일 지역사회의 가정간호서비스 내용 및 만족도 조사

김정순,김명수,박남희,Kim, Jung-Soon,Kim, Myoung-Soo,Park, Nam-Hee 한국가정간호학회 2006 가정간호학회지 Vol.13 No.1

Purpose : This study was done to examine the home care service provided by home care nurses and the level of client satisfaction in community. Method : Data were collected from 120 clients who received the home care service at the community home care service center in Pusan from 2th May. 2003 to 31th May 2003. The tool for measurement of satisfaction was composed of 16 items and was 4 score scale by Kim. Data were analyzed by using SPSS/WIN 10.5 program. Result: 1) 67.5% among 120 clients was over sixty years old and 30.6% of clients received home visits 20 times by home care nurse. 2) The total number of home care services was 15,783. And most of the clients received therapeutic nursing care. 3) The mean score of satisfaction on provided home care services was 3.31, among 16 items, "The home care nurses kept up the secret of patients and family" was the highest($3.67{\pm}0.48$). the total level of satisfaction of home care services was very high, with mean score $3.31{\pm}0.32$. Conclusion : The satisfaction level of home care services was very high. so we can expect that the prospect of home care services is very challengeable. Therefore we should try to expand the service recipients with promotional education to assure close ties with the public health centers for the continuous home care service linking and make more efforts to improve the quality of the service.

병원중심 가정간호사업에 대한 의사, 간호사의 인식과 태도에 대한 조사연구

김정순,고영희,김대숙,김정화,신재신,이길자,정인숙,황선경,Kim, Jung-Soon,Ko, Young-Hee,Kim, Dae-Suk,Kim, Jeung-Hwa,Shin, Jae-Shin,Lee, Jil-Ja,Jeong, Ihn-Sook,Hwang, Sun-Kyung 한국가정간호학회 2001 가정간호학회지 Vol.8 No.2

Purpose: This study is to investigate the attitudes on the Home Health Care among the physicians and nurses in P University. Method: Data were gathered from 71 physicians and 264 nurses. working at P University Hospital. from May 1 to May 15, 2001 and analyzed using descriptive statistics and Fisher exact test. Results: 1) As to the previous information about home health care program, those who have been familiar to it were 100% of physicians, and 99.6% of nurses, and 39% of the physicians and 66.1% of the nurses. were found to have responded with right answers, 2) As to the acceptance of the home health care program, 87% of physicians and 98.5% of nurses were found to be positive and there showed a significant difference(p= .019), 3) The main reasons for accepting the system were: the alleviation of the family burden of time, the maintenance of continuity of care, and the reasons for opposing the system were incomplete legal assurance. the possibility of providing illegal medical services. 4) The physician's intention rate of patient referrals to home care program reveled 49.2%. 5) According to the services related to Home Health Care. the orders of acceptance rates were medical tests related services (77.8%, 92%); therapeutic nursing interventions(69.0%, 88.2%): and services for medication(68.3%, 82.5%) among physicians and nurses. respectively. Conclusion: For the stabilization and successful implementation of home health care system. it should be accompanied with education for physicians about home care. setting specific laws and regulations for home care. legal assurance of home care business. outcome research for home care recipients. and support systems of hospital administration.

압전 배열 트랜스듀서의 진동 요소간 kerf 충진 매질에 따른 특성변화의 실험적 고찰

김정순,김무준,하강렬,Kim, Jung-Soon,Kim, Moo-Joon,Ha, Kang-Lyeol 한국음향학회 2008 韓國音響學會誌 Vol.27 No.5

