본태성고혈압자의 혈압자기감시와 혈압변화에 대한 분석

김남초 성인간호학회 1998 성인간호학회지 Vol.10 No.1

The purpose of this study is to investigate the effect of the blood pressure self monitoring on the reduction of essential hypertension. This study had been conducted from March to July, 1995. Six persons who lived in Song-pa Gu, Seoul were selected for the experimental participants. They were consist of 5 males and 1 female. The samples measured their blood pressure by automated sphygmomanometer in supine position every morning(6-7 AM) and night(10-11PM) for 6 weeks. The researcher measured blood pressure of samples in supine position by mercurial sphygmomanometer 2 times a week for 6 weeks. The samples' subjective stress was measured by VAS before and after the experiment. Results were as follows : 1. The average age of the samples was 53(range from 49 to 60) and the average hypertension history of the samples was 56 months(range from 1 month to 10 years). 2. The self measuring samples' blood pressure of the morning showed the tendency of gradual reduction during the 2nd week and the 5th week. 3. The self measuring samples' blood pressure of the night showed no variation but systolic blood pressure showed slight reduction during the 5th week. 4. The blood pressure measured by researcher showed no variation but it showed the higher blood pressure than the self measuring samples' blood pressure. The conclusion is that the blood pressure self monitoring had effects on the reduction of essential hypertension, especially, on the reduction of systolic blood pressure. Generally blood pressure measured by researcher showed the higher blood pressure than the self measured samples' blood pressure. Therefore the medical persons who measure the blood pressure must be more careful when they measure blood pressure. I suggest that, first the client who want to know their real blood pressure should compare the blood pressure measured by clinic with the self monitoring method. 2nd the patient of essential hypertension who take anti-hypertensive agents should be selected in sampling. 3rd the experiment of the lasting duration of reduction of blood pressure self monitoring should be conducted.

교육

金南草 대한의사협회 1998 대한의사협회지 Vol.41 No.11

상실과 슬픔과정

김남초 대한간호협회 1995 대한간호 Vol.34 No.2

일부 지역사회 노인의 신체건강 상태와 우울

김남초,양수 한국간호과학회 2001 Journal of Korean Academy of Nursing Vol.31 No.6

치매노인에게 시청각 자극을 병행한 회상요법의 적용효과

김남초,유양숙,한숙원 한국간호과학회 2000 Journal of Korean Academy of Nursing Vol.30 No.1

손씻기 교육이 간호사의 손씻기 행위와 중환자의 호흡기로의 MRSA 분리율 감소에 미치는 영향

김남초,최경옥 성인간호학회 2002 성인간호학회지 Vol.14 No.1

Purpose: This is a clinical experimental study aimed to provide basic data to ensure quality care. The propose of this study is to increase nurses hand washing behavior and decrease respiratory isolation rate of MRSA. Method: This study was conducted in Kangnam St. Marys hospital. The subjects included 5 nurses working at the NS ICU and 165 specimen for nasal swabs and 46 specimen for sputum cultures from 106 patients admitted to the NS ICU. The data were collected from June to September 2000. Results: 1. The percentage of the nurses hand washing was 15.6percent but was improved to 46.5 percent after the educational intervention. In particular, hand washing behavior was increased in situations such as after suctioning, before parenteral nutrition, and after providing hygiene care. 2. Results of nasal swab showed that MRSA isolation rate was reduced from 42.8 percent before the education to 18.6percent after the education. The sputum culture results also showed that the MRSA rate was reduced from 40.7percent before the education to 34.6percent after the education. Conclusion: The findings showed the nurses' strict hand washing behavior and use of disposable gloves and paper towers as well as use of hand sterilization spray by visitors or families can decrease the MRSA isolation rate in the NS ICR patients. Since the NS ICU patients may have respiratory complications due to long-term hospitalization, the nurses regular hand washing is important enough to be emphsized. Future research should be focused on the impact of nurses' hand washing behavior on the incidence of pneumonia, an iatrogenic infection.

