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당뇨 교육경험이 당뇨 지식과 환자의 역할행위 이행에 미치는영향
김숙희;나명주;홍성란;김진남;유은주 중앙대학교 의과대학 간호학과 간호과학연구소 2006 중앙간호논문집 Vol.10 No.-
This research seeks to examine how the diabetes education influences upon patients' knowledge of diabetes and sick role behavior in Diabetic patient. The research is based on the data from the patients who visited endocrine divisions of university hospitals in Seoul from July 1st to August 7th, 2006. In order to understand the influence of education on diabetes, we divided 138 outpatients into two groups: a group of 92 patients having received education on diabetes and a group of 46 patients without such education First, we examined the influence of diabetes education on patients’ knowledge of diabetes. Next, we looked into the influence of the education on patients' role performance. Finally, we analyzed the correlations between diabetes education and knowledge of diabetes and between the former and patients’ role performance. As a research instrument, we used a questionnaire prepared by Park(1984) and edited by a medical doctor and three nurses. To analyze the demographical characteristics of the subjects, we used the Chi-square test concerning diabetes education. To analyze the relationships between diabetes education and knowledge of diabetes and between the former and sick role behavior in Diabetic patient, we used the t-test. To sum up, the degrees of diabetes knowledge acquired by patient groups with and without diabetes education experiences showed no significant difference(t= 1.151, P> .001). Concernig the relationship between diabetes education experiences and patients’ role performance, the educated group showed significantly better performance than the uneducated group (t=12.49, P <.001).
Ahn, Myung-Ju,Choi, Jung-Hae,Shim, Sung-Gon,Na, Kyoung-Sun,Kim, Think-You,Bae, Sang-Cheol 대한조혈모세포이식학회 2002 대한조혈모세포이식학회지 Vol.7 No.2
Systemic sclerosis (SSc) is a devastating systemic disease with diffuse scleroderma and visceral organ involvement is associated with high morbidity and mortality. Autologous hematopoietic stem cell transplantation (AHSCT) has been developed as a potential treatment for autoimmune disease based on the animal model and clinical evidence. Here, we report a case of 31-year-old patient with rapidly progressive diffuse scleroderma successfully treated with autologous HSCT. Peripheral blood stem cells were mobilized with cyclophosphamide (CTX, 3 g/㎡), followed by granulocyte-colony stimulating factor (G-CSF, 5μg/kg/day). The CD34 positive selected numbers were 4.33×10^(6) cells/kg. Conditioning regimen was high dose CTX (total dose 200 mg/kg) and antithymocyte globulin (ATG, total dose 90 mg/kg). The patient tolerated this regimen well with manageable toxicity. The neutrophil count (>500μ/L) was recovered by day 9. Only transient thrombocytopenia occurred on day 4. Two months after HSCT, the patient's total skin score was decreased by 55% accessed by the modified Rodnan skin thickness score (from 27 to 12). The health-related quality of life, which was measured by Korean Short Form Health Survey-36 (KSF-36) and EuroQol-5 Dimensions (KEQ-5D), was improved. And the functional disability, which was assessed by the Korean Health Assessment Questionnaire-20 (KHAQ-20), also showed an improvement.
