관상동맥 조영술 후 체위변경이 불편감과 출혈에 미치는 효과

김필자,정정인,노정숙,나향,김가연,김경선,이근화,이은숙,홍순복,황정화,김선경,한송이,김희순 병원간호사회 2009 임상간호연구 Vol.15 No.1

Purpose: The purpose of this study was to examine the effect of position change on discomfort and bleeding in patients undergone coronary angiography with a vascular device and required bed-rest. Method: This study utilized nonequivalent control group non-synchronized design. Data were collected from 118 inpatients after coronary angiography and stayed in general ward at Y hospital in Seoul, from June 5 to August 12, 2008. After coronary angiography, position change was performed to the experimental group who consisted of 59 patients. They stayed in supine position just after angiography and then head-up position with 15 degrees was applied 1 hour later. After that, they could change the position alternatively into lateral position with leg down and supine position. The control group was positioned keeping the affected leg immobile with supine position for 4 hours. Results: The experimental group reported significantly more comfortable than control group after position change. There were no significant differences in the grades of bleeding or hematoma at puncture site between the two groups. Conclusion: The position change in patients undergone angiography could be applied without any harm such as bleeding or hematoma, but effective in reducing back pain and subjective patients' discomforts.

뇌혈관조영술검사 환자에서 검사에 대한 교육전후 이해도 비교 : 신경외과 병동을 중심으로

김필자 中央醫學社 1997 中央醫學 Vol.62 No.2

그림책을 활용한 역할놀이가 만 2세 영아의 정서지능과 친사회적 행동에 미치는 영향

김필자,최경 한국어린이문학교육학회 2019 어린이문학교육연구 Vol.20 No.4

The purpose of this study was to identify the effects of role playing using picture books on emotional intelligence and pro-social behavior of two-year-old toddlers. A total of 16 sessions were held twice a week for 8 weeks for 28 two-year-old toddlers attending child care in Gyeonggi-do. They were divided into control groups that did not participate in role playing and experimental groups that participated in role playing using picture books. The research results are as follows. First, the experimental group that participated in play with role playing using picture books showed significant differences in overall emotional intelligence and subfactors including recognition and expression of self emotions and emotional control and impulse suppression, the use of self emotion and recognition and consideration of others' emotions, interpersonal relations skills- interpersonal relations skills adult/peers when compared to the control group. Second, the experimental group who participated in the role play using picture books showed significant differences in overall pro-social behavior and subfactors including basic social skills and institutional adaptability, dealing with friendships and feelings, coping with non-aggressiveness and stress when compared the control group. Therefore, the results of this study indicated that role playing using picture books have a positive effect on the development of emotional intelligence and pro-social behavior of two-year-old toddlers. 본 연구는 그림책을 활용한 역할놀이가 만 2세 영아의 정서지능과 친사회적 행동에 어떠한 영향을 미치는지 알아보고자 하였다. 경기도에 있는 어린이집 만 2세 영아 28명을 대상으로 그림책을 활용한 역할놀이에 참여하지 않은 통제집단과 역할놀이를 실시한 실험집단으로 나누어 실험집단에게 주 2회씩 8주 동안 총 16회의 그림책을 활용한 역할놀이를 실시하였다. 연구결과는 다음과 같다. 첫째, 그림책을 활용한 역할놀이에 참여한 실험집단이 통제집단보다 정서 지능 전체와 하위요소인 자기정서의 인식과 표현, 감정조절과 충동억제 및 자기정서의 이용, 타인 정서의 인식과 배려, 대인관계기술-성인과 대인관계기술-또래에서 통계적으로 모두 유의미한 차이를 보였다. 둘째, 그림책을 활용한 역할놀이에 참여한 실험집단이 통제집단에 비해 친사회적 행동 전체와 하위요소인 사회생활 기본능력과 기관적응능력, 친구관계다루기와 감정다루기, 비공격적으로 대처하는 것과 스트레스 다루기에서 통계적으로 모두 유의미한 차이를 보였다. 이러한 결과를 통해 그림책을 활용한 역할놀이는 만 2세 영아의 정서지능과 친사회적 행동에 긍정적인 영향을 미치는 것으로 나타났다.

동영상 제작 및 활용을 통한 입원생활안내 효율화

김상아,김필자,신형신,심영경,유지인,박은애,한상숙,김혜영,우선애,김지영 한국의료QA학회 2007 가을학술대회 Vol.2007 No.3

병원간호사의 재직의도에 영향을 미치는 요인 : 진정성 리더십과 간호조직문화를 중심으로

박현정,김필자,이혜영,신윤정,오경환,이태화,성정순,홍은영 병원간호사회 2019 임상간호연구 Vol.25 No.1

Purpose: The purpose of this study was to examine the relationships of authentic leadership and nursing organizational culture to the intention of hospital nurses to stay in their current position. Methods: The participants of this study were 503 nurses in 8 hospitals. We collected data using questionnaires for assessing authentic leadership, nursing organization culture and intention to stay. For data analysis, t-test, ANOVA, Cronbach's ⍺, Pearson's correlation coefficient, Tukey test, Multiple regression were performed using SAS ver.9.4 (SAS Institute Inc., Cary, NC, USA). Results: Authentic leadership(β=.12, p=.008) and relation-oriented culture (β=.13, p=.009) affected the intention of the hospital nurses to stay. These variables accounted for 29% of the variance in the intention to stay among hospital nurses. Conclusion: The finding of this study shows that the authentic leadership and nursing organizational culture especially relation-focused can influence nurses’ intention to stay in their current position. For retaining nurses, it is suggested to use an authentic leadership training program for nursing leaders and to make efforts to establish a relation-focused culture in the hospital.

