여성 류마티스 관절염 환자의 피로 관련 요인

서길희,권영은,Suh, Gil-Hee,Kwon, Young-Eun 대한근관절건강학회 2007 근관절건강학회지 Vol.14 No.1

Purpose: The purpose of the study is to investigate the degree of fatigue and its related factors in women with rheumatoid arthritis. Method: The subjects were 143 patients with rheumatoid arthritis. Data were collected by questionnaires including Multi-Dimensional Assessment of Fatigue(Tack, 1991), Korean Health Assessment Questionnaire(Bae et al., 1991), numeric scale of pain(Lee & Song, 1987), Center for Epidemiologic StudiesDepression, and Korean Sleep Scale(Oh, et al., 1998). The data were analyzed by SPSS WIN 12.0 program using descriptive statistics, Pearson Correlation, and Stepwise Multiple Regression. Result: The result were as follows. 1. The scores of fatigue of subjects averaged $4.95{\pm}1.83$, degree of fatigue was $5.85{\pm}1.98$, and influence of fatigue was $4.04{\pm}2.09$. 2. The mean score of the degree of physical dysfunction, pain, sleep disorder, and depression were $1.42{\pm}0.38,\;8.15{\pm}3.58,\;1.86{\pm}0.67,\;and\;1.85{\pm}0.46$ points respectively. 3. The subject's total fatigue score, physical dysfunction, pain, sleep disorder, and depression was correlated positively(r=.44, r=.28, r=.29, r=.27, p< .01). 4. The main influencing factors on the fatigue were physical dysfunction and sleep disorder. These two main variables made it possible to explain 23.0% of the variance in fatigue. Conclusion: Therefore, nursing interventions for fatigue experienced women with rheumatoid arthritis would be focused to decrease physical dysfunction and sleep disorder.

측정도구와 방법에 따른 간절혈압측정치의 비교연구

서길희(Suh Gil Hee) 기본간호학회 1994 기본간호학회지 Vol.1 No.1

국립병원 간호사의 직무만족과 관련요인 연구

서길희(Suh, Gil-Hee),김옥희(Kim, Ok-Hee) 한국보건간호학회 1993 韓國保健看護學會誌 Vol.7 No.2

간호·간병통합서비스병동 간호사의 자기효능감과 안전문화인식이 환자안전간호활동에 미치는 영향

김영은(Young Eun Kim),서길희(Gil Hee Suh),최선하(Sun Ha Choi),박선아(Sun Ah Park) 위기관리 이론과 실천 2020 Crisisonomy Vol.16 No.4

본 연구의 목적은 간호·간병통합서비스병동 간호사를 대상으로 환자안전간호활동에 미치는 영향을 알아보기 위함이다. 본 연구는 서술적 상관관계 조사연구로 강원도, 충청도, 경기도에 소재한총 5곳의 종합병원에 근무하는 150명의 간호사를 대상으로 하였다. 수집된 자료는 서술적 기술통계, t-test, one-way ANOVA, Mann-Whitney test, Kruskal-Wallis test, Pearson correlation coefficients, 및 hierarchical regression을 이용하여 분석하였다. 연구결과 대상자의 자기효능감과 안전문화인식 수준은3.59점과 3.67점이었으며, 환자안전간호활동 수준은 4.35점이었다. 환자안전간호활동에 미치는 영향요인은 안전문화인식과 자기효능감이였으며, 이중 안전문화인식이 가장 크게 영향을 미치는 것으로나타났다. 본 연구결과를 통해 간호·간병통합서비스병동 간호사의 환자안전간호활동 향상을 위해환자안전문화인식을 높이기 위한 교육프로그램이 필요함을 시사하고 있다. The purpose of this study is to identify factors affecting patient safety management activities among nurses working in comprehensive nursing care units in South Korea. A descriptive cross-sectional study was conducted with 150 nurses recruited from five general hospitals in Gangwon-do, Chungcheong-do, and Gyeonggi-do. The SPSS/WIN 23.0 program was used to analyze descriptive statistics, t-test, one-way ANOVA, Mann-Whitney test, Kruskal-Wallis test, Pearson correlation coefficients, and hierarchical regression. The mean score of self-efficacy and safety culture perception was 3.59 and 3.67, respectively. The mean score of patient safety care management activities was 4.35. The results of a hierarchical regression analysis show that safety culture perception was the greatest influencing factor, followed by self-efficacy. The findings suggest the need of educational programs to enhance nurses’ perception of patient safety culture and promote patient safety management activities for nurses providing comprehensive nursing care.

