포커스 그룹 인터뷰를 이용한 환자안전전담자의 환자 및 보호자 대상 환자 안전 교육 경험 분석

김윤숙,김문숙,황지인,김혜란,김현아,김효선,천자혜,곽미정,Kim, Yoon-Sook,Kim, Moon-Sook,Hwang, Jee-In,Kim, Hye-Ran,Kim, Hyun-Ah,Kim, Hyuo-Sun,Chun, Ja-Hae,Kwak, Mi-Jeong 한국의료질향상학회 2019 한국의료질향상학회지 Vol.25 No.2

Purpose: The purpose of this study is to provide basic data for the development of the most appropriate and effective educational materials for patients and their caregivers through the educational experiences of patient safety officer. Methods: This study is a qualitative analysis that involves using the focus group interview to understand the patient safety education experience of the patient safety officer. Results: The patient safety education experience of the patient safety officer is divided into four topics: (1) patient safety education content (2) patient safety education method (3) patient safety education status (4) activation and improvement of patient safety education. Additionally, the study incorporated twelve subtopics: (a) falls (b) speak up (c) patient safety campaign (d) patient safety rounding and a one on one training (e) education through medical staff (f) education using broadcast, video, post, among others (g) a lot of education in patient (h) patients not interested in patient safety education (i) patient safety education is less effective (j) human and medical expenses support (k) provision of standardized educational materials (l) patient safety culture for patient participation. Conclusions: This study indicate that education for patients and the caregivers should be inclusive and protective of stakeholders from the risks involved in patient safety events. The experience of patient safety officer is necessary for patient safety education for both patients and the caregivers since it is the source of basic data for the future development of patient safety education.

국외 환자대상의 환자안전 교육 사례

김윤숙,곽미정,김문숙,김현아,김효선,천자혜,황지인,Kim, Yoon-Sook,Kwak, Mi-Jeong,Kim, Moon-Sook,Kim, Hyun-Ah,Kim, Hyuo-Sun,Chun, Ja-Hae,Hwang, Jee-In 한국의료질향상학회 2019 한국의료질향상학회지 Vol.25 No.1

Purpose: The purpose of this study was to share program and/or resource on patient safety education for patients and families conducted overseas agency. This study will help the patient safety officer establish and implement an educational plan for patients and families. Methods: We searched the Internet for patient safety related organizations. We chose an institution that provided education for patients and families. Results: Most of the program and/or resource was about patient and family involvement; Taking Care of Myself, My Questions for This Visit, Patient Prep Card, 20 Tips to Help Prevent Medical Errors, Ask Me 3(R), Health and Safety Passport, My Medication log etc. Conclusions: It is necessary to distribute educational materials for patients and families in the country through the results of this study. For patient safety, education and publicity are needed so that developed educational materials can be actively used.

