지연 진단된 외상성 횡격막 손상 1예

박선욱 ( Seon Wook Park ),김철홍 ( Cheol Hong Kim ),김지연 ( Ji Youn Kim ),이승화 ( Seung Hwa Lee ),김용욱 ( Young Wook Kim ),현인규 ( In Gyu Hyun ),신호승 ( Ho Seung Shin ) 대한결핵 및 호흡기학회 2009 Tuberculosis and Respiratory Diseases Vol.66 No.3

지역사회 거주 노인의 자살위험 예측요인에 관한 연구

박선욱(Seon-Wook Park),윤숙례(Sook-Rye Yoon),정의남(Eui-Nam Chung),장지혜(Ji-Hye Jang) 한국노년학연구회 2018 한국 노년학연구 Vol.27 No.1

자살률은 대다수 문화권에서 공통적으로 고령일수록 더 높게 나타나는데, 노인들의 자살은 우울증과 밀접한 관계를 보인다. 노인들의 자살 의도나 우울증에 영향을 미치는 요인들은 다양하지만, 가장 보편적인 요인은 건강상태의 지각이나 재정적인 어려움, 또 가족 등 가까운 사람들과의 관계의 질이다. 본 연구는 지역사회에 거주하는 노인들을 대상으로 그 요인들이 자살위험을 실제로 잘 예측해주는지를 살펴보는 것이었다. 기대한 바처럼 주관적 건강지각이 자살위험을 예측해주는 가장 강력한 요인으로 드러났고, 가족과의 관게의 질도 그 뒤를 이었다. 그러나 남성과 여성의 자료를 분리하여 분석한 결과는 다르게 나타났으며, 그 결과들은 사회적 지원의 맥락에서 논의했다. The suicide rate among senior populations is much higher than any other age groups in most advanced societies, and depression and risk for elderly suicide is closely related. There are a number of risk factors for depression and/or suicidal ideation in older adults, the most prevalent factors for them would be self-perceived health status, financial difficulty, and quality of relationships with intimate people such as family members. This study was to examine whether the factors would be the potential predictors for suicidal risk with the community dwelling older adults. As expected, the most powerful predictor was the self-perceived health status, and the quality of relationships was followed by it. However, there found different findings when data were analysed separately by gender, and the findings were discussed in the context of social support or networks.

간호대학생의 학습성과 달성을 위한 지역사회간호학 실습운영 방안

양경희(Kyung Hee, Yang),최영애(Young Ae, Choi),박선욱(Seon Wook, Park),부윤정(Yun Jeong, Boo),송명희(Myeoung Hi, Song) 한국간호연구학회 2020 한국간호연구학회지 Vol.4 No.3

Purpose : This study was conducted to identify qualitative and efficient clinical practice operation plans by understanding and improving the operational conditions and difficulties of community health nursing practice courses. Methods : This study used a mixed research method that applied triangle design. The data of survey research were collected from 45 professors in charge of community health nursing at colleges and universities. In Focus Group Interview(FGI), 9 community health nurses participated for qualitative data collection. Results : The program learning outcomes linked to the community health nursing subject were the recognition of changes in health and medical policy at domestic and abroad, the integration of liberal knowledge and major knowledge, and the application of nursing process based on critical thinking in many universities. The core basic nursing skills related to the subjects were many in blood sugar measurement, vitality measurement and CPR. Difficulties in clinical practice were identified as appointment of the practical instructors, the selection of a clinical field educators, lack of communication with the university, non-payment of field instructor, and personal expenses of students. Conclusion : Administrative and financial support is needed for operational conditions of practice courses, and cooperation is necessary to increase the field adaptability after graduation.

치매예방 전문강사 교육프로그램이 간호대학생의 치매인식, 태도 및 예방교육 요구도에 미치는 영향

정명순(Myeong Soon, Jung),윤숙례(Sook Rye, Yoon),박선욱(Seon Wook, Park),이애영(Ae Young, Lee),장지혜(Ji Hye, Jang) 한국간호연구학회 2021 한국간호연구학회지 Vol.5 No.3

Purpose : This study was attempted to apply the dementia prevention instructor education program to nursing students and to investigate the effects on the nursing students’ perception, attitude and needs for dementia prevention education. Methods : This study used a one group, pretest-posttest design. There were nursing students from G city enrolled in this study, and self-reported questionnaires were collected between September 16 and October 28, 2020. The prevention of dementia instructor program was applied for 4 hours / session for 48 hours, using a 12 session. The data were analyzed by frequencies, paired t-test, and Pearson’s correlation using SPSS Win 23.0. Results : The results showed that there was a significant difference in the perception of (t=-2.20, p=.040) and attitude toward dementia (t=2.49, p=.022) and needs of dementia-prevention education (t=-2.23, p=.038). After the prevention of dementia instructor program, perception of dementia was found to be positively correlated with attitude toward dementia (r=.45, p<.049). Conclusion : Dementia prevention instructor education program is effective in raising nursing students’ perception and attitude toward dementia and dementia prevention. Therefore, it is recommended to implement the dementia prevention program through regular or non-regular subjects.