서울시 남 · 여 환경미화원의 건강실태에 관한 고찰

권영은(Kwon, Young Eun),서길희(Suh, Gil Hee),김규성(Kim, Kyu-Sung),최행지(Choy, Haeng-Gi),정문희(Jung, Moon-Hee) 한국보건간호학회 1993 韓國保健看護學會誌 Vol.7 No.1

중환자실 간호사의 연명의료 태도, 간호스트레스 및 사전연명의료의향서 인식

엄정경(Um, jung-kyung),서길희(Suh, gil-hee),박선아(Park, sunah) 한국생명윤리학회 2018 생명윤리 Vol.19 No.1

본 연구는 중환자실에 근무하는 간호사의 연명의료 태도, 연명의료 간호스트레스 및 사전연명의 료의향서 인식과의 상관관계를 알아보기 위해 중환자실 간호사 127명을 대상으로 서술적 조사연구를 시행하였다. 연구결과 간호사의 연명의료 태도는 3.23점(5점 만점)으로 연명의료에 대해 부정적인 태도에 가까웠으며, 연명의료 간호스트레스는 3.74점(5점 만점)으로 중간수준 이상이었다. 간호사의 사전연명의료의향서 정도는 자신입장인 경우 2.45점(4점 만점), 가족의 입장인 경우 2.63점(4점 만점)으로 간호사 자신이 아닌 가족의 입장에서 사전연명의료의향이 더 높은 것으로 나타났다(t=-5.27, <.001). 간호사의 사전연명의료의향서 인식과 연명의료 간호스트레스는 음의 상관관계가 있는 것으로 나타나(r=-.218, =.014) 사전연명의료의 향이 낮을수록 간호스트레스가 심한 것으로 나타났다. 본 연구 결과는 중환자실 간호사의 사전연명의료의향서 인식과 간호스트레스에 대한 이해를 제공해주며, 이를 통해 중환자실 간호사를 위한 연명의료관련 지침 및 교육 프로그램 개발의 기초자료에 기여할 것으로 본다. 또한 간호사의 연명의료 간호스트레스 감소를 위한 중재개발을 위해 연명의료 간호스트레스에 영향을 미치는 요인들을 파악하는 후속연구가 필요하다. Purpose: The purpose of this study was to investigate the relationship between attitude and stress on life-sustaining treatment and advanced directives awareness among intensive care unit (ICU) nurses. Methods: A cross-sectional survey was used to gather self-reported data from 127 ICU nurses from general hospital. Results: The mean score of the attitude on life-sustained treatment was 3.23 and stress was 3.74. The mean scores of advanced directives awareness were 2.45 from the viewpoint of nurses, while 2.63 from the viewpoint as family members of nurses. The advanced directives awareness of nurses showed negative correlation with stress on life-sustaining treatment (r=-.218, =.014). Conclusion: Based on the result of this study, the nursing education program is necessary in order to help the patients and their family members play a role as a mediator when they sign the advanced directives. Moreover, nursing intervention needs to be developed to analysis the predisposing factors for stress on life-sustained treat meant and reduce the stress.

관절염 자조관리과정이 통증, 피로, 일상활동 어려움, 관절뻣뻣함, 유연성에 미치는 효과

이경숙,최정숙,이은희,서길희,소애영,최선하,Lee, Kyung-Sook,Choi, Jung-Sook,Lee, Eun-Hee,Suh, Guil-Hee,So, Ae-Young,Choi, Sun-Ha 대한근관절건강학회 2007 근관절건강학회지 Vol.14 No.1

