結核罹患 女學生들의 結核에 對한 知識, 態度 및 治療實態에 關한 調査硏究 : 서울市內 女子中·高等學生을 中心으로

文姬子 中央醫學社 1974 中央醫學 Vol.27 No.6

This study was carried out for 80 days from August 26 through November 13, 1974 by investigating knowledge, attitude and treatment status of tuberculosis as well as social and economic back-grounds of 117 pulmonary tuberculosis cases of girls' middle and high schools in Seoul City. The control group selected consisted of 117 healthy students and their social and economic backgrounds and knowledge about tuberculosis were investigated. The results obtained are summarized as follows: 1) In respect of the occupation of guardians, the number of those engaged in agriculture and fisheries was about 5 times larger in the case group than that of the control group and the number of those unemployed was also about 6 times larger in the case group than that of the control group. 2) The number of family members living together in the same room was 3.2 persons, on the average, in the case group and 3.0 persons in the control group. The rate of those living the solitary life was 6.0% in the case group and 16.2 in the control group, respectively. 3) 23.1% of the students responded that their family members were once contracted by tuberculosis in the past and suffer from it at present. 4) 3.4% of the case group and 7.7% of the control group responded that tuberculosis is a hereditary disease while 29.1,°% of the case group and 28.2% of the control group knew nothing about tuberculosis. 5) 38.5° of the case group and 33.3% of the control group responded that they know about BCG. The former showed a higher rate of 91.1% in the response of correct knowledge than 71.8% of the latter. 6) The majority of the students were found out as tuberculosis patients by the mass chest X-ray examination carried out in each school. 7) Most of the students (88.9%) diagnosed as T.B. patients showed the psychological reactions of flustration, doubt, despair and the will to get cured completely after the diagnosis. 8) 21.4% of the case group read books or publications concerning tuberculosis:-after being diagnosed as pulmonary tuberculosis 32% of them read encyclopedia. 9) 65% of the case group showed the confidence of perfect cure. 10) 21.3% of the case group responded that there has made no particular change in their living habit after being diagnosed as pulmonary tuberculosis and most of the rest responded that they try to keep themselves "moderate"(14. 5%), "feel languid and tired of study" (13.6%), "try to maintain regular life and personal hygiene (7.6%), and" unwilling to get together with friends≪ (6.8%). 11) About one-third of the respondents expressed that the regular application of remedies is the greatest bottleneck during medical treatment. 13.7% complained of large amount of dosage, 9.4% of indigestion and 8.5% were afraid of being known by others. 12) 30.8% of the case group showed irregular application of antituberculosis drugs for the reasons of "forget" (50%) "misunderstanding" (22.2%), "side effect" (13.9%) and "ineffective". 13) The majority of the case group were registered for medical treatment with the City School Health Center. 14) 30.7% of the T.B. students were those who used to take INH exclusively.

낮아지고 또 낮아져서

문희자 샘터사 1990 월간 샘터 Vol.21 No.10

나다움을 찾게 해준 후배

문희자 샘터사 1996 월간 샘터 Vol.27 No.2

일부지역 위안부들의 성병에 관한 지식 및 태도에 관한 조사연구

문희자,조미영,Moon Heui Ja,Cho mee young 대한간호협회 1976 대한간호 Vol.15 No.3

From 13th of sept to 15th of Nov. in 1975 A Survey was Conducted to know the degree of knowledge and the attitudes for the V.D. and the situations of present life o 102 prostitutes registered to the V.D. Clinic Center Paju-gun. Kyung ki province, the conc