요양병원 간호사의 일터학습과 직무만족이 노인간호실천에 미치는 영향

윤숙례(Yoon, Sook-Rye),정의남(Chung, Eui-Nam),박선욱(Park, Seon-Wook),정명순(Jung, Myeong-Soon),고가연(Ko, Ga-Yeon),장지혜(Jang, Ji-Hye) 한국노년학회 2017 한국노년학 Vol.37 No.3

본 연구는 노인간호의 질 향상을 위해 일터학습, 직무만족 및 노인간호실천 정도와 변수 간의 관계를 확인하여 노인간호실천에 영향을 미치는 요인을 규명하는 데 목적을 두고 있다. 9개 요양병원 간호사 146명을 대상으로 2016년 5월 1일부터 6월 30일까지 설문지를 이용하여 자료 수집하였고, SPSS/WIN 20.0 프로그램을 이용하여 자료를 분석하였다. 일반적 특성에 따른 일터학습, 직무만족, 노인간호실천의 차이는 t-test, ANOVA, 사후 검정은 Scheffè test를 이용하였고, 일터학습, 직무만족, 노인간호실천 간의 상관관계는 Pearson’s correlation, 노인간호실천에 대한 영향요인을 확인하기 위해 multiple linear regression으로 분석하였다. 연구결과 요양병원 간호사의 일터학습은 평균 3.99점(6점), 직무만족은 3.03점(5점), 노인간호실천은 3.38점(4점)이었으며, 일반적 특성 중 근무형태에 따라 노인간호실천에 통계적으로 유의한 차이가 있었다. 노인간호실천은 일터학습의하위영역인 우연적 학습 및 직무만족과 통계적으로 유의한 양의 상관관계가 있음이 확인되었고, 다중회귀분석 결과 노인간호실천에 영향을 미치는 요인은 근무경력, 주간근무, 직무만족이었으며, 설명력은 20%였다. 본 연구를 통해 직무만족을 높이는 것이 노인간호실천을 향상시킬 수 있음을 확인하였으므로, 요양병원 간호사의 직무만족을 높이는 방안에 대한 논의가 필요할 것으로 보인다. 또한 요양병원 간호사를 대상으로 노인간호실천을 위한 일터학습과 직무만족에 대한 연구가 부족하므로 후속 연구를 제언한다. This study aimed to identify workplace learning, job satisfaction and geriatric nursing practice, find the correlations between each variable, and investigate affecting factors on geriatric nursing practice. Subjects were 146 nurses in 9 long-term care hospitals including G City, and data were collected from May 1, 2016 through Jun. 30, 2016. Data analysis included independent t-test, one-way ANOVA, Pearson’s correlation coefficient and multiple regression using the SPSS/WIN 20.0 program. The results showed that the correlations between each variable showed that incidental learning, a subregion of workplace learning (r=.20, p=.014), and job satisfaction (r=.29, p<.001) had a positive correlation with geriatric nursing practice, respectively. The affecting factors on geriatric nursing practice were job satisfaction, daytime working and nursing experience, and the explanatory power of the model was 20%(F=4.91, p<.001). Based on the results, job satisfaction should be increased to improve the quality of nursing in long-term care hospitals and various methods might be discussed to improve the job satisfaction. Daytime working was suggested one factor on geriatric nursing practice because nursing was provided mainly during daytime, and nursing experience was also one factor on geriatric nursing practice, so highly experienced geriatric nurses could provide high quality elderly patient care.

중환자실에 입원한 세균성 폐렴환자에서 반정량적 procalcitonin 검사의 유용성

이승화,김철홍,김지연,박선욱,김용욱,현인규,우흥정,김현수 대한감염학회 2009 감염과 화학요법 Vol.41 No.6

Background : In pulmonary infection, serum procalcitonin levels increase rapidly, probably in response to sepsis-related cytokine release from neuroendocrine cells of bronchial epithelium and inflammatory cells. We applied procalcitonin assay in critically ill patients with bacterial pneumonia. Materials and Methods : Patients admitted to the intensive care unit (ICU) and show diffuse infiltrations in their chest X-ray were included. Quantitative bronchoalveolar lavage (BAL) culture (≥10⁴ CFU/mL) was performed in all cases on the 5^(th) day of ICU admission. We excluded patients with structural lung disease, non-infectious lung infiltrations, and atypical infections such as Mycobacterium tuberculosis, Pneumocystis jiroveci, and viruses. Serum procalcitonin levels were measured semi-quantitatively by using PCT-Q kit. Results : A total of 28 adult patients (M:F=23:5) were included: 11 (39.3%) medically-ill patients, 7 (25%) surgically-ill patients, and 10 (35.7%) burn patients. Serum procalcitonin level was <0.5 ng/mL in half of the cases (14/28) and ≥0.5 ng/mL in the remaining half of the cases. Compared to those with serum procalcitonin level of <0.5 ng/mL, patients with serum procalcitonin level of ≥0.5 ng/mL had more frequent mechanical ventilation, higher CRP/APACHE II scores/number of organ failure (P<0.05), and showed increased tendency for death (P=0.052). Positive bacterial BAL cultures were noted in 17 cases (60.7%). Of these, 7 cases (41.2%) showed serum procalcitonin level ≥0.5 ng/mL. Conclusions : High serum procalcitonin level seems to be closely associated with the severity and poor prognosis in critically ill patients with bacterial pneumonia. However, pneumonia could not be excluded with low level of procalcitonin among ICU patients.