Purpose: The purpose of this study was to determine if osteoarthritis patients would benefit in terms of pain, fatigue, difficulty with physical activity, joint stiffness, and flexibility of the joints from a structured self-help program. Method: This self-help program was carried out 2-3 hours once a week for 6 weeks in 2005-2006, and evaluated in one group pretest-posttest pre-experimental design. The subjects of this study who were diagnosed osteoarthritis were recruited at two different Community Health Centers in Kangwon. The subjects who agreed with the purpose of this study and participated both pretest and post-test were 55 patients. Mean age is 63.48 (9.48) years, mean duration of disease is 7.95 (7.66) years. The self-help program was consisted of weekly health contract, exercise, health education, group discussion, group counseling, and recreation. At every meeting, researcher and trained public health nurse evaluated the program, and prepared the next program. The measurement tools were pain rating scale (0-10), fatigue rating scale (0-10), Korean WOMAC (Western Ontario and McMaster University Osteoarthritis) Index, ruler, and goniometer. Results: At the completion of 6 weeks of self-help program, the subjects reported significantly less pain and difficulty with physical activity and more flexibility in both shoulder and knee joints compared to pretest. Conclusion: The self-help program would be helpful on pain, physical activity, and joint flexibility for arthritis patients.

관절염 환자의 운동행위 결정요인

서길희,임난영 대한류마티스 건강전문학회 2000 근관절건강학회지 Vol.7 No.1

The aims of this study were to understand and to predict the determinant factors affecting the exercise behaviors and physical fitness by testing the Pender's health promotion model, and to help the patients with rheumatoid arthritis and osteoarthritis perform the continuous exercise program, and to help them maximize the physical effect such as muscle strength, endurance, and fuctional states and mental effects including self efficacy and qualify of life, and improve the physical and mental wellbeing, and to provide a basis for the nursing intervention strategies. We analyzed the clinical records of 208 patients with rheumatoid arthritis and degenerative arthritis who visited the outpatient clinics at H university hospital in Seoul between October 5, 1999 and October 24, 1999. Data were composed of self reported questionnaire and good of fitness score which were obtained by pedalling the ergometer of bicycle for 9 minutes. SPSS Win 8.0 and Window LISREL 8.12a were used for statistical analysis. 24 Of 54 hypothetical paths were supported in modified model, which was considered as a proper model with improved fat index. The physical fitness was directly influenced by exercise participation behavior and education level, and indirectly by physical fitness, while fatigue, physical disability, pastexercise behavior, life-style, self-efficacy, which explained 20% of physical fitness. The exercise participation were directly influenced by perceived benefits and self-efficacy, and indirectly influenced by life-style, fatigue and physical disability, and directly and indirectly by past exercise behavior, which explained 53% of exercise participation. Exercise score were directly affected by perceived health status, perceived benefits, self efficacy, and past exercise behavior, and were indirectly affected by fatigue, physical disability, and life-style, which explained 50%. Perceived health status were directly influeced by level of education, depression, sleep disorder, and physical disability, which explained 34% of perceived health status. Perceived benefit was directly influenced by fatigue, sleep disorder, physical disability, and life-style, which explained 45% . Perceived barriers was directly influenced by fatigue, sleep disorder, and lifestyle, which explained 9%. Self- efficacy was directly influenced by fatigue, physical disability, past exercise behavior, and level of education, which explained 61%. In conclusion, important variables for physical fitness were exercise participation and level of education, and variables affecting exercise participation were perceived self-efficacy, benefits, and past exercise behavior. Perceived self-efficacy of exercise was a significant predictor of exercise participation. Life-style, fatigue, and physical disability showed direct effects on perceived benefit, perceived barriers, and self-efficacy, and indirect effects on exercise behavior. Therefore, disease related factor should be minimized for physical performance and well being in nursing intervention for patients with rheumatoid arthritis, and plans to promote and continue exercise should be seeked to reduce disability. In addition, Exercise program should be planned and performed by the exact evaluation of exercise according to the ability of the patients and the contents to improve the importance of exercise and self efficacy in self control program, dedicated educational program should be involved.

