보건관리요원 실태조사

김순례,문정순,한상임,Kim, Sun-Rye,Mun, Jeong-Sun,Han, Sang-Im 한국지역사회간호학회 1990 지역사회간호학회지 Vol.2 No.1

근로자의 건강증진

김순례,Kim, Sun-Rye 대한간호협회 1999 대한간호 Vol.37 No.5

우리나라 산업간호사의 인력분포와 산업간호의 제공실태에 관한 연구

김순례,이지현,Kim, Sun-Rye,Lee, Ji-Hyeon 한국지역사회간호학회 1989 지역사회간호학회지 Vol.1 No.1

힘을 모아 더 나은 미래의 산업간호를 꿈꾸며

김순례,Kim, Sun-Rye 한국산업간호협회 2007 한국산업간호협회지 Vol.14 No.2

종합병원 간호사들의 요통 관련요인

김순례,오재민,Kim, Soon-Lae,Oh, Jae-Min 한국지역사회간호학회 1998 지역사회간호학회지 Vol.9 No.1

The prevalence rate of low back pain in nurses is higher than that of other jobs, because there are many more risk factors(for example, standing postures, lifting and carrying heavy loads, transfering patients, changing a patient's position etc.). This investigation is to provide basic data for prevention of low back pain by analyzing the prevalence rate and related factors of low back pain in nurses(esp. operating room staff) in general hospitals. A self-reported questionaire survey was carried out on three hundred and five nurses of three general hospitals in Seoul from June, 1996 to August, 1996. Subjects of the survey were divided into a low back pain group(LBP) and a cotrol group to investigate the association between low back pain and the general characteristics and work related factors of each group. The results were as follows: 1. In the subjects of the survey, the prevalence rate of low back pain was 60.0% for the last year. 2. 73.6% of operating room(OR) staff complained of low back pain. 3. Standing for a long time and working in twisting postures were associated with low back pain, and so were the shift, the type of work, and the frequency of transfering patients. 4. The weight loads which nurses frequently carried were, under 5kg, 5-10kg, 15-20kg, 15-20kg, over 20kg, and all, except for 10-15kg, were associated with LBP. 5. 76.9% of the LBP experienced low back pain within 3 years after starting nursing jobs. 6. Concerning the degrees of low back pain: 75.8% was limited to waist; 18.8% reached the knees; 4.2% reached ankles. In conclusion, the prevalence rate of low back pain in general hospital nurses was associated with the works in operating room and other work related factors, therefore it is necessary to develop on educational program for the prevention of low back pain as well as and to improve working environments.

우리나라 산업간호사의 인력분포와 산업간호의 제공실태에 관한 연구

김순례,이지현,Kim, Sun-Rye,Lee, Ji-Hyeon 한국지역사회간호학회 1990 지역사회간호학회지 Vol.2 No.1

자동차 제조업체 근로자들의 요통에 대한 역학적 요추 x-선학적 고찰

김순례,Kim, Soon-Lae 한국지역사회간호학회 1995 지역사회간호학회지 Vol.6 No.2

To investigate the risk factors of low back pain, an epidemiological study was carried out among male workers aged 20-55 employed in an automobile industry in Korea during the time period from February 1993 to October 1995. Workers participated to this study were divided into low back pain group(LBP) and control group, according to the self-reports by written questionnaires. General characteristics, medical history, work related factors, fatigue, and MMPI were compared between two groups. To clarify the relationship between job related low back pain and radiologic features of lumbar spine, radiographic study was carried out. The resultant data were processed for $x^2-test$, t-test, and stepwise logistic regression to confirm the adjusted odds ratios. The results were as follows: 1. History of back disease, lifting and carrying work, excessive physical fatigue, and weakend back strength of individual workers were directly associated with low back pain. Odd ratios of these 4 risk factors of low back pain were 5.07, 3.34, 1.49, and 1.22 respectively. 2. The frequency of low back pain history was significantly higher in LBP group. 3. Back muscle strength of lumbar spine of LBP group were significantly lower than control group. 4. The workers in LBP group revealed high fatigue symptoms. 5. In MMPI test LBP group showed higher scales in hypochondriasis, depression, hysteria, psychopathic deviate, paranoia, psychasthenia, schizophrenia, and hypomania. 6. LBP group were more frequently involved in lifting and carrying, working in awkward position, bending, twisting and using lower extremities. 7. LBP group were exposed more to vibration during working. 8. In the Analysis of radiographs of lumbar spine, Jacob's line not crossing fourth lumhar disc space, transitional vertebrae and lumbar displacement more than 4.4mm in standing lateral view were more frequently observed in LBP group than control group. Through these results, it is concluded that identification of previous history of back problem, change of work or working environment for workers with previous back problem and measures to relieve both physical and psychological fatigue of the workers are required for optimal management of work-related back problems among workers. In the present study, several results were different from the previous reports: Jacob's line not corssing fourth lumbar disc space, lumbarization, and vertebral slipping (spondylolisthesis) more than 4.4mm are related to backache. Meticulous studies are required to elucidate the difference.