21세기의 식품관리기술: 전자 코

김윤숙,Kim, Yoon-Sook 한국식품연구원 2011 食品技術 Vol.24 No.2

발사믹 식초 생산기술

김윤숙,Kim, Yoon-Sook 한국식품연구원 2009 食品技術 Vol.22 No.4

자궁경부암 환자의 삶의 질 분석

김윤숙,김분한,Kim, Yoon-Sook,Kim, Boon-Han 한국호스피스완화의료학회 2004 한국호스피스.완화의료학회지 Vol.7 No.1

목적: 본 연구는 자궁경부암 환자의 삶의 질을 파악하고, 질병 진행 단계와 치료 형태에 따른 삶의 질을 분석하는데 있다. 방법: 자료 수집은 3개의 종합병원에서 자궁경부암 환자 67명을 대상으로 하였으며, 자료수집 기간은 3월 15일부터 6월 4일까지 이었다. 연구 도구로는 Ferrell[18]의 삶의 질-암 환자용 도구(Quality of Life-cancer version)를 번역하여, 자궁경부암 환자에게 맞지 않는 4문항을 제외한 총 37문항으로 사용하였다. 자료 분석은 SPSS 통계프로그램을 이용하여, t-test, ANOVA, Scheffe test로 검증하였고 도구의 신뢰도 검증은 Cronbach's Alpha를 산출하였다. 결과: 자궁경부암 환자의 질병 진행 단계에 따른 삶의 질 정도는 유의한 차이가 있었다.(F=5.06, P=.003) 질병 진행 단계에 따른 영역별 삶의 질 정도에서는 신체적 안녕 영역(F=3.97 P=.012), 정신적 안녕 영역(F=3.91, P=.013), 사회적 안녕 영역(F=4.96, P=.004)에는 유의한 차이를 보였으나, 영적 안녕 영역(F=1.36, P=.262)은 유의한 차이를 보이지 않았다. 치료 형태에 따른 삶의 질정도는 유의한 차이를 보이지 않았다.(t=-1.83, P=.073) 치료 형태에 따른 영역별 삶의 질정도에서는 정신적 안녕 영역(t=-2.14, P=.037), 사회적 안녕 영역(t=-2.15, P=.036)에는 유의한 차이를 보였으나, 신체적 안녕 영역(t=-.93, P=.356), 영적 안녕 영역(t=.73, P=.469)에는 유의한 차이가 없었다. 결론: 자궁경부암 환자의 삶의 질은 질병 진행단계와 치료 형태 및 일반적 특성에 따라 차이가 있었다. 그러므로 자궁경부암 환자에게 질병 진행 단계와 치료 형태 및 일반적 특성을 고려한 간호 중재를 적용할 필요가 있다. Purpose: The porpose of this descriptive study was grasp the QOL (Quality of Life) of cervix cancer patient and to analysis QOL (Quality of Life) by stage of disease, type of treatment and de me graphic characteristics Methods: Data were collected from 67 patients with cervical cancer from 3 General Hospitals from March 15 to June 4 using The "QOL (Quality of Life)-Cancer Version" inventory made by Ferrell et al (1995). The data were analysed by using SPSS $PC^+$ program including t-test, ANOVA, and Scheffe test. Results: Progressing stage of disease and QOL, the significant between the progressing stage of disease and QOL was significant (F=5.06, P=.003). The degree of difference between the progresstion of the stage of the disease and each item in the test was physical well-being (F=3.97 P=.012), the items of psychological well-being (F=3.91, P=.013), the items of social well-being (F=4.96, P=.004). It show a significant difference, but the item of spiritual well-being (F=1.36, P=.262) was not significant difference. The significance between the type of treatment and QOL was insignificant. The degree of difference between each area of life was the psychological well-being (t=-2.14, P=.037), the social well-being (t=-2.15, P=.036). But the physical well-being (t=-.93, P=.356), the spiritual well-being (t=.73, P=.469) was insignificant. Conclusion: As a result, The QOL of patients with cervical cancer is differentiated by the stage of disease, the type of treatment, and the demographic data. Therefore, there is a need to apply nursing intervention to patients with cervical cancer by considering the stage of disease, the type of treatment, and the demographic data.

노인환자 스크리닝 결과와 낙상위험도 간의 관계

김윤숙,이종민,최재경,신진영,한설희,Kim, Yoon-Sook,Lee, Jong-Min,Choi, Jae-Kyung,Shin, Jin-Yeong,Han, Seol-Heui 한국의료질향상학회 2017 한국의료질향상학회지 Vol.23 No.2

Background: The purpose of this study was to examine associations between classification of the Geriatric Screening for Care-10 (GSC-10) and the Morse Fall Scale (MFS) among elderly inpatients. Methods: Among elderly inpatients aged over 65 admitted to hospital (from November 1, 2016 to July 31, 2017), the data for 5,780 patients (who were evaluated using the Morse Fall Scale and the Geriatric Screening for Care-10) were analyzed using x2-tests and t-tests to examine differences between the GSC-10 and MFS, according to general characteristics of elderly inpatients (i.e., gender) using IBM SPSS Statistics 24. Results: : Scores for the GSC-10 were significantly higher in women than men for depression (p<.001), delirium (p=.048), functional decline (p<.001), incontinence (p<.001), and pain (p<.001). Statistically significant differences in all domains of the GSC-10 for elderly hospitalized patients were found for the classification of fall risk. Conclusion: The findings of this study, as supported by the GSC-10, indicate that the most common problems experienced by the elderly are related to the risk of falling. In order to reduce the incidence of falls in elderly inpatients, customized fall prevention based on the GSC-10 results is necessary.

