보건진료소의 고혈압예방 및 관리사업 평가도구 개발

권명순,조원정 지역사회간호학회 2004 지역사회간호학회지 Vol.15 No.2

Purpose: This study was to develop an effective evaluation tool for evaluation of hypertension prevention and management program(HPMP) in community health posts (CHPs). Method: Evaluation tool composed from the literature review, the field visiting, and the in-depth interviews with the community health practitioners. Result: The evaluation tool had four domains, each with different maximum points:, hypertension prevention (35), hypertension management (40), environment of the CHPs(10), and evaluation system of the HPMP(15). The first domain was hypertension prevention with sub-domains of health education, and early detection of patients with hypertension. The second domain was hypertension management with sub-domains of management of health records of patients, education and counseling , and treatment and follow-up of patients. The third domain was the environment of the CHPs with subdomains of accessibility of CHPs to residents, accessibility of general health data to the public, and availability of health information to the public by multimedia. The fourth domain was the evaluation system of the HPMP with the subdomains of planning of program, formative evaluation, process evaluation, and summative evaluation. Conclusion: The newly developed evaluation tool will contribute not only to plan and set goals for evaluation of HPMP in CHPs.

농촌지역 노인의 건강정보이해력이 건강 행위 및 삶의 질에 미치는 영향

권명순,유호영 한국보건간호학회 2023 韓國保健看護學會誌 Vol.37 No.3

. Purpose: This study explores the relationship between health literacy, health behavior, and quality of life (QoL) in elderly rural populations, with focus on the impacts of health literacy on health behavior and QoL. Methods: A descriptive survey was conducted on 138 participants(of mean age 77.9±5.23) using phone and face-to-face interviews. Data was analyzed included multiple regression, Pearson’s correlation, t-tests, ANOVA, and Duncan tests using SPSS/Win 24.0. Results: Health literacy averaged 7.17±4.93 out of 16, health behavior 34.45±4.87 out of 56, and QoL 0.79 ±0.14 out of 1. The Majority of participants (59.4%) had low health literacy. Among all study subjects, significant correlations were found between literacy levels, health behavior (F=13.36, p<.001), and QoL (F=14.26, p<.001). Also, health literacy was positively correlated with health behavior and QoL, and higher health literacy significantly influenced health behavior (β=0.42, p<.001, explanatory power 20%) and QoL, especially in males (β=0.18, p=.049; β=0.42, p<.001, explanatory power 28%). Conclusion: The study confirms positive links between health literacy and health behavior and QoL among elderly rural residents and shows that improving health literacy significantly impacts health behaviors and quality of life. In addition, the study demonstrates a need to provide educational programs targeting the elderly in rural areas.

낙상예방 프로그램이 재가노인의 체력과 심리기능에 미치는 효과

권명순 한국간호과학회 2011 Journal of Korean Academy of Nursing Vol.41 No.2

Purpose: This study was done to identify effects of a fall prevention program on physical fitness and psychological functions in community dwelling elders. Methods: A quasi-experimental study was carried out with a nonequivalent control group pre & post-test design. The program, which included exercises and education, consisted of a 12-week group program and an 8-week self-management program using a health calendar. An experimental group (32) and a control group (21) participated. Results: There were significant differences in SPPB (t=-3.92, p

趙芝薰論

권명순 우석대학교 국어국문학연구회 1987 又石語文 Vol.4 No.-

금속심장판막 치환환자를 대상으로한 warfarin 용량 조절 guideline의 적절성 평가

권명순,정영미,김귀숙,이병규,손인자 韓國病院藥師會 2004 병원약사회지 Vol.21 No.3

The effectiveness and safety of warfarin therapy are critically dependent on a dose-response relationship, which is extremely individualized and can be influenced by several different factors. Therefore, patients on oral anticoagulant therapy require a close and careful monitoring of their daily dosage to prevent any complication possibly related to overdosing or underdosing. Patient with mechanical prosthetic valves are at high risk of systemic embolism therefore, they require an appropriate and lifelong anticoagulation. In 2001, the warfarin guideline for outpatients with mechanical heart valves replacement was developed by anticoagulation service team. This study goal was to evaluate the guideline. Data abstracted from the records of 100 patients whose warfarin dose has been changed by the guideline. After dosage adjustment, 60% were within the therapeutic range of INR 2.0 ~ 3.0, 23% were less than INR 2.0, and 17% were greater than INR 3.0. There was no thromboembolism but two bleeding sign and two ER visits occured. These were done because of hematuria, fever and chill which was not related anticoagulation therapy. A pharmacy-managed guideline for dosing warfarin achieved therapeutic goals and promoted use for outpatients with mechanical heart valves replacement.

재가 노인의 낙상에 대한 지식, 두려움 및 효능감의 관계

권명순 지역사회간호학회 2010 지역사회간호학회지 Vol.21 No.2

Purpose: This study was to find out knowledge, fear, and efficacy of fall in the community dwelling elderly and to investigate how the factors were connected to one another. Methods: Data were collected from June to August, 2009 from 101 aged people who aged 65 or older and agreed to participate in this study sampled among elders at 8 halls of the aged in local communities. The subjects were interviewed by a co-researcher and 3 trained assistants in a way of responding to the questionnaire after being read. The data were analyzed through t-test, ANOVA, Turkey's test and Pearson correlation coefficients. Results: Knowledge of fall was affected significantly by whether the living cost was provided or not, fear of fall was affected by sex, level of education, hearing impairment and regular exercise, and efficacy of fall was affected by age, sex, marital status, level of education, hearing impairment, vertigo and regular exercise. The results also showed a negative correlation between fear of fall and efficacy of fall. Conclusion: According to this study, regular exercise can build up knowledge and efficacy of fall and diminish fear of fall. Thus it is highly recommended to include regular exercise in an effective fall-prevention program.

