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강미애,김영경 질적연구학회 2019 질적연구 Vol.20 No.1
Purpose: The objective of this study was to determine nursing history describing Hansen's disease in Korea at National Sorokdo Hospital. Nurses' tasks, roles, and activities or eradicating Hansen's disease were investigated based on oral statements provided by former and incumbent nurses. Methods: This study employed historical research method using historical data and oral statement data collected from December 2015 through June 2016. Participants were eight nurses (three retired nurses and five incumbent nurses with average experience of 32 years) who had been working at the National Sorokdo Hospital from 1967 to 2000. Results: From 1967 to 1990, conditions for proper nursing and personal living were inadequate due to the lack of nursing manpower, medicine, supplies, logistics, and other equipment. Subsequently, the lack of doctors made nurses perform various tasks such as prescription, diagnosis, surgical operation, and surgery assistance. From 1990 to 2000, with increasing number of inpatients due to the aging population, seven town treatment rooms were integrated into four wards that led to repositioning of manpower. Remaining nurses were sent to these wards to systematically perform basic care and direct care. Thus, patient care environment was ultimately improved. Conclusion: This study describes the overall situation of nurses' work environment and conditions at the National Sorokdo Hospital from late 1967 to 2000. Although oral data might be somewhat insufficient, they were meaningful in that they unveiled unknown nurses' tasks, roles, and activities during that time period. They also provided a new mark in the nursing history.
이압요법이 항암화학요법을 받는 유방암 환자의 불안 및 수면에 미치는 효과
강미애,여형남 보건의료산업학회 2019 보건의료산업학회지 Vol.13 No.3
Objectives: This study aimed to investigate the effects of auricular acupressure on anxiety and sleep among patients undergoing chemotherapy for breast cancer. Methods: A nonequivalent control group nonsynchronized design was employed. The experimental group received auricular acupressure on specific acupoints (shenmen, heart, kidney, subcortex), and the control group received auricular acupressure on helix 1, helix 2, helix 3, and helix 4 three times a day for three weeks. A total of 60 women were divided into an experimental (n=30) and control (n=30) group. Patient recruitment occurred between May and August 2019. The collected data were analyzed by a chi-square test, paired t-test, and independent t-tests using the SPSS 21.0 program. Results: There was a significant decrease in anxiety(t=4.61, p=<.001) and increase in sleep(t=3.81, p=<.001) in the experimental group compared to the control group. Conclusions: The findings confirm that auricular acupressure is an effective nursing intervention to decrease anxiety felt by patients undergoing chemotherapy and to increase the quality of their sleep.
방사선조사가 사람 정상 구강각화 세포의 세포주기, 세포사 및 수종 단백질의 발현에 미치는 영향
강미애,허민석,이삼선,오성욱,이설미,전인성,최순철,박태원,Kang Mi-Ae,Heo Min-Suk,Lee Sam-Sun,Oh Sung-Ock,Lee Sul-Mi,Jeon In-Seong,Choi Soon-Chul,Park Tae-Won 대한영상치의학회 2003 Imaging Science in Dentistry Vol.33 No.3
Purpose: To investigate the radiosensitivity of the normal human oral keratinocytes (NHOK), and the effect of irradiation on cell cycle and protein expression. Materials and Methods: To evaluate the radiosensitivity of NHOK, the number of colonies and cells were counted after irradiation and the SF2 (survival fraction at 2Gy) value, and the cell survival curve fitted on a linear-quadratic model were obtained. LDH analysis was carried out to evaluate the necrosis of NHOK at 1, 2, 3, and 4 days after 2, 10, and 20 Gy irradiation. Cell cycle arrest and the induction of apoptosis were analyzed using flow cytometry at 1, 2, 3, and 4 days after 2, 10, and 200y irradiation. Finally, proteins related cell cycle arrest and apoptosis were analysed by Western blot. Results: The number of survived cell was significantly decreased in a dose-dependent manner. The cell survival curve showed SF2, α, and β values to be 0.568, 0.209, and 0.020 respectively. At 200y irradiated cells showed higher optical density than the control group. After irradiation, apoptosis was not observed but G2 arrest was observed in the NHOK cells. 1 day after 10 Gy irradiation, the expression of p53 remained unchanged, the p2l/sup WAF1/Cipl/ increased and the mdm2 decreased. The expression of bax, bcl-2, cyclin B1, and cyclin D remained unchanged. Conclusion: These results indicate that NHOK responds to irradiation by G2 arrest, which is possibly mediated by the expression of p21/sup WAFl/Cipl/, and that cell necrosis occurs by high dose irradiation.
모-자 삶의 질을 중심으로 한 마음챙김 미술치료 사례연구
강미애,최윤형 한국예술치료학회 2012 한국예술치료학회지 Vol.12 No.2
본 연구는 마음챙김 미술치료가 모-자 삶의 질에 미치는 효과를 살펴보고 , 이들이 체 험한 것은 무엇인가를 이해하는데 목적을 가지고 있다. 연구대상은 D시에 거주하며 만성질환 편마비환자인 자(子)와 주 보호자 모(母)의 사례연구이다. 마음챙김 미술치 료 프로그램은 2011년 9월부터 12월까지 총 21회기로, 1회기∼15회기까지 1쌍의 모-자 를 개별적으로 나누어 프로그램을 진행하였고, 16회기∼21회기까지는 모-자 함께 참여 하여 매회 2시간씩 주 2회로 마음챙김 명상, 미술치료 각 1시간씩 나누어 실시하였다. 프로그램 과정에서 참여자의 진술내용은 음성 녹음하였으며, 연구자의 질문내용은 문 서로 기록되어 질적 분석에 참고 되었다. 아울러 참여자의 작품은 연구자가 보관하고, 입체작품은 사진 촬영하여 자료로 활용되었다. 프로그램 효과 검증을 위해 양적분석 으로는 Diener의 삶의 동기척도, 삶의 기대척도, 삶의 만족도척도, 켄터키 마음챙김 기술척도, 그림검사로는 K-HTP를 실시하여 사전, 사후 변화를 비교하였다, 질적 분석 에는 마음챙김 미술치료 프로그램 회기별 진행과정에서 연구자와 모-자 상호관계 맺 는 패턴, 주제에 대한 주도적인 역할과 색채사용에 긍정적인 변화를 초기 중기 후기 로 나누어 관찰하였다. 연구결과 마음챙김 미술치료프로그램이 만성질환 편마비환자 인 자(子)와 주 보호자 모(母)의 삶의 질에 변화가 있음을 알게 되었다.