응급실로 내원한 청장년층 급성심근경색증 환자의 임상특성 연구

홍해숙,장유량,Hong, Hae-Sook,Jang, Yu-Ryang 대한수사과학회 2008 대한수사과학회지 Vol.3 No.1

The purpose of this study was to figure out clinical characteristics in young and adult acute myocardial infarction patients come to emergency room. One hundred fifty four acute myocardial infarction cases were collected and analized from January 2003 to April 2006, especially focused on below the age 50. The results of the study were summarized as follows. The results were proportion up disease occur to women disease rate as men after 50 age and acute myocardial infarction occur to spring and winter most of all. Research for this patients coronary artery condition in cardiac angiography room and coronary artery condition is left anterior descending portion was obstruction and stenosis most of all at that time in emergency room. HDL-cholesterol was not normal range of this patients. About 57.9% patients downward normal range but total cholesterol was very variant condition. Investigated chest X-ray of this patients and result in upward 75% patients was C-T ratio 50% upward condition. And it was shown result from this patients 94. 7% was obesity condition and family history showed mother or father got hypertension or diabete mellitus patients but 42. 7% patients not family history. This patients not going to direct emergency room after via local medical center result in badly condition up. Have got outcomes of youth and adults age patient of acute myocardial infarction come to emergency room. Government and administration have to support advertising this results about acute myocardial infarction condition of nation people. We need to preservation and preventing this disease but if this disease occurrence, to the utmost directly and speedly emergency room for fast therapy.

한국인 팔오금 부위 피부정맥의 변이에 대하여

홍해숙,박미숙,Hong, Hae-Sook 慶北大學校 醫科大學 1995 慶北醫大誌 Vol.36 No.3

목적 : 본 연구는 변이가 심한 팔오금 부위에 있어서 피부정맥의 유형을 조사하여 정맥의 변이양상에 대한 기초지식을 제공하여 의료인이나 간호사들이 정맥주사와 관련된 업무 수행시 학문적 고려하에 활동할 수 있도록 하기 위해서 본 연구를 시도하였다. 대상 및 방법 : 건강한 성인 남녀(20세∼40세) 각 100명을 대상으로 팔꿈치 윗 부분을 고무줄로 묶은 뒤 주먹을 쥐고 팔을 굽혔다 폈다 하고 근육을 주물러 정맥을 튀어나오게 하였으며, 팔의 아래 부분과 팔 앞쪽의 정맥의 형태를 관찰하기 위해 형광펜으로 표시한 후 정맥의 양상을 백지에 그려 Halim과 Abdi의 분류법을 토대로 형태를 분류하였고 유형들 간의 유의성 검증은 X^2-test를 비교 분석하였다. 결과 : 팔오금 부위에 있어서 피부정맥의 유형별 변이양상은 남녀 전체에서 팔꿈치 부위에서 요골쪽 피부정맥과 적골쪽 피부정맥이 팔오금 중간정맥에 의해 연결되는 Ⅰ형(67.8%)이 가장 높은 빈도를 보였고(P<.005) 남녀 차이는 없었으며 오른쪽, 왼쪽 유형별 차이는 남녀 모두 없었다. 결과 및 결론 : 이상의 연구 결과에 의하면 팔오금 부위의 변이 양상은 다양하므로, 의료인과간호사들은 정맥주사시 정맥변이의 기초지식을 알고 시행하면 안전하고 효율적인 주사를 놓을 것으로 사료된다. Knowledge of the superficial veins in the cubital region with variations is directly needed for the safety in venipuncture and intravenous injection. This study was undertaken to supply clinial benefit for medical team and nurses and to find out variations of the superficial veins in the cubital region in 200 living Korean subjects. The results were summarized as follows; Type I had a median cubital vein joining the cephalic and the basilic vein in the elbow region and was the most common type.(P < .005) In venous types in the cubital region, there was no significant differences between males and females. In bilateral symmertrical and asymmetrical venous type in same individual, bilateral asymmetry was showed more frequently than bilateral symmetry in males and females,(P < .005) but there was no significant differences between males and females.

장루 관리를 위한 Web 기반 간호교육 프로그램 개발

홍해숙,Hong, Hae-Sook 한국가정간호학회 2003 가정간호학회지 Vol.10 No.2

The purpose of this study was to develop and apply a Web-based Nursing Education & Instruction Program to help the clinical nurses improving their knowledge and skills of ostomy care. This program was developed in three different steps: analysis. design. and development. The results of the study were as follows: The analysis step was designed to select the study contents for effective and easy educationthrough the analyses of specialized books. This surveyed and analyzed study contents were categorized into five different sections. Introduction. ostomy classification. ostomy management. elimination management. and life style. After that each section describes necessary information of each category. In the design step. the image files used in this program were created using Adobe Photoshop 6.0. and HTML files were designed and developed using Namo Editor 5.0. In the development step. the developed program was published into Web using FTP (File Transfer Protocol) and then finalized after trial operation for testing of real users. In addition. this Web-based Nursing Education & Instruction Program will be used as excellentand effective tool for continuous and lifelong education in nursingfield. In this study. computer-aided education program was developed for ostomy management and managed at the Web-Server (http://hshong.knu.ac.kr/ostomy) in order to help nurses real-time education in clinical field by this program.