농촌 거주 노인의 호흡기감염예방 이행에 영향을 미치는 요인

권명순,유정순 한국지역사회간호학회 2019 지역사회간호학회지 Vol.30 No.4

Purpose: This study was to identify the factors influencing the practice of respiratory infection prevention (RIP) for the elderly residing in rural areas. Methods: The data were collected from 188 residents aged 65 years or older residing in the jurisdictions of four public health clinics in rural areas of C city, using a structured questionnaire for the period from December 1, 2018 to February 28, 2019. The collected data were analyzed with independent t-test, one-way ANOVA, Pearson’s correlation coefficients, and hierarchical multiple regression analysis using SPSS/WIN 25.0 program. Results: The score on knowledge of RIP was 8.82±1.36, while it was 4.53±0.47 for attitude, 3.78±0.66 for practice, and 3.78±0.69 for social capital. It was observed that the factors influencing the practice of RIP were attitude of RIP (β=.38, p<.001), social capital (β=.29, p<.001), family type (β=-.19, p=.002), and subjective health status (β=.15, p=.035), while the explanatory power of the model was 47%. Conclusion: Consequently, to enhance the practice of RIP for the elderly residing in rural areas, it is necessary to develop programs considering social and environmental characteristics of rural areas based on their attitude of RIP, social capital, family type and subjective health status.

운동 프로그램이 초등학교 비만아동의 신체조성, 심폐기능 및 체력에 미치는 영향

권명순,황경숙 한국간호과학회 2007 Journal of Korean Academy of Nursing Vol.37 No.4

농촌지역 노인의 건강정보이해력이 건강행위와 삶의 질에 미치는 영향

권명순,유호영 한국성인간호학회 2022 성인간호학회 학술대회 Vol.2022 No.8

지역사회간호학 교내실습 교육이 간호대학생의 자기주도학습, 핵심간호역량 및 감염관리 인지도에 미치는 효과

권명순,김수희,유정순 학습자중심교과교육학회 2022 학습자중심교과교육연구 Vol.22 No.19

Objectives This study was to investigate effects of community health nursing in-school practice education on self-directed learning, core nursing competency, and infection control awareness of nursing school students. Methods This study was conducted a pre and post quasi experimental study for single-group with 109 students in the 4th grade of Nursing school at H University, located in G province. The in-school practice training lasted 90 hours for two weeks, in parallel with online and offline learnings such as online lectures, home visits, self-learning, face-to-face simulation practice, and core skill evaluation. Data were collected by online questionnaires, and data analysis was performed with the SPSS win 25.0 program and the corresponding sample T-test. Results It was found that the in-school practice education in community health nursing improved the self-directed learning(t=6.22, p=.000) and core nursing competency(t=6.89, p=.000) of nursing students. On the other hand, there was no significant difference in the infection control awareness(t=1.89, p=.062), but there was significant increase of the awareness of the hand hygiene(t=2.44, p=.016) and linen(t=2.69, p=.008) which were listed in the sub-category. Conclusions This study confirmed the positive effects of the in-school practice that integrates the online-learning and face-to-face simulation for community health nursing science while field clinical practice is limited due to the COVID-19 pandemic. In the future, it is necessary to develop more programs that include various contents embracing field practice and in-school practice adjusted with the characteristics of the local community and to study effective teaching methods. 목적 본 연구는 지역사회간호학 교내실습 교육이 간호대학생의 자기주도학습, 핵심간호역량 및 감염관리 인지도에 미치는 효과를파악하기 위함이다. 방법 본 연구는 G도 소재 H대학교 간호학과 4학년 109명을 대상으로 단일군 전후 실험설계 유사실험연구를 실시하였다. 교내실습교육은 총 2주간 90시간으로 온라인 강의, 집담회, 자가학습과 대면 시뮬레이션 실습 및 핵심술기 평가 등 온라인과 오프라인 학습을병행하였다. 실습교육 전과 후에 온라인 설문지를 통해 자료수집을 하였고, 자료 분석은 SPSS win 25.0 프로그램을 사용하여 대응표본 T-검증으로 분석하였다. 결과 본 연구에서 지역사회간호학 교내실습 교육이 간호대학생의 자기주도학습(t=6.22, p=.000)과 핵심간호역량(t=6.89, p=.000) 을 향상시키는 것으로 나타났다. 반면 감염관리 인지도(t=1.89, p=.062)에서는 유의한 차이를 나타내지 않았으나, 하위영역의 손위생(t=2.44, p=.016)과 린넨(t=2.69, p=.008)에서 유의하게 증가한 것으로 나타났다. 결론 본 연구는 COVID-19 상황으로 인해 현장 임상실습이 제한된 가운데 지역사회간호학에 대한 온라인과 면대면 시뮬레이션실습을 통합하는 교내실습의 긍정적인 효과를 확인하였다. 향후 지역사회 특성을 고려한 현장실습 및 교내실습을 아우르며 활용할수 있는 다양한 콘텐츠를 포함하는 프로그램 개발 및 효과적인 교수법에 대한 연구가 필요하다.