혈액투석 대상자를 위한 스마트폰 앱 기반 운동프로그램 개발 및 효과

기은정(Ki, Eun Jeong),소향숙(So, Hyang Sook) 한국간호과학회 2020 Journal of Korean Academy of Nursing Vol.50 No.1

Purpose: To examine the effects of a smartphone application-based exercise program on self-efficacy expectations (SEE) and outcome expectations regarding exercise (OEE), physical fitness, activity level, physiological indices, and health-related quality of life in a sample of hemodialysis patients. Methods: A quasi-experimental control group pre-test post-test design was used. Subjects were recruited from two university hospitals in G city. The subjects were assigned randomly by coin toss: 33 participants to the experimental group and 30 to the control group. A literature review and the self-efficacy theory were used to develop the smartphone program. Experts designed and verified the program to be userfriendly and in consideration of user interaction. Data were collected through a self-report pre-test post-test questionnaire and online medical records. Results: In the experimental group, the levels of physical fitness and physical activity were significantly improved post-test, but the scores on health-related quality of life and the physical indices did not improve. In the experimental group, the SEE and OEE post-test scores were also significantly higher than the pre-test scores, but the control group’s scores did not change. Conclusion: The smartphone application-based exercise program based on self-efficacy theory significantly improved the level of physical fitness and activity, SEE, and OEE for hemodialysis patients. The use of this application-based exercise program for hemodialysis patients might be an effective nursing intervention tool for improving SEE, OEE, level of physical fitness, and physical activity.

하악과두골절 수술 후 발생한 Frey Syndrome

이재민,기은정,천해명,최문기,Lee, Jae-Min,Ki, Eun-Jung,Cheon, Hae-Myung,Choi, Moon-Gi 대한악안면성형재건외과학회 2013 Maxillofacial Plastic Reconstructive Surgery Vol.35 No.6

Frey syndrome is a disease characterized by abnormal sweating, facial redness, and rare pain by stimulation of taste sense on the limited area dominated by the auriculotemporal nerve and great auricular nerve. Although the developmental mechanism and histopathologic cause of Frey syndrome are still being debated, the most reliable theory is based on injury of the parathympathetic nerve connected to the auriculotemporal nerve continuing to abnormal regeneration. The other theory is that the sweat glands develop an increased sensitivity after degeneration of sympathetic fibers. Therapy of Frey syndrome includes drugs, radiographic treatment, and surgical treatment; however, in most cases, treatment is not satisfactory. This is a case report on a 24-year-old male patient with Frey syndrome caused by the fracture reduction with retromandibular approach after multiple facial traumas and spontaneous healing without any special treatment.

직무분석도구를 이용한 중환자실 간호사의 경력단계별 실무수행능력 비교

임지영,이미정,기은정,장봉희,정명숙,조혜정,박미미,박지원,Yim, Ji-Yeoung,Lee, Mi-Jung,Ki, Eun-Jung,Chang, Bong-Hee,Chung, Myung-Suk,Jo, Hye-Jeong,Park, Mi-Mi,Park, Jee-Won 한국중환자간호학회 2010 중환자간호학회지 Vol.3 No.1

Purpose: This study was designed to evaluate ICU nurses' clinical competence according to clinical ladder by job analysis tool for the evaluation tool development of clinical ladder development program, Methods: Data was collected using the ICU nurses job analysis tool from 148 ICU nurses who work for 6 ICUs of A hospital in S city, Results: The mean clinical competence score of the subjects was 3.03 on a 4 point scale, Competence score was increasing as ICU clinical ladder was higher (F=35.18, p<.001). Step_1 was the lowest and step_4 was higher than step_3 from Scheffe post hoc test, Result of multiple regression showed that ICU clinical ladder and ICU clinical nursing education explained 52.1% (F=38.83, p<.001) of ICU nurse's clinical competence. Conclusion: ICU nurses' clinical competence can be evaluated using ICU nurse's job analysis tool. Further researches is needed on job description according to clinical ladder for performance and evaluation.

일상활동구강영향지수(OIDP)를 이용한 교정환자의 구강건강관련 삶의 질과 만족도 평가

김수경 ( Soo-kyung Kim ),기은정 ( Eun-jung Ki ),김성준 ( Sung-jun Kim ),문선호 ( Seon-ho Mun ),장민지 ( Min-ji Jang ),정은서 ( Eun-seo Jung ) 한국치위생학회(구 한국치위생교육학회) 2018 한국치위생학회지 Vol.18 No.4