난치성 전신성 홍반성 루푸스 환자에 대한 자가조혈모세포이식
나경선 ( Kyoung Sun Na ),최정혜 ( Jung Hae Choi ),유대현 ( Dae Hyun Yoo ),김신규 ( Think You Kim ),안명주 ( Myung Ju Ahn ),배상철 ( Sang Cheol Bae ) 대한류마티스학회 2003 대한류마티스학회지 Vol.10 No.2
Objective: To determine the safety and efficacy of immune ablation followed by autologous hematopoietic stem cell transplantation (HSCT) in refractory systemic lupus erythematosus (SLE). Methods: Three patients who had been refractory to steroid and one or more immunosuppressive drug were included. Peripheral blood stem cells were mobilized with cyclophosphamide (CTX, 3 g/m2), followed by granulocyte-colony stimulating factor (5μg/kg/day). T lymphocytes were depleted from the graft by selection of CD34 positive cells. Conditioning regimens composed of high dose CTX (total dose 200 mg/kg) and anti-thymocyte globulin (total dose 90 mg/kg) in 2 patients and BEAM (BCNU 300 mg/m2, etoposide 200 mg/m2, cytarabine 200 mg/m2, melphalan 200 mg/m2) in 1 patient. Stored stem cells were reinfused 48 hours after conditioning. Results: Among 3 patients, first patient had lupus nephritis, second patient had overlap syndrome combined with rheumatoid arthritis (rhupus) and the last patient had severe thromobocytopenia and intractable polyserositis. No life threatening complications were observed during the treatment. All patients demonstrated rapid and marked improvement in organ function and quality of life just after HSCT. Previous massive proteinuria in first patient was decreased to less than 500 mg/day with 6 months follow up. Rhupus patient satisfied American college of rheumatology 70% response criteria with 3 months follow up. But third patient improved polyserositis dramatically 1 month after HSCT and relapsed at 9 weeks. Conclusion: In refractory SLE patients, HSCT can be performed safely with marked improvement and sustained withdrawal of all immunosuppressive medication. A further randomized trial is needed to confirm the efficacy and durability of remission.
Bourdieu의 다차원적 자본 관점으로 바라본 1인가구: 사회자본과 문화자본의 중요성에 관하여
김수영,강명주,나수빈 비판과 대안을 위한 사회복지학회/ 건강정책학회 2022 비판사회정책 Vol.- No.75
1인가구가 현대사회의 새로운 전형으로 부상함에 따라 관련하여 다양한 논의들이 진행되고 있다. 학계는 경제적으로 취약한 1인가구를 주요 정책대상으로 간주하고 이들이 겪는 어려움을 드러내는 데 집중해왔으며, 미디어는 골드미스, 골드미스터로 불리는 경제적으로 여유로운 1인가구를 트렌드세터이자 새로운 소비주체로 그려왔다. 그러나 경제적 측면만 고려했을 시, 1인가구의 일상을 좌우하는 사회적 관계망과 문화적 역량을 간과하게 될 우려가 있다. 이에 본 연구는 인간의 자원을 경제자본, 사회자본, 문화자본으로 세분한 Bourdieu의 다차원적 자본의 관점을 토대로, 저소득층에서 고소득층에 이르는 1인가구 22사례의 각 자본의 수준과 내부구조 및 상호역동을 분석했다. 연구결과, 경제적으로 여유로운 1인가구 중에도 사회자본·문화자본이 열악한 사례들이 있는 반면, 경제적으로 취약한 1인가구라도 사회자본·문화자본이 높은 사례들이 존재했다. 이러한 사회자본·문화자본의 수준은 1인가구의 삶의 질과 만족에 상당한 영향을 미치고 있었다. 분석내용을 토대로 경제자본과 더불어 사회자본과 문화자본이 1인가구의 삶에서 갖는 중요성을 확인하면서 이에 걸맞는 사회복지적 대안을 모색하였다.
음악요법이 위내시경 대상자의 검사전 불안에 미치는 효과
박경숙,나명주 성인간호학회 2003 성인간호학회지 Vol.15 No.2
This study examined the effect of music therapy on the pre-exam of gastroscopy clients. Method: The research period is from June 17 2002 to August 30 2002, and the subjects were 60 individuals, 30 for the experimental and 30 for the control group among adult clients. The data were analyzed by using the SPSS program. Result: The results of this study were as follows: The score of the experimental group was lower than the score of the control group for the situational anxiety (t=-12.56, p=0.000) and systolic blood pressure (t=-3.97, p=0.000) before the examination was supported. The vital sign was partially supported. There was no significant difference(t=-1.05, p=0.297) in rhe diastolic blood pressure (t=-1.05, p=0.297) and pulse rate(t=-1.30, p=0.199) before the examination of the experimental group and lower than the score of the control group. Conclusion: Music therapy could be useful in the nursing practice, and be utilized as a way of nursing intervention to reduce anxiety of the patients in specific clinical situations. Finally, it is recommended that further studies be conducted on this therapy by utilizing different musical selections.