study of recreation. People have, studied leisure from a sociological perspective but have not analyzed its recreational aspects. Focusing on recreation as a desirable way of spending time, this study aims at investigating the various aspects of recreational sociology and its theoretical framework from the scientific approach of recreational sociology analysing its function and characteristics. The result of the study of a scientific approach to recreational sociology was as follows; 1. It results that recreational sociology, as a study which examines the rules of social behavior from the view of recreation and the related fields of sociology, is a science which studies the relationship between the fundamental social units and the social processes which appear in many recreational settings. 2. This study also shows that various recreational problems of modern society can be explained according to the basic principles of sociology such as functionalist point of view, political economics and critical theoretical point of view, symbolic interactions point of view, symbolic and linguistic paint of view. 3. It divides recreational sociology into four fields of scientific approach; recreation and social system, recreation and social organization and group, social, demographical and situational factors which influence the recreation experience, and, recreation and socialism. Therefore, this study helps not only the understanding of recreation and the culture of leisure in Korea where the study of the sociological approach to recreation was insufficient, but also in classifying the field of study and providing a theoretical frame of approach.

소맥 gluten 산가수분해물을 이용한 마이야르 반응물질의 이화학적 특성 및 항산화성

김윤숙(Yoon-Sook Kim),문지혜(Ji-Hye Moon),최인욱(In-Wook Choi),최희돈(Hee-Don Choi) 한국식품과학회 2009 한국식품과학회지 Vol.41 No.2

본 연구는 식물단백 가수분해물(HVP)인 소맥 gluten 산가수분해물과 환원당(glucose, fructose, ribose)을 기본 원료로 하여 여러 가지 반응온도, 반응시간, pH, 반응용매 등 다양한 반응조건 model system 하에서 MRP를 제조하였다. 이와 더불어 이화학적 특성, 항산화 특성, 관능적 특성을 종합적으로 비교하여 meat flavor에 근접하는 적절한 반응조건을 찾고자 하였다. 반응온도와 압력, 시간 등 반응조건이 높아짐에 따라 갈변도와 항산화 활성효과는 증가하였으며 이러한 이화학적 특성과 항산화 활성을 고려하여 관능적 특성이 meat-like flavor에 근접하는 적당한 기질로 ribose/소맥 gluten 산가수분해물로 조합된 MRP를 선정하였다. R/HWG의 고기향 발현에 대한 관능평가 결과를 바탕으로 이에 대하여 반응시간을 세분화한 결과 mild한 고기 냄새와 달콤한 향을 가져 높은 기호성을 나타낸 최적의 반응조건으로 oil-bath에서 140℃, 30분의 온도와 시간을 설정하였다. 선정된 기질과 반응온도를 고정해두고 반응액의 pH가 변화됨에 따른 반응 생성물의 반응성과 향미변화를 관찰하였는데 pH가 높아질수록 갈변도와 항산화 효과 모두 증가하나 pH 11에서 탄내 등을 나타내 관능적 평가가 낮아져 pH 9로 조정하는 것이 가장 좋았으며 풍미가 상당히 개선되었다. 이에 대하여 반응성을 증가시키기 위해 반응용매로 증류수, 50% ethanol, 50% glycerol의 반응용매를 사용한 결과 증류수보다는 50% ethanol, 50% glycerol로 반응 시 DPPH radical 소거율과 hydroxy radical 소거활성이 더 높았으며 50% glycerol을 사용한 경우가 가장 높은 효과를 보였다. 그러나 관능평가에서 50% ethanol 사용 시 간장냄새와 다른 이취가 높았고 50% glycerol은 고기 향에 근접하였으나 높은 강도로 인해 기호도가 높지 않았다. 본 연구에서는 최종적으로 ribose/소맥 gluten 산가수분해물 반응계를 이용하여 물을 반응용매로 하여 pH 9로 조절하여 140℃, 30분 동안 반응시킨 것이 고기향에 근접한 향의 발현에 가장 좋은 조건으로 선정되었다. Maillard reaction products (MRPs) were produced from aqueous solution of various sugars with hydrolyzed wheat gluten (HWG) with different temperatures, pressures, pH values and solvents. The physicochemical properties of MRPs were investigated and DPPH and hydroxyl radical scavenging activity and sensory properties were also assessed. MRPs from ribose and HWG evidenced the highest preference for meaty flavor and antioxidant activity and also evidenced higher antioxidant activity with larger pH reductions and higher browning index increases than were observed in other MRPs. The antioxidant activities were increased with increased reaction temperature and pressure. The most preferred meaty flavor was obtained from MRPs with ribose at 140℃ in an oil bath with the pH adjusted to 9 in water as a solvent, and heated for 30 mins.