Objectives: This study is to assess the correlation of the changes in dental health-related quality of life before, during, and after orthodontic treatments in the patients. Methods: The self-administered survey was conducted in the patients who completed orthodontic treatments living in Seoul and metropolitan areas using Oral Impact on Daily Performances (OIDP) to identify the relevant factors. Data were analyzed with descriptive statistics of variables, independent t-test, one way ANOVA, and multiple regression analysis. Results: From observations of OIDP before, during, and after orthodontic treatment, discomfort associated with three factors including physical, psychological and social ones showed the statistically significant increases during orthodontic treatment than before the treatment; whereas, it was dramatically dropped afterward. Multiple regression analysis to find the influential factors of satisfaction level on orthodontic treatment by setting before, during, and after OIDP as independent variables and satisfaction on orthodontic treatment as a dependent variable revealed that OIDP before orthodontic treatment and after orthodontic treatment significantly affected satisfaction on orthodontic treatment. Conclusions: The above analysis on the change in patients’ dental health-related quality of life showed that the quality of life improved after the orthodontic treatment. Accordingly, patients’ quality of life and satisfaction level on orthodontic treatment are expected to improve if they strive to maintain healthy dental health through orthodontic treatment.

근거기반실무 교육 프로그램이 임상간호사의 근거기반실무 준비도 및 근거기반 의사결정에 미치는 효과

남애리나,이은호,박정옥,기은정,남수민,박미미,Nam, Ae Ri Na,Lee, Eun Ho,Park, Jeong Ok,Ki, Eun Jung,Nam, Su Min,Park, Mi Mi 간호행정학회 2017 간호행정학회지 Vol.23 No.2

Purpose: Today's clinical nurses deal with complex problems that need accurate evidence for practice and decision making. In this study the effectiveness of an EBP education program was examined. Methods: A pre-posttest design was used for this study and participants were 46 nurses working at a tertiary hospital located in Suwon, Korea. Date collection was done before and after the education program, from July 27 to October 2, 2015. Data were analyzed using paired t-test and ANCOVA with SPSS 21.0. Results: There were significant differences in scores before and after the EBP education program for EBP readiness: belief (t=-5.65, p<.001), implementation(t=-2.89, p=.006), competence (t=-4.21, p<.001), and for evidence-based decision making (t=-16.25, p<.001) by the nurses. Conclusion: The findings indicate that the EBP education program has positive effects on EBP belief, implementation, competence and evidence-based decision making. In the future, it is necessary to reinforce the content of the program in the clinical workplace and to provide continuous education for clinical nurses.

간호대학생의 임상실습스트레스, 교수효율성이 임상수행능력에 미치는 영향

구상미(Koo, Sang-Mee),김현지(Kim, Hyun-Ji),기은정(Ki, Eun-Jeong) 학습자중심교과교육학회 2018 학습자중심교과교육연구 Vol.18 No.17

The purpose of this study was to investigate the effect of clinical practice stress and teaching efficacy on clinical performance of nursing students. The subjects of the study were 290 nursing students and data collection period was from September 1, 2017 to October 30, 2017. As a result, the clinical practice stress of the nursing college students was 3.1 out of 5 points. The efficiency of teaching was 3.5 out of 5 points and clinical performance was 3.48 points. The general characteristics of the subjects who showed significant differences in clinical practice stress, teaching efficacy, and clinical performance were collegial relationship and major satisfaction. As a result of examining the effects of teaching efficacy and clinical practice stress on clinical performance, two variables showed 13% explanatory power. The results of this study can be used as a basic data for developing a program that lowers the clinical practice stress of nursing college students and strengthens clinical performance. 본 연구는 간호대학생의 임상실습스트레스, 교수효율성이 임상수행능력에 미치는 영향을 파악하고자 실시되었다. 연구대상자는 간호대학생 290명이었으며, 자료수집기간은 2017년 9월 1일부터 10월 30일까지이었다. 연구결과 간호대학생의 임상실습 스트레스는 5점 만점에 3.1점이었으며, 교수효율성은 5점 만점에 3.5점, 임상수행능력은 3.48점이었다. 본 연구에서 임상실습스트레스, 교수효율성, 임상수행능력에 유의한 차이를 보인 대상자의 일반적인 특성은 동료관계와 전공만족도로 나타났다. 교수효율성과 임상실습스트레스가 임상수행능력에 미치는 영향을 살펴본 결과 두 변수가 임상수행능력을 13% 예측, 설명하는 것으로 확인되었다. 본 연구 결과는 간호대학생의 임상실습스트레스를 낮추고, 임상수행능력을 강화하는 프로그램을 개발하는 기초 자료로 활용할 수 있을 것으로 생각한다.

근거기반실무 교육 프로그램이 임상간호사의 근거기반실무 준비도 및 근거기반 의사결정에 미치는 효과

남애리나(Nam, Ae Ri Na),이은호(Lee, Eun Ho),박정옥(Park, Jeong Ok),기은정(Ki, Eun Jung),남수민(Nam, Su Min),박미미(Park, Mi Mi) 한국간호행정학회 2017 간호행정학회지 Vol.23 No.3

Purpose: Today"s clinical nurses deal with complex problems that need accurate evidence for practice and decision making. In this study the effectiveness of an EBP education program was examined. Methods: A pre-posttest design was used for this study and participants were 46 nurses working at a tertiary hospital located in Suwon, Korea. Date collection was done before and after the education program, from July 27 to October 2, 2015. Data were analyzed using paired t-test and ANCOVA with SPSS 21.0. Results: There were significant differences in scores before and after the EBP education program for EBP readiness: belief (t=-5.65, p<.001), implementation(t=-2.89, p=.006), competence (t=-4.21, p<.001), and for evidence-based decision making (t=-16.25, p<.001) by the nurses. Conclusion: The findings indicate that the EBP education program has positive effects on EBP belief, implementation, competence and evidence-based decision making. In the future, it is necessary to reinforce the content of the program in the clinical workplace and to provide continuous education for clinical nurses.