간호행정학 교과과정의 방향

문희자 한국간호과학회 1983 Journal of Korean Academy of Nursing Vol.13 No.1

結核罹患學生들의 結核에 對한 知識 態度 및 動態에 관한 調査硏究 : 서울市內 男子 中·高等學校 學生을 中心으로

文姬子 서울大學校保健大學院 1972 公衆保健雜誌 Vol.9 No.2

Pulmonary tuberculosis has been one of the major health Problems in Korea. By the Policy of Ministry of Health, the school is responsible to take care of the Pulmonary tuberculosis students in middle and high schools. This study was conducted to find out knowledge, attitudes and practices of middle and highschool boys on pulmonary tuberculosis. Questionaires were used to collect the data in different period. The survey was done to the diagnosed 208 tuberculosis boys during the period of June 15-July 25, 1972 and November 1-8, 1972 for the healthy boys. The following conclusions were obtained as a results. 1. The survey shows that 14.9 percent of the Patient's guardian were engaging in labour and 3.4 percent in control group. 2. An average of 4.4 family members share with the patient at the same room in middle schools and 2.9 members in high school. It was 3.6 and 2.4 family members in healthy boy's group. 3. Sixty four percent of the healthy boys expressed that tuberculosis is a communicable disease and 21.6 percent of them considered it as a hereditary disease while 64.9 percent and 6.7 percent in diagnosed tuberculosis group. 4. Fifty two percent of the diagnosed tuberculosis cases answered they know on BCG and 63.9 percent of them were correct possession of scientific knowledge on BCG. It was 44.7 percent and 37.6 percent in healthy group. 5. Seventy one percent of the tuberculosis cases were detected as a supected tuberculosis by mass X-ray indirect method in school for the first time. Sixteen percent of the cases were diagnosed as a tuberculosis when they visited a physician. 6. Sixteen two percent of the tuberculosis cases in middle school boys and 26.2 percent of that high school boys read books on tuberculosis after they were diagnosed as a tuberculosis. 7. Thirty two percent of the tuberculosis cases had experienced fatigue and 17.5 percent of them had no symptoms at all before they were diagnosed as a tuberculosis. 8. After diagnosed as a tuberculosis, 29.9 percent of the boys experienced "plightened" as a initial reaction. 9. Seventy percent of the diagnosed tuberculosis patients belived that thay can be cured. 10. Sixty five percent of the middle school and 87.2 percent of the highschool patient had recieved a periodic X-ray check-up since they had registered for treatment (Cases of less than six months were excluded). 11. Fifty seven percent of the unchecked cases for a periodic X-ray examination expressed the reason for nochecking as "indifference to X-ray check-up" and 38.1 percent answered that they did not considered it was necessary for treatment. 12. Seventy four percent of middle school and 55.3 percent of highschool patients had not taken their Anti-tuberculosis drugs and injections regularly. 13. Ninety percent of the patients were registered at the School Health Center for treatments. 14. Eighty three percent of the patients who could not keep regularity of medication answered the primary reason of that as "because they forget to take drugs". 15. behavioral changes of the pateints after diagnosis were as follow; reduce physical exercise: 18.3% extend sleeping hours: 12.5%