의료용 초음파 프로브나 압전복합재료 트랜스듀서 등에 있어서는 배열된 압전세라믹 요소간의 공간, 즉 kerf에 주로 폴리머계열의 물질을 충진하고 있다. 이 경우 압전 요소의 횡방향 진동모드의 경계조건이 바뀌어 실제 사용되는 종방향 진동모드의 공진 주파수에도 영향을 미치게 된다. 본 연구에서는 kerf충진 매질에 따른 공진주파수의 변화를 실험적으로 고찰하기 위하여 크기가 $14mm{\times}0.22mm{\times}0.44mm$인 PZT 압전요소의 선형배열에 의한 초음파 트랜스듀서를 제작하고, kerf충진 매질이 없는 경우와 특성이 다른 두 종류의 에폭시로 충진한 경우 각각에 대한 측정을 행하였다. 그 결과 kerf충진 매질에 따른 종방향 공진주파수의 천이 경향이 이론해석 결과와 유사함을 확인하였다. The kerfs between arrayed piezoelectric elements in a medical ultrasonic transducer or a piezoelectric composite transducer are generally filled by polymeric materials. The boundary condition of the elements for lateral mode vibration is changed according to the kerf-filling materials, so that the resonance frequency for longitudinal mode of the transducer is also varied. In this study, to investigate the resonance frequency variation for an arrayed transducer experimentally, the piezoelectric vibration elements of $14mm{\times}0.22mm{\times}0.44mm$ were fabricated and those were linearly arrayed. And, the resonance frequencies were measured for three cases of kerf-filling condition, non-filling and two different kinds of epoxy filling. Conclusively, it is confirmed that the resonant frequency variation shows the similar tendency with the theoretical one for the longitudinal mode.

수중 초음파 음장해석에 있어서 각스펙트럼법의 유효성 검토

김정순,김무준,하강열,Kim, Jung-Soon,Kim, Moo-Joon,Ha, Kang-Lyeol 한국음향학회 1997 韓國音響學會誌 Vol.16 No.5

수은이 다른 물이 층상구조를 이루고 있는 수중에서의 초음파 음장해석에 각 스펙트럼법을 도입하기 위하여, 그 도입에 따른 유효성과 오차의 정도를 가상의 경계를 고려한 등수은의 수층을 이용하여 분석하였다. 그 결고, 각 스펙트럼법은 단시간내에 비교적 정확한 음장산출이 가능하나 해석시 필요한 기준음장의 공간적 영역의 제한 및 푸리에변환시의 데이터 수의 제한으로 인하여 다소 오차을 발생시킴을 확인하였다. 그 오차를 감소시키기기 위한 한 방안으로 Lommel 근사법과 각 스펙트럼법을 복합하는 새로운 방법을 제안하였는데, 그 방법은 산출된 음장의 오차를 감소시키는데 유효하였다. Before application of the angular spectrum method to calculate acoustic fields in stratified water, its efficiencies and errors were analyzed by using a virtual boundary in homogeneous water. As the results, it was confirmed that the angular spectrum method was able to calculate an acoustic field rapidly though some errors due to the limitation of reference field size and number of data in FFT ware included. A modified method combined the angular spectrum with Lommel's approximation, which was newly proposed in this paper, was useful to reduce the errors.

식물 씨앗의 착유과정에 있어서 초음파의 적용

김정순,이희욱,김무준,하강렬,Kim, Jung-Soon,Lee, Hui-Uk,Kim, Moo-Joon,Ha, Kang-Lyeol 한국음향학회 2010 韓國音響學會誌 Vol.29 No.2

본 연구에서는 식물의 씨로부터 착유하는 기존의 착유방법에 있어서 착유 효율의 한계를 개선하기 위하여 초음파를 이용한 부가 에너지의 적용 가능성을 실험적으로 확인 하였다.그 결과, 기존의 압착방식에 의한 착유 방식에 란주반형 트랜스듀서로부터 방사되는 초음파 진동에 의한 압력을 부가함으로써 기존의 단순압착 방식의 착유효율이 15 %인 경우 25 %로 증가하여 적지 않은 효율의 증가를 보였다. 초음파에 의한 부가 압력을 해석하기 위하여 착유시료의 음향임피던스 및 초음파 트랜스듀서의 전통속도를 측정하여 방사되는초음파의 음압진폭을 구한 결과 단순압착 정압의 약 2.8 %에 불과했으나 초음파 주기에 따른 양력의 변회는 착유효율증가에 매우 효율적임을 확인할 수 있었다. To improve the limit of efficiency of squeezing oil in a conventional method, which seeds are compressed simply, the adoptability of the additional energy by the ultrasonic wave was investigated experimentally. As the results, using the ultrasonic vibration from the Langevin-type transducer, the efficiency was increased up to 25 %, whereas the conventional method has 15% efficiency. To investigate the additional pressure by the ultrasonic wave, the acoustic impedance of the sample and the vibration velocity of the transducer were measured. Although the amplitude of the ultrasonic is about 2.8 % of the compression pressure, the efficiency is increased a lot as mentioned above because the pressure is changed according to ultrasonic period.