개심술 환자를 위한 간호 정보 제공 도구 개발

이선미,김필자,허윤정,김현숙,이선희,조정숙,전경혜,강세원,장윤경,안정연,김조자 병원간호사회 2000 임상간호연구 Vol.5 No.2

피혁제조 산업장의 작업환경실태에 관한 조사 연구

조윤숙,문덕환,김필자,안진홍,김영기,손병철,김대환,이창희,김휘동,이채언 인제대학교 백병원 2002 仁濟醫學 Vol.23 No.5

Objective: This study was aimed to prepare the fundamental data on the exposure level of physical agents and hazardous materials originated from in the leather manufacturing industry to identify potential factors capable of causing worker's health problems. Method and Materials: Subjects related to this study consist of 50 leather manufacturing factories located in Busan area from Feb. 1. 2000 to Dec. 31. 2001 Results: Potentially hazardous chemical substances and physical agents originated from the leather manufacturing industry were noise, dust, chromium, eight organic chemical substances, and three specific chemical substances, buffing and setting process were exceeded Threshold Limit Values-Time Weighted Average(85 dBA) recommended in American Conference of Governmental Industrial Hygienists. The exposure level for chromium in dyeing process was higher than that of other processes. Organic solvents capable of causing health problems were originated from the painting and coating process. Exposure level for chromium and organic solvents were not exceeded in each permissible exposure level established in Korea. Conclusion: As a result, a wide variety of hazardous materials related to occupation were originated from the leather manufacturing industry. The author suggests that more positive work environment management program should be required to identify factors relative to occupational health problems.

일대학병원의 모유수유지지 프로그램이 완전모유수유에 미치는 효과

손귀득,엄희경,김필자,김은정 경북대학교 간호혁신연구소 2012 경북간호과학지 Vol.16 No.1

.

암환자에게 제공된 다빈도 간호중재 분석 : 5개 종합병원을 중심으로

문경희,안미정,김필자,박정연,김명애,박인숙,배수현,이소정,권인각,김소선 병원간호사회 2009 임상간호연구 Vol.15 No.1

Purpose: The purpose of this study was to identify nursing interventions frequently used with cancer patients. Nursing records from 5 general hospitals for patients with stomach, liver, lung or colon cancer were analyzed. Method: A descriptive study methodology was used and nursing records for 15 patients in each disease category at each hospital, who were admitted and discharged during June 2007 were analyzed. Results: Five domains of NIC were found and the physiological(basic) domain was most frequent (31.52%). Twenty two classes of NIC were identified with risk management for safety being most frequent (22.49%). For the 119 nursing interventions identified, the most frequent was pain management with 7,827 (12.31%), followed by prevention of falls (11.76%), surveillance (6.79%) and wound care (5.12%). Nursing activities of pain management and prevention of falls were comparable to activities listed in literature on guidelines for evidence based and best practices in nursing care. Eight of the 17 nursing activities for pain management, and 9 of 14 for fall prevention were consistent with these guidelines. Conclusion: In this study, nursing interventions were found to be focused on physical care, monitoring patients' condition and education. We have to develop diverse nursing interventions and a convenient recording process.

제조업 산업장의 유기용제 노출에 관한 연구

문덕환,김정하,김필자,박명희,황용식,이채관,이창희 한국산업위생학회 2001 한국산업보건학회지 Vol.11 No.3

Objective : For the purpose of preparing the fundamental data and health promotion and control program on organic solvents in air of manufacturing industry. Methods : The author surveyed number of organic solvent components which was used in working site and also determined the organic solvents concentration in air of 927 manufacturing industries and 1,267 working process with gas chromatography(NIOSH manual) for five years from 1995 to 1999. Results : Mean numbers of solvents components by type of industry, working process was number of 12. There were exceeded to TLV of 1,2-dichloroethane in textile manufacturing industry N,N-dimethyl furan in tanning and dressing of leather ; luggage, handbags, saddlery, harness and footwear manufacturing industry and chemical and chemical product manufacturing industry by type of industry. There were exceeded to TLV of 1,2-dichloroethane in handwriting and drawing process, cellosolove in adhesive spreading process, N,N-dimethly furan in production of solvent process and adhesion process by working process. Total exceeded rate to threshold limit values of organic solvents mixture were 12.9% for EI(Exposure index) and 10.0% for Em(Estimation of mixture) by type of industry, 11.3% for EI and 8.2% for Em by type of working process. The highest exceed rate was 36.7% for EI in tanning and dressing of leather ; luggage handbags, saddlery, harness and footwear manufacturing industry and 29.0% for Em in textile manufacturing industry. the highest exceeded rate was 23.1% for EI and 12.5% for Em in adhesive spreading process by working process. Mean values of total subjects by type of industry and type of working process were 0.7±1.8 for EI and 0.7±1.7 for Em respectively. Conclusions : As above results, the author suggest that it makes the environmental control program on 1.2-dichloro-ethane, N,N-dimethyl furan, cellosolve by kind of organic solvent and on textile manufacturing industry, tanning and dressing of leather ; luggage, handbags, saddlery harness and footwear manufacturing industry by type of industry, and on handwriting, drawing process and adhesive spreading process and adhesion process by type of working process.