의료요원의 모유수유에 대한 태도, 신념 침 지식 정도의 비교분석

김혜숙,Kim, Hea-Sook 한국여성건강간호학회 1995 여성건강간호학회지 Vol.1 No.2

A 15-minute questionnaire on breast-feeding was administered to the obstetric and pediatric residents and nurses in metropolitan academic training programs in Korea to assess their attitudes to and knowledge about breast-feeding and their confidence in managing breast-feeding problems. The questionnaires were self-administered and confidential and the participants was 279. Overall, the study participants indicated a supportive attitude toward breast-feeding. Nurses had a highest supportive attitude than obstetric and pediatric residents. Their self-confidence in this area was inappropriately high with 48% of total, 49% of obstetric, 42% of pediatric and 58% of nurses describing themselves as "confident" or "very confident" to manage common breast-feeding problems to compare their knowledge level answering only 46% of the questions correctly. However, nurses who did have continuing education about breast-feeding had significantly high in knowledge level. These health care professionals have extremely limited knowledge of breast-feeding management compared to their reported confidence. To be truly supportive of breast-feeding, health care professionals should receive didactic and clinical training to breast-feeding management.

임부교실 운영효과 분석을 위한 일 연구

김혜숙,최연순,장순복,정재원,Kim, Hea Sook,Choi, Yun Soon,Chang, Soon Bok,Jung, Jae Won 대한간호협회 1995 대한간호 Vol.34 No.3

The purpose of this study is to provide basic data regarding effective learning opportunities in childbirth education classes. Also analysis of the data indicates the optimum conditions for the welfare and improvements in the promotion of health in childbearing mothers. The results of this study are as follows; 1) The average age of the subjects in this study was 30.6 years and the total number of subjects was 58 pregnant women. The average number of children was one and 84.5% of the subjects were unemployed even though 63.8% of them held over bachelor's degrees. It was found that 22.4% of the subjects were living in an extended family. Also 61.5% of them were living with parents-in-law. The number of pregnancies were calssified as one, two, or three to nine times with the percentages of 58.7%, 22.4% and 18.9%, respectively. Further, 72.4% of the subjects had no abortion experience and 15.5% had one aborion experience. While 89.7% of the subjects planned to feed their babies with breastmilk, mixed feeding were used by only 22.4% of the sample. These data were collected at about 6 months after delivery. Thus one can see that a low rate of breastfeeding was common. 2) The length of one period of childbirth education is four weeks. It was found that 36.2% of the subjects participated in childbirth education only once, where as 13.8% participated four times and 19% of the subjects participated in this class more than four times. pregnant at least once. Further, 75.9% of the participants were participated in this education through their own will. Their motivation for participation developed through information, advertisement and posters which contained information on childbirth education. Those with unplanned pregnancies 92.9% participated after a suggestion by the nurses. The number of participants in terms of percentage according to the childbirth education contents can be classified as following. The most active participation was shown in preparation of delivery(77.6%), postpartrm management(56.9%) fetal development(37.6%) and physiology of pregnancy(17.2%). It was found that 75.9% of the subjects were willing to participate again if they were given a chance. The reason can be summarized as following: The content of the education is very helpful(47.7%). Scientific knowledge can be obtained through this program(20.5%). Participation helps in achieving psychological stability(9.1%). Participation enables one to establish a friendly relationship with other participants(6.8%) of the sample. 24.1% of the participants did not want to participate again. The reasons can be as following: They do not want another baby(42.9%). The first paricipation in childbirth education gave enough knowledge about childbirth(21.4%). Another reason for not want to participate again was because they had a cesarean birth(14.3%). Only 7.1% of them responded with a negative view. A response that they do not need childbirth education after their operation can be traced back to the general belief that childbirth education is the place where one prepares for natural birth through the Lamaze breathing technique. Of the subjects, 91.4% suggested that this program could be recommended to other childbearing mothers, because this program gave educational content along with psychological stability for childbearing women. Of the subjects 41.4% did not see any efforts towards the welfare of the baby, where as 88.2% did. Among the subjects 58.6% made some effort to eliminate the discomfort of labor by breathing and imagination and breathing and walking. Further 41.7% of the 24 subjects did not do anything toward the welfare of the baby, because they did have a cesarean section so that they didn't have a chance even though they had been educated about childbirth. Also 33.3% of the subjects did not do anything toward the welfare of the baby, because they lacked a willingness. After leaving the hospital, only 75.9% of the subjects did some exercises. The su

산부의 가족분만참여 요구

김혜숙(Hea Sook Kim),최연순(Yun Soon Choi),장순복(Soon Bok Chang),전은미(Eun Mi Jun),정재원(Chae Weon Chung) 여성건강간호학회 1993 모자간호학회지 Vol.3 No.1