분만 전·후 사료급여 형태가 젖소의 생산성에 미치는 영향

기광석,김현섭,이왕식,이현준,김상범,정하연,은정식,김용국 충남대학교 농업과학연구소 2007 농업과학연구 Vol.34 No.2

This experiment was carried out to protect drops of feed intake should be plural prepartum and postpartum to reduce metabolic diseases after calving to know how feeding systems, which is divided as a low quility, a high quility and total mixed rations(TMR), affects on postpartum productivity of Holistein cows. Three diets (low or high quality forage separately fed with concentrate and TMR containing high quality roughage) were fed to 21 cows from 3 weeks prepartum to 8 weeks postpartum to examine their effects on the productivity of cows. DM intakes was noticed significantly higher with TMR (17.11kg/day) than low- quality (13.48 kg/day) and high-quality forage (13.10kg/day). TDN and CP intakes were also higher with TMR compared to other experimental diets. Mean daily milk yield was non-significant among the cows fed different diets. Blood non-esterified fatty acids(NEFA) content was higher in cows fed low-quality or high-quality forage separately with concentrate compared with those fed TMR. The results concluded that TMR feeding to transitional cows is better than feeding the low or high quality forage separately for their health and productivity. 본 시험은 분만 전 3주부터 분만 후 3주까지 전환기라고 지칭되는 시기의 젖소들에 대한 대사적 변화를 최소화하기 위한 방법으로 사료 섭취량 저하를 방지하고 분만 후 대사성 질병의 발생을 줄이기 위한 목적으로 수행되어졌다. 대사성 질병에 관여하는 주요 요인으로는 건물섭취량, 혈중 glucose 함량, NEFA 함량, 반추위 환경, 면역 등인데, 분만 전·후 Holstein 젖소에 사료급여 형태를 조·농분리(저질 조사료와 양질 조사료 급여구) 및 TMR로 다르게 하였을 때 사료섭취량 변화와 혈중 NEFA 및 glucose 함량 변화를 측정하고 분만 후 젖소의 생산성에 미치는 영향을 구명하기 위하여 수행하였다. 처리별 사료건물 섭취량은 저질 조사료 조·농 분리, 양질조사료 조·농 분리, TMR 급여구에서 각각 13.48, 13.10, 17.11kg으로 TMR 급여구에서 유의성 있게 높았으며(P〈0.05), TDN 섭취량은 처리구별 각각 7.35, 7.19, 5.66kg으로 처리간에 차이가 없었다(P〉0.05). 신체충실지수(BCS)는 저질조사료구에서는 3.03이였으며, 양질 조사료구와 TMR 급여구에서는 각각 3.19, 3.16이었다. 분만후 1주부터 5주까지 측정한 평균 산유량은 저질조사료 조·농 분리, 양질 조사료 조·농 분리, TMR 급여구에서 각각 34.1, 35.1, 35.6kg 였으며, 분만 후 4∼5주에 최고 비유기에 달했다. 처리별 평균 유지율은 저질 조사료 조·농 분리, 양질 조사료 조·농 분리, TMR 급여구에서 각각 3.74, 3.68, 3.95%였다. 혈청내 NEFA 함량은 저질 조사료 조·농 분리, 양질 조사료 조·농 분리, TMR 급여구에서 각각 744.4, 381.8,266.7μEq/L로 처리간에 큰 차이를 보여 양질 조사료 급여와 TMR 급여시 혈중 NEFA 함량이 저질 조사료 급여에 이해 유의성 있게 낮았다(P〈0.05). 혈청내 glucose함량은 저질조사료 및 양질 조사료 조·농 분리, TMR 급여구에서 각각 39.3, 56.3, 62.4mg/dl로 양질 조사료 급여와 TMR 급여시 혈중 glucose 함량이 저질 조사료급여에 비해 유의성 있게 높았다(P〈0.05). 이상의 결과들을 종합해 볼 때, 분만 전 3주부터 분만 후 3주까지의 전환기 동안 사료섭취량 증가와 대사성 질병의 지표로서 혈중 NEFA 및glucose 함량 변화를 살펴 본 결과 분만 전 3주부터는 양질의 조사료나 TMR 형태로 급여하는 것이 사료섭취량 증가와 대사성 질병의 발생을 감소시킬 수 있을 것으로 사료되었다.