효과적인 임상교육을 위한 교육자의 자질

문희자 간호사 1979 월간 看護 Vol.1979 No.12

臨床看護師의 職務스트레스 要因과 適應方法에 關한 硏究

김남신,문희자 성인간호학회 1992 성인간호학회지 Vol.4 No.1

There are many stress factors which nurses can experience in duties. We find that the stresses of the nurse are increasing as the social expectation to medical team become higher than before. And then we try this research to investigate the relation between duty stress factor and adaptation method in those who work with heavy duty stress. By those investigation, we intend to offer the source for adjustment of stress from April, 6th, 1992 to April 25th. We tried question research by 317 nurses who worked at three public hospitals, three university hospitals and seven individual hospitals. We used study article which was composed of eleven questionnaire about general characteristics and two instruments. We examined reliability with 65 questions(Cronbach's α=.9696) which amended article of Kim and Koo's test method of duty stress checking means. And adaptation method's reliability was authorized by 36questions which used method of Bell's eighteen-item questionnaire. Collected data was analyzed statistically by SPSS-Program with computer and relatively by the arithmetic mean, t-test, ANOVA and Pearson's Correlation Coefficient. By this study, the conclusion was induced as follows. First, total duty stress of nurses was very high as the means 3.678. Second, most high factor of stress was caused by night-work as the means 4.307, discord with medical doctor as the means 4.048 and unfair entertainment as the means 4.007. Third, short term adaptation method as the means 1.82 was preferable to long term adaptation method as the means 2.68(t=-30.89, P=.000). Fourth, between stress grade and general characteristics of nurse, official grade was primary factor(t=-1.95, P<.050). And so we recognized that general nurse had more stress as the means 3.7443 than chief nurse as the means 3.9623. Especially, in the study of duty stress divided with the hospital type, heavy duty(F=8.1627, P=.0004), agony as a professional job(F=3.6720, P=.0265), personal relations of duty(F=3.2034, P=.0420), discord with medical doctor(F=3.0895, P=.0469) and unfair entertainment(F=12.7924, P=.0000) were significant differences by the hospital type. Fifth, in the relation study of general characteristics and short term adaptation method, marriage(t=2.15, P=.032) was meaningful. The married was as the means 1.7796 and the unmarried as the means 1.8420 was preferable to the short term adaptation method. In the relation study of long term adaptation method, age(F=4.3430, P=.0138), year of career(F=3.5910, P=.0141), religion(t=3.08, P=.002), official grade(t=-3.37, P=.001) and reserved periods as nurse(t=2.63, P=.009) were meaningful. In ages, those who were over 31-year old as the means 2.8348 ; in career, those who did work over 6-years as the means 2.7946 ; in case of religion, those who had religion as the means 2.7456 ; in case of official grade, chief nurse as the means 2.9101 ; in case of reserved periods, those who should work longer time as the means 2.7708 ; were preferable to long term adaptation method. Sixth, the relation coefficient between stress factor and long and short term adaptation method was thought as a few meaning(r=.2170, p<.001). Conclusively we recognized for above results that the level of stress was very high, to dissolve this problem long term adaptation method was preferable to short term method. We believed that to be better nurse, experience, affirmative attitude and religion are the most effective factor to lesson the stress.