알코올사용장애로 인한 한국성인남성의 병원입원여부에 미치는 영향요인

홍해숙(Hong, Hae-Sook),박정은(Park, Jeong-Eun),박완주(Park, Wan-Ju) 한국간호과학회 2014 Journal of Korean Academy of Nursing Vol.44 No.5

Purpose: This study was done to identify the patterns and significant predictors influencing hospitalization of Korean men for alcohol use disorder. Methods: A descriptive study design was utilized. Data were collected using self-report questionnaires from 143 inpatients who met the DSM-5 alcohol use disorder criteria and were receiving treatment and 157 social drinkers living in the community. The questionnaires included Alcohol Use Disorders Identification Test (AUDIT), Alcohol Problems, Alcohol Expectancy Questionnaire (AEQ), Life Position, and The Korean version of the Children of Alcoholics Screening Test (CAST-K). Data were analyzed using descriptive statistics, t-test, χ<SUP>2</SUP>-test, F-test, Pearson correlation coefficients, and logistic regression with forward stepwise. Results: AUDIT had significant correlations with alcohol problems, alcohol expectancy, and parents’ alcoholism. In logistic regression, factors significantly affecting hospitalization were divorced (OR=4.18, 95% CI: 1.28-13.71), graduation from elementary school (OR=28.50, 95% CI: 8.07-100.69), middle school (OR=6.66, 95% CI: 2.21-20.09), high school (OR=6.31, 95% CI: 2.59-15.36), drinking alone (OR=9.07, 95% CI: 1.78-46.17), family history of alcoholism (OR=2.41, 95% CI: 1.11-5.25), interpersonal relationship problems (OR=1.28, 95% CI:1.17-1.41), and sexual enhancement of alcohol expectancy (OR=0.83, 95% CI: 0.72-0.94), which accounted for 53% of the variance. Conclusion: Results suggest that interpersonal relationship programs and customized cognitive programs for social drinkers in the community are needed to decreased alcohol related hospitalization in Korean men.

PC와 스마트 폰 기반 임상간호분류체계 교육 코스웨어 개발

홍해숙 ( Hae Sook Hong ),이인근 ( In Keun Lee ),조훈 ( Hune Cho ),김화선 ( Hwa Sun Kim ) 한국인터넷정보학회 2011 인터넷정보학회논문지 Vol.12 No.3

시간과 공간의 제약을 받지 않으면서 컴퓨터 또는 스마트 폰을 활용하여 간호사나 간호학생들의 평생교육을 지원하는 프로그램의 개발이 절실히 필요하다. 본 연구의 목적은 임상간호분류체계를 교육 프로그램으로 개발하여 간호학생의 임상실무를 위한 가이드라인으로 제공하는 것이다. 북 가이드라인과 개발된 PC 기반 가이드라인의 검색 시간을 비교한 결과 3.5배 이상 빠른 결과를 획득하였다. 오류율도 4배 이상 적게 나타났다. 이러한 결과는 간호 실무에서 빠르고 정확하게 중재 및 평가 가이드라인에 접근하므로 환자에게 정확한 중재를 할 수 있을 것이다. It is urgently needed to develop programs supporting lifelong education for nurses and students of nursing, which are not restricted by time or space and use personal computers or smartphone. The purpose of this study is to develop CCC(Clinical Care Classification) System into a education program and provides guideline to support clinical tasks for students of nursing. Comparing the search times of the book guideline and the web guideline developed, this study found that it was over 3.5 times faster. And its error rate was over four times lower. This result shows that it can provide accurate intervention for patients since it approaches to intervention and evaluation guideline fast and precisely in the actual tasks of nursing.

SOA 기반의 가정간호서비스 시스템 개발

홍해숙(Hae Sook Hong),박춘복(Chun Bok Park),김화선(Hwa Sun Kim),조훈(Hune Cho) 한국멀티미디어학회 2009 멀티미디어학회논문지 Vol.12 No.11

ICNP를 이용한 간호현상, 간호활동 분석 -정형외과 간호기록 중심으로-

류선희,홍해숙,박상연,이은주,Ryu, Sun-Hee,Hong, Hae-Sook,Park, Sang-Youn,Lee, Eun-Joo 한국가정간호학회 2004 가정간호학회지 Vol.11 No.1

The purpose of this study was to establish the basic-data set for the electronic nursing records system by analysis of nursing phenomenas and nursing actions described in nursing records of orthopedic patients using the ICNP. Nursing notes for 1.421 days of 97 orthopedics patients who were discharged from a tertiary teaching hospital in Daegu were used. Narrative data from the nursing notes were collected. decomposed. and cross mapped with the concepts of the ICNP beta version. In total 11.442 statements were found in the process of decomposing the narrative data into single statement. These statements consist of 3.970(34.70%) nursing phenomena statements. 6.996(61.14%) nursing action statements, and 476(4.16%) other statements. Finally 312 unique statements were collected by integrating same or similar statements. These statements consist of 120 (38.46%) nursing phenomena statements. 154 (49.36%) nursing action statements. and 38 (12.18%) other statements. When this result was cross mapped with ICNP beta version. 77.0% of nursing statements were completely expressed. 17.0% of them were partially expressed. and 0.3% of them were not able to expressed at all. The findings of this study showed the usability of ICNP as terminology of electronic nursing records system. And the result of this study can be utilized for an ICNP-based electronic nursing records system and can help clinical nurses to spend more time on direct nursing.

