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시뮬레이션 교육이 간호장교의 전문심장소생술 수행자신감에 미치는 효과
현진숙 ( Jin Sook Hyun ) 국군간호사관학교 군진간호연구소 2012 군진간호연구 Vol.30 No.1
Purpose : This study was conducted to evaluate the improved self-confidence among nursing officers who participated the ACLS(Advanced Cardiovascular Life Support) training program. The participants were trained at the military OAC(Officer Advanced Course) Program on November, 2011. Methods : Subjects consist of all the 14 nursing officers in the course. Study design was one group pretest-posttest design. The simulation program of ACLS was implemented to 14 nursing officers. The entire program consists of a 6 hour program and was evaluated by the self-confidence checklist. A modified megacode test checklist was used. After training, simulation program satisfaction questionnaire was used. Results : Pretest self-confidence score was 70.43±8.19. Posttest score was 89.21(±7.21)(z= -3.30 p< .01). ACLS program improved the self-confidence score. The participants responded positively on the simulation ACLS program satisfaction, ``useful and interesting`` 4.45(±3.5). The program satisfaction is an average of 3.90(±.28). Conclusion : This study shows that simulation training for Nursing officers is useful to improve performance confidence in emergency cardiovascular problem situations. Further research is needed in the implementation of simulation training in nursing officer.
상담일지에 근거한 재가 유방암 환자의 간호요구도 내용분석
김은자(Kim, Eun Ja),현진숙(Hyun, Jin Sook),한정화(Han, Jung Hwa),김나현(Kim, Nahyun) 한국보건간호학회 2016 韓國保健看護學會誌 Vol.30 No.3
Purpose: This study was performed to identify the nursing needs of home-dwelling breast cancer patients based on counseling contents. Methods: Descriptive research was conducted with content analysis. This study included 185 patients who underwent treatment for breast cancer in a tertiary hospital. The data were collected using personal counseling via telephone or face-to-face between March 2011 and July 2013. A total of 536 counseling contents were used in the analysis. Inductive content analysis was used to analyze the contents related to nursing counselling. Results: According to the results. the most frequently reported nursing needs was symptom management, followed by information needs and supportive intervention needs; symptom management needs included symptoms related to chemotherapy, daily living, surgery, and medication side effects; information needs included treatments, medication, clinical tests, and alternative therapies; and supportive intervention needs were related to emotional and social aspects. Conclusion: Our findings suggest that nursing interventions for home-dwelling breast cancer patients should be designed and provided with a consideration to these relevant nursing needs.
복합적인 기계적 자극이 중간엽 줄기세포의 골 분화에 미치는 영향
강윤경 ( Yun Gyeong Kang ),전강진 ( Kang Jin Jeon ),박소희 ( So Hee Park ),신지원 ( Ji Won Shin ),김선연 ( Seon Yeon Kim ),현진숙 ( Jin Sook Hyun ),신정욱 ( Jung Woog Shin ) 한국조직공학·재생의학회 2012 조직공학과 재생의학 Vol.9 No.2s
In this study we investigated the combinational stimulation effects of uniaxial tension and intermittent hydrostatic pressure (IHP) on the differentiation of mesenchymal stem cells (MSCs) into osteoblast without any biochemical agents. For this, we designed a novel bioreactor which can generate not only tensile stimulation and IHP but also combinational stimulation of tension and IHP. We classified experimental groups based on the types of stimulation as follows: (1) NS: no stimulation as a control; (2) IHP: IHP stimulation only (magnitude: 0.1 MPa, intermittent pattern of hydrostatic pressure: 2 min/15 min (on/off), duration: 3 hr/day, for 2 days); (3) TS: tensile stimulation only (magnitude: 3%, frequency: 0.5 Hz, 48 hr in a row); (4) CS: combinational stimulation of (2) and (3). We conducted various biological analyses; DNA contents, ALP activity, Live & Dead staining, F-actin staining, von Kossa staining, and ALP staining. As results, the groups applied mechanical stimulation (IHP, TS, and CS group) showed higher proliferation rate than the group applied no stimulation (NS) at day 8. And amounts of ALP normalized by DNA contents in the groups of TS and IHP were higher than those in CS group at day 5 and day 8, respectively. The highest expressions of ALP and von Kossa staining were observed in IHP group. The expressions of ALP and von Kossa staining in CS were negligible compared with IHP. From this study, we concluded that the single type of mechanical stimulation (IHP or tension) has positive effects but the effect of combinational mechanical stimulation was imperceptible on osteogenesis of MSCs.
요양시설 치매노인의 치매유형에 따른 행동심리증상 특성과 간호제공자의 업무 부담감
강민숙(Min-Suk Gang),최현아(Hyun-A Choi),현진숙(Jin-Sook Hyun) 한국산학기술학회 2016 한국산학기술학회논문지 Vol.17 No.5
본 연구는 요양시설 치매노인의 치매유형에 따른 행동심리증상 특성과 간호제공자의 업무 부담감 정도 차이를 파악 하고자 시도되었으며, 자료 수집은 2014년 6월 1일부터 12월 31일까지 5개 노인요양시설에서 실시하였다. 총 214명(알츠하 이머형 치매노인 131명, 혈관성 치매노인 83명)이 연구에 참여하였으며, 행동심리증상 특성과 간호제공자의 업무 부담감은 NPI-NH (Neuropsychiatric Inventory Nursing Home Version)를 활용하여 측정하였다. 연구 결과, 알츠하이머형 치매군과 혈관 성 치매군 모두에서 무감동/무관심의 발생빈도가 가장 높았으며, 알츠하이머형 치매군이 혈관성 치매군에 비하여 불안, 들뜬 기분/다행감, 과민/불안정의 발생빈도가 유의하게 높았다. 전체 행동심리증상 점수는 알츠하이머형 치매군과 혈관성 치매군 에서 유의한 차이가 없었으나, 세부영역에서 초조/공격성 점수는 알츠하이머형 치매군이 혈관성 치매군보다 유의하게 높았 다. 전체 간호제공자의 업무 부담감은 알츠하이머형 치매군이 혈관성 치매군보다 유의하게 높았고, 특히, 알츠하이머형 치매 군에서 초조/공격성 의 업무 부담감 부분이 의미 있게 높았다. 결론적으로 요양시설 치매노인은 치매유형에 따라 행동심리증 상정도에 차이가 있으므로 차별화된 간호가 필요하며, 간호제공자의 업무 부담감 감소를 위한 다양한 프로그램 개발 및 전략 이 필요한 것으로 사료된다. The purpose of this study was to examine different patterns of behavioral and psychological symptoms of dementia (BPSD) and caregiver burden according to dementia type. Data were collected from June 2014 to December 2014 from five nursing homes. In all, 214 patients [131 patients with Alzheimer's disease (AD) and 83 patients with Vascular dementia (VD)] were included in the study. BPSD and caregiver burden data were examined using NPI-NH (Neuropsychiatric Inventory Nursing Home Version). According to the results, both the AD and VD group showed the highest frequency in apathy/indifference and the frequency of anxiety, elation/euphoria, and irritability/lability was significantly higher in the AD group than in the VD group. The difference in total BPSD composite scores between the AD and VD groups was not significant but agitation/aggression was significantly higher in the AD group than in the VD group. The mean score for caregiver burden was significantly higher in the AD group than in the VD group, particularly in agitation/aggression. In conclusion, BPSD differed according to dementia type, and nurses should provide specific interventions to control BPSD; a program to reduce caregiver burden according to dementia type is also needed.