서울시 일부 보건소 방문간호 활동내용

김순례,이경왜,Kim, Soon-Lae,Lee, Kyeong-Yeao 한국가정간호학회 1999 가정간호학회지 Vol.6 No.-

In oder to investigate the basic data for the standard of visiting nursing activities and educational program for Public Health Nurses in Health Center in Korea. the health record review carried out regard to visiting nursing services of 131 subjects with visiting nursing care. The results were as follows: 1. Rates of visiting nursing services offered by Public Health Nurse of Health Center(in decreasing order)were health education and disease management(98.5%), activity assess-ment(94.7%), counseling(90.8%), dietary care (61.1%), exercise treatment(60.3%), examination(58.8%), medication(48.9%), referral to hospital(32.8%, vaccination against flu and hepatitis(29.8%), support for welfare and administration(24.4%), position change(9.9%), connection to voluntary services(9.9%), wound dressing(7.6%) and referral for home health care nursing(3.1%). 2. The subjects consisted of 38.2% in male and 61.8% in female. 77.1% of the subjects had no job.

공적노인요양보장제도와 가정간호

김순례,Kim, Sun-Rye 한국가톨릭의료협회 2004 Health & mission Vol.2 No.-

고령화사회로의 진행에 따라 노인과 사회적 약자에 대한 공적 요양보장제도가 필요한 시점이 되었다. 정부에서는 공청회를 개최하여 의견을 수렴한 후 '공적 노인요양보장제도'에 관한 틀을 마련하였다. 따라서 이 제도의 내용을 분석하고 일본의 경우를 살펴본 후 이와 관련한 우리나라 가정간호제도의 방향을 짚어본다.

산업장 근로자들의 피로자각증상과 요통

김순례,문정순,Kim, Soon-Lae,Moon, Jung-Soon 한국지역사회간호학회 1996 지역사회간호학회지 Vol.7 No.2

To investigate industrial fatigue and low back pain, the questionaire survey for subjective symptoms of fatigue and low back pain was carried out among 591 male workers aged 20-55 employed in an automobile industry in Korea. Workers participated to this study were divided into low back pain group(LBP) and control group, according to the self-reports by written questionaires. The subjective sysptoms of fatigue comprised three groups of 10 items each, representing dullness and sleepiness(level of cerebral activation), difficulty in concentration(level of motivation) and bodily projection of fatigue. The resultant data were processed for $\chi^2-test$, t-test and a pearson's correlation coefficient to confirm the relationships. The results were as follows: 1. 30 items of fatigue subjective symptoms exeptone item, 'lack in perseverance', were directly associated with low back pain. 2. The percentage of fatigue complaint were sig nificantly higher in LBP group. 3. Of the 30 items of fatigue subjective symptoms, the highest percentage was accounted for 'eye strain'(27.9%), followed by 'whole body feels tired' and 'legs feel heavy'(22.9%), 'feel like lying'(21.4%), 'feel a pain in the low back'(18.7%), 'feel drowsy'(16.4%) and 'feel stiffness in the neck or the shoulders'(16.2%) in the order of sequence. 4. The average weighted score for the first group of fatigue items(dullness and sleepiness) was the largest among three groups and was followed by the second group(difficulty in concentration) and the third group(bodily projection of fatigue) in the order of sequence, suggesting the heavier shift work stress of the workers. 5. In the groups of the aged 30-40, work duration of 5-7yrs, heavy work amount and irregular work speed, significant high fatigue complaints were revealed in terms of eye strain, whole body feels tired, legs feel heavy, feel like lying, feel a pain in the low back and feel stiffness in the neck or the shoulders. 6. A significant negative correlations were shown between age, work duration and eleven subjective symptoms while positive reciprocal correlations were shown between eleven items with one another.