범이론적 모형 (Transtheoretical Model)에 근거한 청소년의 금연변화단계 예측요인

김정순,정인숙,천병철,박남희,Kim, Jung-Soon,Jeong, Ihn-Sook,Chun, Byung-Chul,Park, Nam-Hee 대한예방의학회 2003 예방의학회지 Vol.36 No.4

Objectives : The purpose of this study was to investigate the predictor associated transitions with each stage of smoking cessation based on the Transtheoretical Model, and to provide basic data for smoking cessation programs for adolescents. Methods : The participants were 297 current and former smokers, obtained from stratified random sampling of 2nd graders from 127 high schools in B cities. The data were collected between April 6th and 16th 2002, using a structured self-report questionnaire, and analyzed using a multiple logistic regression, with the SPSS program for Windows (Version 10.0). Results : The predictors of transition from precontemplation to contemplation were consciousness raising (OR=1.22, 95% CI:1.07-1.40), coping pros (OR=.84, 95% CI:.70-1.00) and attitude of parents to smoking (OR=2.97,95% Cl: 94-9.24). The predictors of transition from contemplation to preparation were helping relationships (OR=.83, 95% CI:.72-.96), self-liberation (OR=1.15, 95% CI: 99-1.33) and nicotine dependence (OR=.76, 95% CI: 56-1.03). The only predictor of transition from preparation to action was the social pros (OR=.66, 95% CI:.57-.82). The predictors of transition from action to maintenance were self-reevaluation (OR=.81, 95% CI:.71-.92) and negative affective situation (OR=.85, 95% CI:.72-1.00). Conclusion : Adequate examination on the factors for predicting the transitional stages of change for smoking cessation in Koreans are presented in this study. The results of this study will become the pillar of smoking cessation Planning and application programs.

도시지역 노인의 치매 위험요인에 관한 단면연구

김정순,천병철,초의수,정인숙,Kim, Jung-Soon,Chun, Byung-Chul,Cho, Eu-Soo,Jeong, Ihn-Sook 대한예방의학회 2002 예방의학회지 Vol.35 No.4

Objectives : To identify the risk factors of dementia among the elderly in a large city. Methods : A cross-sectional study was conducted in July 2001, with potential participants selected by stratified two stage cluster sampling of the elderly population of Keumgog dong, Busan. A total of 452 elderly people aged 65 years and over, underwent a two phase diagnostic procedure. Mini-mental State Examination-Korean (MMSE-K) and Samsung Dementia Questionnaire were used for the 1st stage, and the Clinical Dementia Rating Scale (CDR), the Bartel ADL, and IADL Index, the Korean Geriatric Depression Scale (KGDS), the Modified Hatchinski Ischemic Scale (MHIS), and other laboratory tests were used for the 2nd stage. Results : Of the 446 participants finally chosen, 45 were confirmed with dementia, and 363 as normal, with the rests not confirmed with dementia or as normal, were excluded from the analysis. According to the logistic regression analysis, the risk of dementia was significantly higher In: people aged 80 and above (OR=4.36, 95% CI=1.97-9.62), illiterate (OR=3.58, 95% CI=1.71-7.46), who had a history of strokes (OR=6.35, 95% CI=2.71-14.87), or who had 3 history of hyperlipidemia (OR=4.74, 95% CI=1.65-13.61), compared to their counterparts. Conclusions : These results suggest that efforts to prevent strokes and hyperlipidemia can significantly decrease the risk of dementia.