韓國 看護大學 敎育課程에 對한 硏究

文姬子,金潤喜,趙潔子,趙美映,姜賢淑 慶熙大學校 1982 論文集 Vol.11 No.-

The changes of social issues and nursing concepts require the expansion of nursing needs and nursing role, therefore it is keenly demanded the necessity of the research for new curriculum development in nursing. So to make a contribution to the development of nursing education in Korea, we made a comparative study of nursing curriculum of each universities which have baccalaureate program and put them into operation at present; they are 10 Korean universities, 5 American universities and 4 Japanese Universities. Thus by researching the differences among them. We acquired the conclusions as followings. The purpose of Nursing education In case of Korean parts, the contents of those aims must be explained more clearly and more in detail than another results of research. There also has to be made the statements upon the scientific researching methodology in scholarly respect, or the self-development in individual respect, or the lasting endeavour for studies in professional respect. We must put an emphasis upon the statement and education of the direct nursing provider, or the primary health care manager at hospital and community, who is one of the important aims of modern nursing education. The substance of nursing curriculum. 1) Total credits for completion and the comparison of curriculums, classified by the field. The scope of total credits of each nation, according to Colleges ranges; Korea: 140-163, U.S.A.: 121-187, Japan: 13-158 Compared with those of U.S.A. and Japan, the average credits of Korea is higher. Classified by the field, the credits alloted to major courses are 73.3% and liberal courses, only 26%, which shows that it does not satisfy the current educational trend that emphasizes the liberal course. 2) The comparison of curriculums, classified by a school year. In case of Korea, the total credits are evenly assigned to all grades, but the freshman taken the concentration of liberal courses (81.2%). Among the major courses are preponderant the Nursing Supportive subjects in the sophomore and the nursing major ones in the junior and senior. 3) Curriculums classified by the subject. (1) As compared with those of Japan and U.S.A. Korean students are less free in chosing subjects their own way all over the curriculums. It is, therefore, required that the range of the optionals be widened for the open and flexible education. (2) We can find all of three nations (Korea, Japan, U.S.A.) neglect the sphere of the behavioral sciences among the fundamental nursing subjects. In the field of social sciences, among Korea, Japan, and U.S.A., top ranks Japan that tends of the interested in social well-being. In Korea only two universities have this subjects. (3) Nursing major subjects. Defficulties in comparing them lie in the gulfs of the title of subjects, and the structural differences of the formation of curriculums among nations. In case of Korea, although there are a few differences of the number of credit of subjects among colleges, she has uniform aspects for U.S.A., which says that there are no characteristics and self-control each colleges has in Korea. We can notice that the subjects each Korean university shares are also doubled with those of the national examination for nursing qualification. Japan differs from Korea in that subjects are more differentiated and students are provided with more chances to make a choice through the system of subjects and the texture of a curriculum are similar to those of Korea. In case of Korea, therefore, the unification of fundamental subjects (especially in the medical field) and clinical practices is required. (4) The course for teaching profession is taken as either the required or optional just in Korea (80%) and Japan (75%). The number of subjects and total credits of teaching courses is different according to the colleges of Korea and Japan. As for the contents of subjects Korea deals with theory and Japan, the practical thing with which students can adjust themselves to the spot of society. As a result of that, in case of Korea, demanded are the entire review and research upon the purpose of establishing a curriculum, its relation to the total credits and the choice of substance of subjects etc. 4) The patterns of organization in curriculum development. Most of the patterns of organization, classified by clinic subject pivot upon disease and subjests are not mutually unified in case of Korea and Japan. Though the patterns of organization of subjects if formally unified, that of curriculums is not substantially or wholy synthesized, while in case of U.S.A. the unification of the patterns of organization entire curriculum as well as the mutual unification of subjects is attained and each college runs a characteristic curriculum, since the application of nursing theory and the model of a curriculum are different according to college. The prevention of disease, the promoting health and the disease system is patterned, centering around the healthy and their families. Therefore, in case of Korea, it is urgent to unify the curriculum of nursing education for the efficiency of the future oriented nursing education, and it is also imminent to develop the new pattern of a nursing curriculum suited for our own social demand and situation. And we need the continuous studies and search for the method of application in order to development the new curriculum. The comparison of a curriculum with the purpose of nursing education. The substances of subjects are not consistently in accord with the aims of nursing education each college states in Korea, Japan and U.S.A. Especially in case of Korea, the most statements upon the purpose of education are in the social dimension, but the most subjects have the academic dimension. In Korea it is stringent to examine and study the choice of the contents of education in terms of learning, profession, individual and society.

밤번交代勤務 看護師와 낮번固定勤務 看護師의 健康狀態 比較硏究

최영진,문희자 성인간호학회 1993 성인간호학회지 Vol.5 No.2

A study was conducted for the purpose of contributing to the development of nursing activities and improvement of nursing quality by comparing and analyzing the physical and mental health states of fixed duty nurses on day time only and of nurses whose duty include night-shift, and grasping the affecting factors to the physical and mental health The data were collected from 211 night-shift nurses and 189 day-shift nursesof 5 major medical centers, each of which has more than 400 sick-bed during. March the first throught 20th, 1993. The researcher visited the Hospital and distributed the questionnaire to the nurses, and performed a brief Cornell Medical Index(CMI), which was modified, and standardized for Koreans, by Ko, Woonglin and Park, Hyangbae. The questionnaire was composed of total 134 items (Cronbach's α=.9703), 88 items of which were for physical status (Cronbach's α=.9581), and 46 items of which was design for mental status (Cronbach's α=.9482). Data were processed with SPSS, a computerized software, t-test were used for comparing physical and mental health states of the 2 groups. The general characteristics were obtained through frequency and percentage. X²-test was conducted to identify two groups' homogeneity. The result of study shows that changes of life-style such as irregular meal habits, insufficient sleeping and physical and mental tensions, etc, during the night-shift resulted in most of physical, and mental health problems in the vast majority of the nurses with night-shift. If such altered habits continued, diseases such as chronic headache, gastaic distress or gastritis, chronic mental stress, insomnia an skin raises, etc, might take place. Although the nurses are required to accept night-shift as a part of their duties, it is much stressed for them to positively accept night-shift and to establish a regular, life-style including sleep pattern during this stressful period. By doing so, they may not feel night duty more painful than day-shift, and their health status may improve. Also nurses themselves have to do their to their own henlth management.