병원가정간호사업 운영 현황 및 서비스 만족도에 관한 연구

홍춘실,오경옥,박미영,심희숙,차영남,Hong, Chun-Sil,Oh, Kyong-Ok,Park, Mi-Young,Sim, Hee-Sook,Cha, Young-Nam 한국가정간호학회 2001 가정간호학회지 Vol.8 No.2

The purpose of this study were to analyze the home care services and to evaluate the client's satisfaction with the home care services provided by home care service center in the C hospital. The data were collected by reviewing charts of 128 home care clients who were receiving home care services at C hospital from October 1997 to September 2000. The subjects for satisfaction of home care service were 20 clients from July 10 to September 30, 2000. The tool for measurement of present condition of home care service was developed by the researchers. The satisfactions of the home care services were measured by using the instrument developed by Im(997). The data were analyzed by using the SPSS/PC+. The results of this study were as followings : 1. Majority of the subjects was female(61.7%). The average of age was 63.5 years. The service has been used mostly by the elderly 60 years of age or older(71.1%). The economic level of most of subjects was in middle class(94.5%). 2. Majority of the subject had a cancer(55.4%), following stroke(25.0%). The average duration of disease for the subjects was 31 months. The average time of hospitalization for the subjects was 3.3 times. The duration of hospitalization was 10$\sim$30 days(26.6%), 30$\sim$60 days(23.4%) and above of the 210 days(9.4%). 3. Most of the subjects used his/her doctor (47.7%), as a consultant, following his/her nurse (28.1%), other patients or their family (21.9%). Most of reasons for a consultation were supportive management(Infusion or medication, 60.94%), following tube management(L-tube or T-tube, 25%), Foley catheter management (15.63%) etc. 4. 28 types of nursing diagnoses were used by the home care service. The nursing diagnosis altered nutrition: less than body requirement were used mostly by the home care service, following risk for infection, impaired skin integrity, impaired swallowing, ineffective airway clearance altered comfort: pain, impaired physical mobility. By the human-response pattern, exchanging(63.2%), moving(7.5%), feeling(10.4%), knowing(5.2%), communicating (2.6%), relating(0.5%) perceiving(0.4%) and choosing(0.3%). There were 42 nursing intervention types were performed by the home care service. By the NIC(nursing intervention classification. McCloskey. Bulech. 1996). physiologic: complex (30.3%) was the most, safety(28.3%), behavioral(20.0%), physiologic: basic(10.8%) and health system(1.7%). Observation or assessment was the most nursing intervention performed by the home care service. following IV infusion. vital sign observation. infusion management and fluid-electrolyte balance management. 5. The level of client's satisfaction with provided home care services showed considerably high(2.67/ 3).

수중운동 프로그램의 효과에 대한 논문분석

김종임(Kim, Jong Im),조경숙(Cho, Kyung-Sook),심희숙(Sim, Hee Sook),이은남(Lee, Eun Nam),이인옥(Lee, In Ok),은영(Eun Young),이동숙(Lee, Dong Suk),강현숙(Kang, Hyun Sook),박원숙(Bak, Won-Sook),이지현(Lee, Ji Hyun) 대한근관절건강학회 2011 근관절건강학회지 Vol.18 No.2

타액-알파아밀라제를 이용한 병원간호사의 직무스트레스 측정

서상혁(Sang Hyeok Seo),곽승현(Seung Hyun Kwak),김형식(Hyung Sik Kim),심희숙(Hee Sook Sim),강진규(Jin Kyu Kang),민병찬(Byung Chan Min) 한국산업경영시스템학회 2016 한국산업경영시스템학회지 Vol.39 No.2