청소년들의 성폭력 개념, 인식 및 대처방법에 대한 지식연구

변미옥 ( Mi-ok Byun ),홍해숙 ( Hae-sook Hong ) 경북대학교 간호과학연구소 2009 경북간호과학지 Vol.13 No.2

To identify the notion, recognition and coping method of sexual assault of adolescents, this study conducted a survey on 1,022 students in 7 districts of T city, from Nov 10 to Dec 12, 2008. For the data analysis, SPSS 14.0 program was used. The study found followings: The notion, recognition and coping method of sexual assault showed a statistically significant difference for grades of respondents. High school students marked the lowest scores in the recognition and coping method of sexual assault. The items that garnered the lowest scores are: in the notion of sexual assault, 'sexual assault occurs by sexual discrimination,' in the recognition of sexual assault, 'Persons who are talking a lot about sex are a person who sexually assaults someone.' and in the coping method of sexual assault, 'after being sexually assaulted, should take a bath and change clothes. The study found that women got higher scores in notion, recognition and coping method than male respondents. Respondents who have both parents and whose parents have higher education showed higher scores in coping method of sexual assault. Also, respondents who contact they mainly saw obscene materials through computer and they were exposed to those materials through computer or TV at home or internet cafe got higher scores in the notion and coping method of sexual assault. There is a static correlation among the notion, recognition and coping method of sexual assault. Those findings suggests that more studies should be ducted on improving knowledge on sexual assault for high school students, propagating the knowledge of obtaining forensic proofs and revealing the relationship between parent factor and knowledge of sexual assault by exposure to obscene materials while students should be provided with sexual assault prevention programs that will be developed based on such more studies. And the study recommends that for making the education for preventing sexual violence effective in reality more follow-up programs are developed and their execution is ensured.

법의간호사의 의견서가 아동ㆍ청소년성범죄의 기소처분 결과에 미치는 영향

최보은(Choi Bo Eun),홍해숙(Hong Hae Sook) 한국피해자학회 2017 被害者學硏究 Vol.25 No.1

This study attempted to confirm the effect of the forensic medical reports by forensic nurses on the outcome of prosecution of child and adolescent sexual crime. The subjects of this study were 241 cases of sexual assault victims under the age 19 who visited Child and Adolescent Sexual Assault Response Center in D city from 2006 to 2015; limited cases where assailants are adult. The collected data were analyzed using SPSS WIN 21.0 program. According to the results of the analysis, the prosecution disposition increased 2.250 times when the forensic medical report by forensic nurse was submitted in child and adolescent sexual crime(95% CI: 1.080-4.687). The purpose of this study is to prove the effectiveness of the forensic nurse as a specialist in sexual assault an to contribute to the legal and institutional policy for the intervention of forensic nurse in law in the criminal procedure of child and adolescent sexual crime.

의미적 상호운영성을 위한 간호용어지원 도구 개발

김화선(Hwa-Sun Kim),홍해숙(Hae-Sook Hong) 한국의료정보교육협회 2013 보건의료생명과학논문지 Vol.1 No.1

This study developed a standard terminology for developing integrated nursing management tools. We developed both a tool for linking nursing diagnosis, nursing outcomes, and the nursing intervention classification (NIC) and an ontology development tool. The linking tools had a higher score of an average of 3.65 (±0.22) in satisfaction at the 4-point Likert scale for nursing students, whereas for the verification of the ontology construction tools the nursing unit records at gynecology were extracted. The problems of extracted nursing diagnoses were expressed as a concept of SNOMED CT, which showed that 83 factors in 112 nursing statements were mapped through 21 nursing diagnoses and pre-coordinated mapped method and those mapped data were generated by 100% nursing diagnosis ontologies. The two tools were combined to develop an integrated tool. In order to test the integrated tool, the study conducted the test of 510 created data regarding the characteristics and factors. Concerning the assessment of the coincidence of mapping, the study employed 4-point Likert scale which had been used by two specialists. The specialist 1 proposed as average scores 3.68 points and 3.60 points respectively, whereas the specialist 2 proposed as average scores 3.72 points and 3.65 points each. CVI which had showed them as percentile, appeared to agree to the mapping result while recording the high score of 0.94. The tool used the OWL format, which can be used to configure the nursing knowledge system. The tool was developed so that it could support a standardized terminology-based nursing information system, enabling meaningful utilization in the development of clinical decision-support systems using nursing knowledge.