양로원 노인의 무력감에 관한 연구

김정순,김미숙,Kim, Jung-Soon,Kim, Mi-Sook 한국지역사회간호학회 2000 지역사회간호학회지 Vol.11 No.1

The purpose of this study is to provide basic data necessary for the establishment of a nursing intervention program to relieve the powerlessness of elderly adults in nursing homes by investigating the degree of such powerlessness and factors affecting it. For the study, 353 elderly adults from S. A. D. J and Y free nursing homes located in Pusan were sampled as the subjects. The data were collected through direct interviews using a questionnaire survey and recorded by observation for a month from September 1. 1999. Data were analyzed using the statistical package SAS. The main results were as follows; 1. The mean score of the degree of perceived powerlessness of the subject were 30.4 point out of 64 point. 2. The level of powerlessness showed significant differences among the subjects in terms of educational background and monthly allowance both of which belong to socio-demographic characteristics. 3. Concerning the level of powerlessness based on health conditions. it showed significant differences in terms of the situation of common activity and the subjective perception of health condition. 4. Based on social support. the level of powerlessness was found significantly different in terms of close friends. 5. According to social activity. the level of powerlessness showed a significant difference in religious and leisure activities. In conclusion. it would be more effective in reducing powerlessness in elderly adults and in dealing with chronic diseases and physical discomfort. if we operated programs through which elderly adults can make friends and develop a nursing intervention program focusing on a variety of leisure activities.

디지털 영상처리를 이용한 초음파 소노루미네센스 이미지 개선

김정순,조미선,문관호,하강렬,전병두,김무준,Kim, Jung-Soon,Jo, Mi-Sun,Mun, Kwan-Ho,Ha, Kang-Lyeol,Jun, Byung-Doo,Kim, Moo-Joon 한국음향학회 2007 韓國音響學會誌 Vol.26 No.8

소노루미네센스를 이용한 음향가시화법에 관한 연구가 많이 수행되었음에도 불구히필 그 응용사례를 찾기 힘든 것은 소노루미네센스 현상이 임계음압 이상에서만 나타난다는 단점 때문이다. 최근 개발된 고감도 디지털 카메라는 큰 메모리 용량과 높은 해상도를 이용하여 육안으로 관측하기 힘든 미약한 빛의 영상에 대해서도 그 디지털 데이터를 취득할 수 있게 되었다. 본 연구에서는 방사음압에 대한 소노루미네센스 현상의 발광 강도 변화를 조사하여 이 결과로부터 방사음압에 따른 강도변화를 선형화시키는 역함수의 형태를 구하였다 이 역함수의 형태로부터 매칭함수의 형태를 예측할 수 있었고 이를 소노루미네센스 현상으로부터 얻어진 디지털 영상데이터에 적용한 결과 영상데이터의 히스토그램의 분포를 적절히 제어하여 비교적 약한 음향강도에 의해 생성되는 소노루미네센스의 영상을 개선시킬 수 있었다. In spite of many studies of the acoustic field visualization by using sonoluminescence phenomena, the visualization method has not been used widely because it needs high acoustic intensity to get the luminescence intensity enough to observe. Recently, the digital camera with high resolution and big memory makes it possible to get the digital image data even though the brightness of the image is too weak to observe with naked eyes. In this study we investigated the variation of sonoluminescence intensity with the acoustic intensity from an ultrasonic transducer. From this result, the inverse function, which makes the tendency of the variation to linear, was obtained. Using the order of the inverse function, we can expect a matching function. Applying the matching function to digital image data, the distribution of the histogram could be controlled appropriately and the image from relatively weak acoustic intensity could be enhanced by the method.

치매노인을 대상으로 한 인지 자극 훈련의 효과

김정순,Kim, Jung-Soon 한국지역사회간호학회 1997 지역사회간호학회지 Vol.8 No.2

This study was conducted to test the effect of cognitive stimulation training on elderly persons with dementia. The design of the research was one group in pre-test-post-test design. The subjects were nine demented persons over sixty years, with mild to moderate cognitive impairment. Training was administered by research assistants on a one to one basis for thirty to forty minutes, three times a week for eight weeks. In order to evaluate the effect of cognitive stimulation training, we measured cognitive function before and after three training sessions each. Data were analyzed using descriptive statistics and a paired t-test analysis using a spss pc package, The results are as follows: 1) The recipients of the training program showed improvement in overall cognitive functioning. The MMSK - K score, recall levels of concepts, daily tasks, personal past history and performance of word fluency were significantly increased after training. 2) There was a significant improvement in cognitive functioning over the training period: recall levels of concepts, daily tasks, past personal history and performance of word fluency significantly increased over the training period progessively, The results suggest that cognitive stimulation training is effective in improving and maintaining overall cognitive function of elderly persons with dementia.