넙치 치어 배합사료의 어분 대체 단백질원으로서 탈지 대두박 이용성

김윤숙(Yoon Sook Kim),김봉석(Bong Seok Kim),문태석(Tae Seok Moon),이상민(Sang Min Lee) 한국수산과학회 2000 한국수산과학회지 Vol.33 No.5

넙치 배합사료의 어분 대체 단백질원으로서 대두박의 이용성을 조사하기 위하여 평균체중 35g인 넙치를 각 수조마다 20마리씩 2반복 수용하여 대두박 함량을 0%, 10%, 20% 및 30%로 조절한 사료로 45일간 사육실험하였다. 그 결과, 모든 실험구에서 100%의 생존율을 나타내었으며, 증중량은 대조구와 대두박 10% 첨가구간에는 차이가 없었지만, 대두박 20%와 30% 첨가구는 대조구보다 유의하게 낮았다 (P<0.05). 사료효율과 단백질효율은 사료의 대두박 첨가수준이 높을수록 감소하는 경향을 보였으나, 대조구와 대두박 10% 및 20% 첨가구간에 유의한 차이를 보이지 않았다 (P>0.05). 이와 반대로, 일일사료섭취율과 일일단백질섭취율은 사료의 대두박 첨가수준이 높을수록 증가하는 경향을 보였다. 어체간의 일반성분은 각 실험구간에 유의차가 없었으나 (P>0.05), 사료의 대두박 첨가수준이 높을수록 단백질과 수분함량은 증가하고, 지질함량은 감소하였다. 혈장 총 콜레스테롤 농도는 사료의 대두박 첨가수준이 높을수록 감소하는 경향을 나타내었으나, 대조구와 대두박 10% 첨가구간에 유의차가 없었다 (P>0.05). 혈장 GOT는 사료의 대두박 첨가수준이 높을수록 증가하는 경향을 보였다. 이상의 결과로부터, 본 실험 사료 조성으로 넙치 치어를 사육하였을 때, 어분 대체단백질원으로서 대두박을 사료의 10%까지 첨가할 수 있을 것으로 판단된다. This study was conducted to investigate the utilization of defatted soybean meal as a substitute for fish meal in the diet for juvenile flounder (Paralichthys olivaceus). Duplicate groups of average weighing 35 g were fed one of four isonitrogenous (54%) and isocaloric (375㎉/100g diet) diets containing 0%, 10%, 20% and 30% soybean meal for 45 days. Survival rates of all groups were 100%. Weight gain of fish decreased with increasing dietary soybean meal levels, however, this value was not significantly different between fish fed the control and 10% soybean meal diet (P>0.05). Feed efficiency and protein efficiency ratio decreased with increasing dietary soybean meal levels, but no significant differences were found among fish fed the control, 10% and 20% soybean meal diets (P>0.05). Daily feed and protein intake increased with increasing dietary soybean meal level. Crude protein and moisture content of liver tended to decrease and crude lipid content tended to increase with decreasing of dietary soybean meal levels. Plasma total cholesterol levels of fish fed the diets containing 20% and 30% soybean meal were significantly lower than that of fish fed control diet (P<0.05). Plasma GOT level significantly increased with increasing dietary soybean meal level (P<0.05). It is concluded that soybean meal can be used as a partial substitute for fish meal up to 10% in this dietary formulation for growth of juvenile flounder.