As contemporary society has become more complicated, specialized, and segmented, people are experiencing more diverse types of stress. In particular, while several factors associated with job stress have been examined among nurses, who belong to a professional group, the existing research has made no quantitative assessments of stress that reflect temporal differences in individuals. Therefore, the aim of this study is to understand the effects of job stress on alpha-amylase with regard to the working hours of nurses, to assess the variations in jobs stress over time, and provide basic data to improve the quality of nursing services. Ninety nurses working in three shifts in general, emergency, and intensive care wards of a university hospital in D City participated in this study. Salivary alpha-amylase (SAA) was extracted and analyzed at two-hour intervals from 07:00 to 15:00 from nurses on the day shift and from 23:00 to 07:00 from those working the night shift. The SAA level was highest between 23:00 and 01:00 for nurses in general wards (mean±S.D. 39.00±14.88) and between 11:00 and 13:00 for those in both intensive care units and emergency wards (mean ± S.D. 67.50 ± 62.93 and mean ± S.D. 39.67±35.96, respectively). The characteristic variation in SAA was significant between 23:00 and 01:00 (p < 0.01) and for those in their fifties or older (p < 0.01). The activation ratio of alpha-amylase, a stress reactant, showed an increase when the sympathetic nervous system was activated by mental stress; in addition, job stress was manifested with the effect of awakening at different time segments and at different ages among the nurses. With the aim of raising the level of service based on the nurses maintaining their mental health, it is necessary to focus sharply on the time segment for critical control and to conduct repetitive studies to determine the divisions of eustress critical values as well as to expand the population.

앙와위에서 직립자세로의 체위변화가 노인의 순환과 체위성 저혈압에 미치는 영향

김영희,홍춘실,심희숙 충남대학교 의과대학 지역사회의학연구소 1996 충남의대잡지 Vol.23 No.2

This study investigated the effects of position change from supine to standing upright on the circulation and postural hypotension of elderly. The subjects of this study were 31 elderly aged over 60. Only those who could stand up from supine position without assistance were included in this subjects. Data were collected from the 1st of March to the 30th of March 1996. Blood pressures and pulses were taken at supine position and at 1 minute, 3 minutes after position change to uprightness. For data analysis, SAS program was utilized for descriptive statistics, paired t- test, X^2-test and discriminant analysis. The results of this study are as followings: 1) The prevalence of postural hypotension was 16.13%(5 patients). 2) The variables which explain the occurrence of postural hypotension was pulse on the supine. Age was not found as a significant variable in explaining the occurrence of postural hypotension in this study. 3) Differences in heart rates and blood pressures between supine and upright position were evaluated. The results are summarized as follows : ① Heart rates increased significantly at 1 minute after standing upright and decreased significantly between 3 minutes and 1 minute after standing upright. ② Diastolic blood pressures increased significantly at 3 minutes after standing upright, between 3 minutes and 1 minute after standint upright. ③ Systolic blood pressures decreased significantly at 1 minute after standing upright and increased significantly between 3 minutes and 1 minure after standing upright.

일종합병원 입원환자의 불안에 관한 연구

오경옥,강문희,박영희,심희숙 충남대학교 간호과학연구소 2003 충남대 간호학술지 Vol.6 No.1

The purpose of this study was to evaluate the anxiety of inpatients in a general hospital in Daejeon. Data were collected through self-reported questionaires from January, 2003 to February, 2003, The anxiety was measured by Zung's Self-Rating Anxiety Scale. Analysis of data was done was descriptive statistics, t-test ANOVA and factor analysis. The results of the study were as follows : (1) The average score for the level of anxiety was 37.75±8.44 point (2) The anxiety items, such as sweating. apprehension, dyspnea, insomnia and restlessness showed the high score in inpatient. (3) Anxiety showed significant difference by education level(p<0.01), duration of hospitasization (p<0.01), prognosis(p(0.05), ward(medical/surgical) (p{0.05), experienc of admission (p<0.05). (4) According to the factor analysis, four factors of sweating, apprehension, dyspnea and restlessness showed high score in inpatient. Inpatient's anxiety characteristically showed more somatic symptoms than affective symptoms.