부아 (父兒) 애착 : 문헌고찰 및 비평

김혜숙(Hea Sook Kim) 여성건강간호학회 1992 모자간호학회지 Vol.2 No.1

간호사가 인식하는 간호본질에 대한 탐색적 연구 - 환자중심 병원서비스 전략구축을 위한 기초단계

서문자,김혜숙,김금순,임난영,김귀분,성옥희,주혜주,Suh, Moon Ja,Kim, Hea Sook,Kim, Kuem Soon,Lim, Nan Young,Kim, Kwuy Bun,Sung, Ok Hee,Ju, Hee Joo 대한간호협회 1996 대한간호 Vol.35 No.1

Reacently one the main issues has been to develop useful strategies to improve hospital services for patients in the health care delivery system in our rapidly changing society. This study has focused on exploring the perceptions that the clinical nurses have concerning who they are and what they are going to become in the days ahead as medical care reaches a new stage of advancement centered around the patient and hospital services. This study in also based upon the premise that the role of the clinical nurse practitioner. is central to the progress of any patient centered nursing program. This study was carried out by the members of the academic committee of Seoul Branch of Korean Nurses Association from January 1995 to February 1995. The interview method was a semi-structured questionnaire used to collect data from 25 staff nurses who were working more than 3 years at 3 different university hospitals in Seoul. The 6 interviews were selected from each hospital and they were trained for the interviewing techniques. The data were analysed qualitatively and 10 elements of the nurse's responsibilities classified such as caring for the patients (which includes specific medical care as well as general); assessing; diagnosing; coordinating with other health personnel; careful listening; teaching and the patient guiding; administering the prescriptions; giving information and counseling the patient; ward management. Although the premise of this study was based on a wholistic concept, the overall behavioral aspects of hospital clinical nursing were the major thrust of the questionnaire. Broad philosophical questions regarding the nature of nursing need to be further explored. The data gathered for this questionnaire should be useful as a reenforcement tool in educating nursing students as well as in continuing education for clinical nurses. For the future, another study should be done to determine the nursing/patient relationship.

Aprotinin을 투여한 개심술 환자에서 Kaolin과 Celite Activator를 이용한 Activated Coagulation Time(ACT) 측정의 비교

김정택,선경,이춘수,백완기,조상록,김현태,김혜숙,박현희,김광호,Kim, Joung-Taek,Sun, Kyung,Lee, Choon-Soo,Baik, Wan-Ki,Cho, Sang-Rock,Kim, Hyun-Tae,Kim, Hea-Sook,Park, Hyun-Hee,Kim, Kwang-Ho 대한흉부심장혈관외과학회 1998 Journal of Chest Surgery (J Chest Surg) Vol.31 No.9

개심수술에서 Aprotinin에 의한 ACT가 연장되는가를 알아보기 위해 서로 다른 표면 촉매제인 kaolin (K-ACT)과 celite(C-ACT)를 이용하여 동시에 측정 비교하였다. 개심수술을 받은 22명의 성인을 대상으로 하여 Hemocron 8000 system을 이용하여 동시에 ACT를 측정 하였는데 aprotinin과 heparin 투여 전(Phase I), Aprotinin투여 후 heparin 투여 전(Phase II), heparin투여 5분 후(Phase III), haparin투여 30분 후(Phase IV), heparin투여 60분 후(Phase V), heparin투여 90분 후(Phase VI), protamin투여 30분 후(Phase VII)에 각각 측정하였다. Phase I, II, III에 두 군간에 차이가 없었으나 heparin투여 30분 후에는 C-ACT가 928$\pm$400초 K-ACT가 572$\pm$159초였고 60분 후에는 C-ACT가 888$\pm$254초 K-ACT가 535$\pm$186초 90분 후에는 C-ACT가 686$\pm$141초 K-ACT가 484$\pm$54초로 K-ACT에 비해 C-ACT가 통계학적으로 의의있게 증가하였다. 그러나 protamin투여 후에는 C-ACT가 137$\pm$26초 K-ACT가 139$\pm$28초로 두군간에 차이가 없었다. 이상의 결과에서 aprotinin투여 후 ACT는 연장이 되는 것이 아니라 activator로 celite를 사용했기 때문인 것으로 생각된다. 결론적으로 aprotinin을 투여한 개심수술에서 정확한 ACT수준을 측정하기 위하여 celite activator보다 kaolin activator를 사용해야 하며 heparin은 보통용량을 투입하여야 할 것으로 생각된다. Background: High-dose aprotinin has been reported to enhance the anticoagulant effects of heparin during cardiopulmonary bypass ; hence, som authors have advocated reducing the dose of heparin in patients treated with aprotinin. Material and Method: The ACT was measured before, during and after cardiopulmonary bypass, with Hemochron 801 system using two activators of celite(C-ACT) and kaolin(K- ACT) as surface activator. From June, 1996 to February, 1997, 22 adult patients who were scheduled for elective operation were enrolled in this study. Result: The ACT without heparin did not differ between C-ACT and K-ACT. At 30 minutes after anticoagulation with heparin and cardiopulmonary bypass, the average C-ACT was 928${\pm}$400 s; K-ACT was 572${\pm}$159s(p<0.05). After administration of protamine, C-ACT was 137${\pm}$26 s; K-ACT was 139${\pm}$28s, which were not statistically significant. Conclusion: Our results showed that the significant increase in the ACT during heparin- induced anticoagulation in the presence of aprotinin was due to the use of celite as surface activator, rather than due to enhanced anticoagulation of heparin by aprotinin. We conclude that the ACT measured with kaolin provides better monitoring of cardiac surgical patients treated with high dose aprotinin than does the ACT measured with celite. The patients treated with aprotinin should receive the usual doses of heparin.