한국선도의 신인합일 전통으로 바라본 ‘선교’의 신인합일론

김윤숙 ( Kim¸ Yoon Sook ) 국제뇌교육종합대학원 국학연구원 2021 선도문화 Vol.31 No.-

우리 민족 고유의 사상문화 전통인 한국선도, 그 핵심사상인 신인합일사상은 사람 안에 신의 씨앗이 신성으로 내려와 있으며 선도수행으로 그 신성을 밝히고 신성과 하나 되어 홍익하는 삶으로 공을 완수한 후 신(하늘)과 완전한 합일을 이룬다는 사상이다. 이러한 사상은 한국선도 원경인 『천부경』과 그 해석서인 『삼일신고』에 나타나 있다. 모든 존재가 비롯된 『천부경』의 ‘일(一)’이 『삼일신고』에서는 의인화되어 ‘신(□)’이 되었지만 인격신은 아니며 근원의 기에너지, 근원의 생명력을 말한다. 이 ‘일’은 ‘천·지·인’ 삼원(『천부경』) 또는 ‘성·명·정’ 삼진(『삼일신고』)으로 이루어져 있으며, ‘일(신)’은 3차에 걸친(삼진·삼망·삼도)전변과정을 통해 현상세계를 만들게 된다. 만물 중 삼진을 제대로 받은 유일한 존재인 인간은 수행으로 이를 역으로 거슬러 올라 순수한 에너지상태 삼진에 이를 수 있다. 이것이 ‘신인합일’인데 삼진 중 특히 존재생성의 출발점인 천차원의 ‘성’이 신성을 회복한 것을 ‘성통’이라 한다. 성통은 신인합일 과정의 시작점일 뿐으로, 성통으로 자기 안의 신성을 깨달은 인간은 깨달음을 세상에서 펼치게 되는데 이를 ‘공완’이라고 한다. 공완하는 홍익의 삶으로 몸을 가지고 이룰 수 있는 사명을 다한 뒤 인간은 몸을 벗고 신(하늘)과 하나가 된다(조천). 이것이 완전한 신인합일이다. 『징심록』 「부도지」의 창세신화인 마고신화에는 인간의 존재이유(수증)와 삼진·삼망·삼도의 과정이 비유적으로 그려져 있다. 한국선도는 마고성에서 살던 인류의 시조(人祖), 삼진상태의 인간들을 신인합일 된 신인(□人)으로 이상시하고 인간이 회복해야(復本) 할 본래의 모습으로 삼고 있다. 복본을 위한 수행 방법이 선도이다. 단군조선 와해 이후 쇠퇴일로를 걸었던 한국선도는 조선이 유교성리학을 국시로 삼은 뒤, 금압의 대상이 되어 민간으로 잠복하면서 본령인 수행문화를 잃고 저속화ㆍ저류화되어 민속ㆍ무속의 형태로 남게 된다. 더구나 광복과 한국전쟁 이후 물밀 듯 쏟아져 들어온 서양문화는 우리 것을 더욱 홀대하게 만들었는데, 1980년대에 이르자 새로운 바람이 불며 선도가 지친 현대인들에게 새로운 심신수련문화로 부활하게 된다. 선도의 본령이 되살아난 것이다. 1990년대에는 단군의 ‘홍익인간 이화세계’의 정신을 이어 받았다고 밝힌 ‘선교’가 만월 손정은에 의해 창교된다. 민족종교를 표방하고 있지만, 민족에 머무르지 않고, ‘나와 민족과 인류’를 살리는 이 시대의 실천종교임을 강조하고 있다. 본고는 먼저 한국선도의 신인합일론을 살펴본 뒤 선교에서 말하는 신인합일론과의 관련성을 점검하고 선교 나름의 신인합일론 ‘불광삼신론’과 ‘용신론’을 살펴보았다. ‘불광삼신론’은 신인합일의 단계를 압축적으로 보여주고 있다. ‘불광선인’이 수행자의 불광신불과 불광신명을 이어주는 중심이다. ‘용신론’에서는 선도의 ‘공완’을 ‘신을 쓴다’는 뜻의 ‘용신’으로 풀고 있다. 하여 선교는 한국선도의 중심적 존재인 선도스승을 ‘불광선인’으로 중심에 모시고 있으며 선도의 ‘강재이뇌신’ 사상을 계승함에 그치지 않고 머릿골에 계신 그 신을 활용하여 홍익의 삶을 창조하라는 더 적극적인 ‘용신’의 개념으로 한국선도를 진일보시켜 나아가고 있다고 본다. 수행하는 실천종교로서 한국선도의 원형을 완전히 회복하고, ‘믿음’으로 ‘구원’받고자 하는 시대에서 수행으로 ‘스스로’를 ‘구원’하는 시대로 이끌며 민족종교를 선도하고 있는 선교의 앞으로의 행보를 기대한다. Korean SunDo is our nation’s unique thought and culture tradition, Its core thought is divine-human unity thought that the divine seed of God exists within every human and through SunDo discipline we can reveal the divinity and after living HongIk life by being one with the divinity thus accomplishing our merits, we become completely one with God(or Heaven). This thought is revealed in the original scriptures of Korean SunDo 『ChunBuKyung』, and 『SamIlShinGo』 which interpreted 『ChunBuKyung』. Though the ‘One(一)’of 『ChunBuKyung』 from which all the existence had been generated became personified as ‘God(□)’ in 『SamIlShinGo』, the God of Korean SunDo is not a god of personality. It is the original ‘Ki’ energy, the original vitality. The ‘One’ is composed of three dimensions-Chun(天 heaven)·In(人 human)·Ji(地 earth) or Sung(性)· Myung(命)·Jung(精). Through 3 steps of changing process(SamJin三眞→ SamMang三妄→SamDo三途), the phenomenal world is made. This generating process of existence also means degradation of ‘Ki’ energy. The human-being who is the only being that received ‘SamJin’ rightly among all things can go back the process and recover the pure energy state ‘SamJin’. This is what ‘ShinInHabIl(□人合一)’ divine-human unity is. Especially when ‘Sung(性)’(天 dimension) the starting point of existence generation recovers its original divinity, we call it ‘SungTong(性通)’ SungTong is just the beginning of the procedure toward divine-human unity. After SungTong, the human who realized the divinity within spreads the realization to the world, which is called GongWan(功完). After completing all the missions that could be done with one’s body by living HongIk life, the human takes off his body and become completely one with God(or Heaven)-JoCheon(朝天) finally. This is the ultimate divine-human unity. In MaGo myth, the world creation myth in 「BuDoJi」 『JingShimRok』, the reason for human-beings’ to exist-SuJeung(修證) and the process of SamJin→SamMang→SamDo are expressed metaphorically. Korean SunDo regards the divine humans(□人) who lived in MaGo castle in SamJin state as the ideal humans we should restore. And the training method to recover the original state of human-beings(復本) is SunDo. After Josun adopted Neo-Confucianism as the nation’s policy, Korean SunDo became the object of suppression. Thus it concealed itself among civilians, lost its characteristic discipline culture, and remained vulgarized as shamanism or folk customs. Moreover the western culture poured out to the nation after the liberation and Korean war made us mistreat our own culture. Turning into 1980’s, new winds blew and SunDo resurrected as mind and body training culture to exhausted moderns. SunDo’s special characteristic came to revive. In 1990’s SunGyo which claimed to succeed the spirit of DahnGun’s ‘HongIkInGan EhwaSeGae(弘益人間 理化世界)’ was established by ManWol SonJungEun. This thesis surveyed Korean SunDo’s theory of divine-human unity first, and then checked the relevance with SunGyo’s theory of divine-human unity. Adopting Korean SunDo’s divine-human unity theory, SunGyo has its own divine-human theory called ‘BulGwangSamShinRon(佛光三神論)’ and ‘YongShinRon(用□論)’. ‘BulGwangSamShinRon’ shows the steps of divine-human unity compressively. BulGwangSunIn(佛光仙人) connects a trainee’s BulGwangShinBul(佛光神佛) with BulGwangShinMyung(佛光神明). SunGyo serves BulGwangSunIn, the central existence of SunDo. In ‘YongShinRon’, ‘YongShin(用□)’ means utilizing God, the divinity. Korean SunDo regards practicing of enlightenment(GongWan功完) much more important than enlightenment itself. SunGyo not only succeeded ‘GangJaeENoeShin(降在爾腦□)’ thought of Korean SunDo but also has made advance by interpreting ‘GongWan’ as using the divinity in your head. So far, SunGyo seems to inherit Korean SunDo authentically and has made a progress in tune with the times. We anticipate SunGyo’s next walking.