간호 지식관리시스템 개발

민효숙,문원희,김미자,김선미,황윤신,황관옥,심희숙 충남대학교 간호과학연구소 2006 충남대 간호학술지 Vol.9 No.1

The purpose of this study were to develop Knowledge Management System for the nurse and to identify its effectiveness. The program was developed in development of the contents and programing. And the system was operated to 85 nurse for three weeks. Data collection were performed during the period of May 1, 2005 to December 30, 2005. The data was collected from 85 nurses using questionnaires. In order to ascertain the validity of clinical application of the system, Prior experience of the computer mediated communication, user satisfaction and utilization were analyzed. The instruments for the study were satisfaction(Kim, 2000), utilization(Kim, 2002). The collected data were analysed by descriptive statistics, using SPSS WIN 11.0 program. The results showed average score which is the satisfaction(6.09) showed middle satisfaction scores. It is concluded that if Nursing Knowledge Management System is operated considering all the above factors, It wound be one of the best qualified continuing clinical method for nurses.

소비자 만족 증진을 위한 간호서비스 리포지셔닝 방안

박영희,나후자,정하란,이신숙,박묘윤,이남형,윤미옥,민효숙,신동순,문원희,황관옥,심희숙,오경옥 충남대학교 간호과학연구소 2003 충남대 간호학술지 Vol.6 No.1

The purpose of this study was to evaluate the change of the satisfaction degrees before and after repositioning strategies between the consumers and nurses about nursing services. The subjects of this study were composed of 666 consumers and 215 nurses. Data were collected from December 2002 to August 2003. The tool used for this study was modified SERVQUAL model and the data were analyzed using SPSS/PC ver. 10.0. The result of the study were as follows: 1. The satisfaction degrees of consumers about nursing services were showed statistically significant difference in all items (before repositioning: 73.67±12.27, after 1st repositioning: 74.5±10.62, after 2nd repositioning: 79.76±11.65) The influencing factor of nursing service was marital status according to the result of multiple regression analysis. 2. There was statistically significant difference in all 5 factors which were tangibility, reliability, responsiveness, assurance, empathy (P<0.001), in the satisfaction degrees of consumers about nursing service. 3. There was statistically significant difference in 3 factors which were tangibles, assurance, empathy (P<0.000) in the nurses' satisfaction degrees about nursing service. 4. There was statistically significant difference in all 5 factors in satisfaction degrees about nursing service between the consumers and nurses (P<0.001). In conclusion, We know that this study contribute to consumers' satisfaction improvements, it was shown positive change between the consumers' and nurses' satisfaction degrees about nursing service through the performance of repositioning strategies. If continuous investigation and feed back were accomplished for the consumers' satisfaction improvements, we thought they brought us the goal of improved hospital image as well as rehospitalization, for increasing income.

환자 중증도 분류를 통한 간호업무량 측정과 적정 간호인력 산정

신동순,문원희,정애란,민신홍,이윤경,황윤신,송재금,심희숙,김태숙 충남대학교 간호과학연구소 2004 충남대 간호학술지 Vol.7 No.1

Purpose : The purpose of this study is to determine the appropriate nursing personnel required for nursing units by estimating both the total hours needed for nursing care and the amount of nursing activities based on the patient classification system. Method : The subjects of this study consisted of 1122 patients and 78 nursing staff in a tertiary hospital. The data was collected through personal observations from march 3, 2003 to June 30, 2003. The data was analyzed by the SPSS(ver. 10.0) computer program. Results : The amount of nursing activities and the total hours needed for nursing care were increased, depending on the severity of the patients. The number of nursing personnel required for each nursing unit, based on a 10 bed system, was seen as 5.6 nursing personnel in the medical nursing unit, 7.4 nursing personnel in the surgical nursing unit, 20.6 nursing personnel in the ICU nursing unit. Conclusion : According to the results, it is necessary to consider both the patient classification system and the nursing workload needed for nursing care when we estimate the proper nursing manpower.