타액이 편평상피세포암(SCC)과 갑상선기능검사에 미치는 영향

조만익 ( Man Ick Cho ),문기춘 ( Ki Choon Moon ),김혜숙 ( Hea Sook Kim ) 대한임상검사과학회 2004 대한임상검사과학회지(KJCLS) Vol.36 No.2

Squamous cell carcinoma(SCC) associated antigen is a subfraction of TA-4, a tumor-associated antigen first described by Kato and Torigoe in 1977. TA-4, obtained from squamous cell carcinoma cancer tissue of the uterine cervix, has been characterized as a glycoprotein with a molecular weight of approximately 45,000 daltons. SCC antigen has been studied in other squamous cell malignancies including lung, esophagus, head and neck, anal canal, and skin. SCC antigen is shed naturally through sweat, saliva and other body fluids. Contamination of specimens, tray, bead dispenser or other accessories with sweat, saliva or aerosols can cause falsely elevated values. To reduce the possibility of contamination, gloves should be worn in all phases of assay preparation, and when handling specimens, accessories or reagents that will be used in SCC and Thyroid function test(TFT).

치과대학 생활만족도를 통해 본 학사편입학제도의 타당성 조사 연구

박광균(Kwang Kyun Park),이승종(Seung Jong Lee),김 선(Sun Kim),김혜숙(Hea Sook Kim) 한국의학교육학회 2002 Korean journal of medical education Vol.14 No.1

The purpose of this study is to examine the validity of the College of Dentistry transfer system. The study focused on the correlation between entree examination results and class achievement of transfer students and double major students, grades difference according to school year and their major of previous schools. Also, there was the comparison of school life satisfaction among the transfer students, double major students and ordinary students of dentistry school. The result of the research is as follows; First, there was no significant relation between the entree examination results and class achievement of transfer students and double major students, suggesting the entree examination results cannot be a reasonable prediction for class achievements. Second, there was no significant difference in the grades according to school year and their major of previous schools, showing that students can well adjust themselves no matter what their majors are. Third, there was a significant difference in transfer and double major students grades, and showed higher achievement as their school year passed. Fourth, the transfer and double major students were more satisfied in school life than the ordianry students. On the basis of the above findings we can conclude the transfer student system of college of dentistry was successful, but needs some improvements in such as student selection, welfare facilities and school culture.

음악요법이 산부인과 수술환자의 활력징후와 마취회복 및 동통에 미치는 영향

김혜숙,이철갑,정혁,김기순 조선대학교 부설 의학연구소 2002 The Medical Journal of Chosun University Vol.27 No.1

Background and Purpose: The purpose of this study was to prove the effect of music therapy on anesthetic recovery, vital signs and pain control for postoperative patients in the recovery room as a nursing intervention. Methods: We compared 35 experimental groups who received music therapy with 35 control groups. All of the subjects were obstetric and gynecological operation patients. The experimental and control groups were observed for the level of anesthetic recovery (PAR score), the frequency of supplement analgesic use for pain control, and vital signs at arrival and after 15, 30, 60 minute in recovery room. Statistical data analysis using repeated measures ANOYA and x^2-tests were performed. Result; Vital signs did not show a significant difference when comparing the two groups except for the respiration rate. For anesthetic recovery, there were significant changes in respiration state in the experimental group compared to the control group. The frequency of analgesics administration was significantly reduced in the experimental group compared to the control group by music therapy. The 63 % of the experimental group responded comfortably and peacefully in subjective feelings. Conclusion: This study showed the effects o3 music therapy, which applied to helping postoperative patients recover from anesthesia and reducing the frequency of supplement analgesic use for pain. It is recommended to apply music therapy right after surgery in the recovery room as a nursing intervention if a patient wants.

쉘링과 근대 합리론

김혜숙 건국대학교 1989 論文集 Vol.29 No.2