호스피스 환자의 증상관리 지침서

김남초,Kim, Nam-Cho 한국가톨릭호스피스협회 2002 호스피스 Vol.23 No.-

인공호흡기 튜브교환주기에 따른 인공호흡기 관련 폐렴발생률

김남초,김양리 성인간호학회 2003 성인간호학회지 Vol.15 No.3

Purpose: This study was aimed at providing scientific evidence for minimizing ventilator-associated pneumonia (VAP) by identifying appropriate timing of exchange of circuit for mechanical ventilator that is well suitable for the medical environment of intensive care units of hospitals in Korea. Method: This was quasi-experimental study with a convenience sample of 19 adult subjects aged over 18 years who were admitted to the NS ICU of C university hospital, and placed on mechanical ventilator. The subjects were placed in two groups, compared on the incidence rate of VAP after they received exchange of circuit either at 1-week interval (N=10) or 2-week interval (N=9). Result: 1) When considering 1000 days as the standard unit of analysis fro incidence, the incidence rate of VAP was 7.19 cases at the 1-week cycle exchange group and 15.23 at the 2-week cycle exchange group, showing no statistically significant difference between the two groups. 2) There were a total of 3 types of bacteria isolated from the patients with VAP, including 2 cases with P. aeruginosa, 1 case with Streptococcus group F and A. baumannii. Conclusion: With thorough hand washing and strict management of tracheal tube of mechanical ventilator as well as use of tracheal intubation techniques, exchange cycle of circuit of mechanical ventilator by nurses may be changed from 1-week to 2-week interval.

일부 농어촌 재가노인의 일상 활동 분석

김남초,한혜자 노인간호학회 2002 노인간호학회지 Vol.4 No.2

The purpose of this study were to analyze daily activities of older people and to provide basic data for developing a leisure activity program for this population. The participants were 46 elderly people who lived in Chung Cheong province. Data were collected during September 2002. The participants were interviewed and observed by student nurses, their grand-daughters, for 1 week, from Monday to Sunday. The data were analyzed using the SAS program. The results showed that the mean frequency for the activity, personal maintenance, was 32.9 times a week and this item had the highest frequency. The mean frequency for paid work was 9.0 times a week, which was the lowest. The mean duration of the activity, resting, was 61.9 hours a week, which was the highest. The mean duration for paid work was 10.3 hours a week, which was the lowest. Older men had more social activities than older women. Older people without families did more personal maintenance than those with families. Older people with incomes did more IADL than those without incomes but had less leisure activity. But older people without families spent more time in personal maintenance than those with families. Older people without incomes spent more time in leisure activities than those with incomes. It is desirable for older people to convert their resting activities to productive and creative activities.

호스피스와 비호스피스 병실에 입원한 말기 암 환자의 진료비용 분석

김남초,용진선,유소영,Kim, Nam-Cho,Young, Jin-Sun,You, So-Young 한국호스피스완화의료학회 2007 한국호스피스.완화의료학회지 Vol.10 No.1

목적: 본 연구는 위암과 폐암 말기로 진단받고 동일 병원에 입원하여 호스피스 대상자와 비대상자로 치료를 받다가 사망한 환자 114명을 대상으로 사망시점부터 14일 전까지의 진료비를 분석하여 양 대상을 비교하는데 있다. 방법: 진료비 분석에 대한 후향적 조사연구 설계로서 진료비 분석에 대한 도구는 C 대학 K 병원의 진료비 계산서 영수증을 기초로 하여 작성된 11개 항목에 대한 각각의 진료비 및 총액이었다. 결과: 호스피스 대상자의 진료비가 비 호스피스 대상자에 비해 낮았는데 특히 고단위 영양제, 마약성 진통제, 간호처치료, 방사선 검사, 혈액검사항목에서 통계적으로 유의하게 낮았다. 또한 호스피스 대상자 중에서는 호스피스 전담의의 유무에 따라 진료비의 총액에는 차이가 없었으나 기타 진통제 항목에서 전담의가 있었던 시기가 전담의가 없었던 시기에 비해 진료비용이 유의하게 높았다. 결론: 본 연구결과 동일기간 내 호스피스 대상자의 진료비용이 비 대상자에 비해 약 53%에 지나지 않음을 알 수 있어 범국가적인 차원의 호스피스 제도화 도입이 시급하다고 본다. Purpose: The purpose of this study was to show the differences of medical cost between hospice and non-hospice care for terminally ill patients. This information provides basic data to nationally institutionalize hospice care for decreasing costs and enhancing quality of life for terminally ill patients. Methods: Participants of this study were 114 terminally ill cancer patients who were diagnosed and died with stomach cancer and lung cancer at the K hospital of the C university. The study was a retrospective survey design that analyzed the medical costs for two weeks before they died. The cost analysis was done according to 11 items form the medical cost bill. Results: Patients enrolled in hospice care had significantly lower medical costs (53%) than did non-hospice patients especially in use of TPN, narcotic analgesics, nursing care, radiology tests, and blood tests. Among patients enrolled/admitted in the hospice unit, there was a significant cost difference only in use of analgesics whether the hospice specialized doctor was in charge of care or not. The cost was significantly lower when a hospice specialized doctor was in charge of care although the total medical cost was the same. Conclusion: This study identified lower medical costs for patients cared for in the hospice unit. Thus, we urge institutionalizing hospice care without delay to insure cost benefits as well as quality care.