시니어통합진료서비스를 위한 48/6 모델

김윤숙(Yoon Sook Kim),한설희(Seol Heui Han),이종민(Jong Min Lee),최재경(Jae Kyung Choi),박재민(Jae Min Park),이건세(Kun Sei Lee),황정해(Jeong Hae Hwang) 대한임상노인의학회 2016 대한임상노인의학회지 Vol.17 No.1

The 48/6 Model of Care is a senior integrated care system that conducts screening and assessment for inpatients using six key areas, and establishes and mediates individualized multidisciplinary care plans within 48 hours of admission. The six key areas are bowel and bladder management, cognitive functioning, functional mobility, medication management, nutrition and hydration, and pain management, which have interrelated impact on the health of many seniors. These six key areas are not only assessed at the time of admission, but also during hospitalization, at time of discharge, and after discharge. The patients are continuously observed and cared for after their discharge into the community. One possible solution to resolve the social and economic burden of senior health problems is to provide treatment and preventive guidelines for early identification of senior health problems using screening and assessment tools such as the 48/6 Model of Care, which is systematic and easily applicable to the medical institution including the community.

선천성 근긴장성 근이영양증과 연관된 재발성 양수과다증

김윤숙 ( Yoon Sook Kim ),이슬기 ( Seul Kee Lee ),문성택 ( Sung Taek Mun ),송학래 ( Hak Rae Song ),선우재근 ( Jae Gun Sunwoo ),김민관 ( Min Kwan Kim ),배동한 ( Dong Han Bae ) 대한산부인과학회 2003 Obstetrics & Gynecology Science Vol.46 No.3

Hydramnios is a serious complication of pregnancy associated with a marked increase in perinatal mortality. A variety causes of this condition have been described, the majority of which relate to abnormalities of the fetus. Myotonic dystrophy is a progres