新生兒의 Apgar値에 影響을 주는 要因分析

洪在雄,徐佶嬉 서울大學校 保健大學院 1982 보건학논집 Vol.19 No.1

This analysis was made on the medical records of 1,925 newborn babies who were born at the Han Yang University Hospital from January 1, 1979 to December 31, 1979. The aim of this analysis is to search for the influencing factors on the Apgar score of the newborn infants. As the possible factors influencing on Apgar score, 26 variables were selected from the hospital records of infant and their mother. The correlations between those variables and Apgar score were analyzed by the stepwise multiple regression analysis. The nominal variables were used as dummy. The findings of this analysis are summarized as follows; 1. All of 26 independent variables explained about 30.8% of variation of the Apgar score. Birth weight, gestational period, delivery type of infant, complication during the pregnancy, frequency of premature births, frequency of prenatal care, total labor time, hemoglobin level of mother, frequency of spontaneous abortions, frequency of induced abortions were statistically significant determinant variables of newborn's Apgar score. These 10 variables explained 29.8% of total variation of Apgar score. 2. The most influencing variable on the newborn's Apgar score is birth weight. It explained about 12 percent variations of the Apgar score. The Apgar score of 17.6 percent of newborn infants with 2,500gm or less birth weight was 3 or less. While the proportion of 3 or less score in newborn infant with birth weight of 2,501 ∼ 3,000gm was only 0.7 percent. 3. The shorter the gestation period of the newborn infants, the lower the Apgar score was explanatory power of independent variable for Apgar score by 5 percent. 4. Apgar score was greatly influenced by the types of deliveries. The proportion of lower Apgar score (0∼3) were 10.5 percent and 7.0 percent among infant delivered by breech or by Ceasarian section, respectively. While this proportion of infant delievered spontaneously was only 1.5 percent. 5. The Apgar score was low among newborns of mothers with antepartum or intrapartum complications. About 22.5% of infants whose mother had suffered from hemorrhage, abruptio placenta or placenta previa had 3 or less of Apgar score. 6. There was significant correlations between Apgar score and mother's experience of premature birth. The more the frequency of premature birth experienced by mother, the lower the newborn's Apgar score os examined. 7. The proportion of infants with low Apgar score was decreased by the increasing the frequency of prenatal care received by their mothers. 8. The proportion of infants with lower Apgar score among those infants whose mother has less than 10gm/dι hemoglobin level was larger than among those whose mother's hemoglobin level was 10 ∼12gm/dι. But these relation was not statististically significant.

Prediction Model of Exercise Behaviors in Patients with Arthritis : by Pender's revised Health Promotion Model

임난영,서길희 대한류마티스 건강전문학회 2001 근관절건강학회지 Vol.8 No.1

The aims of this study were to understand and to predict the determinent factors affecting the exercise behaviors and physical fitness by testing the Pender's revised health promotion model, and to help the patients with rheumatoid arthritis and osteoarthritis perform the continous exercise program, and to help them maximize the physical effect such as muscle strength, endurance, and fuctional status and mental effects including self efficacy and quality of life, and improve the physical and mental well being, and to provide a basis for the nursing intervention strategies. Of the selected variables in this study, the endogenous variables included the physical fitness, exercise score, exercise participation, perceived benefits of action, perceived barriers of action to exercise, activity-related affect(depression) and perceived self-efficacy, interpersonal influences(family support), situational factors(duration of arthritis, fatigue) and the exogenous variables included personal sociocultural factor(education level), personal biologic factor(body mass index), personal psychologic factor(perceived health status) and prior related behavior factors(previous participation in exercise, life-style). We analyzed the clinical records of 208 patients with rheumatoid arthritis and degenerative arthritis who visited the outpatient clinics at H university hospital in Seoul. Data were composed of self reported qustionnaire and mood of fitness score which were obtained by padalling the ergometer of bicycle for 9 minutes. SPSS Win 8.0 and Window LISREL 8.12a were used for statistical analysis. Of 75 hypothetical paths that influence on physical fitness, exercise participation, exercise score, perceived benefits of action, perceived barriers of action to exercise, activity-related affact(depression) and perceived self-efficacy, interpersonal influences (family support), situational factors(duration of arthritis, fatigue), 40 were supported. The physical fitness was directly influenced by life-style, perceived health status, education level, family support, fatigue, which explained 12% of physical fatness. The exercise participation were directly influenced by life-style, education level, past exercise behavior, perceived benefits of action, perceived barriers of action, depression and duration of arthritis, which explained 47% of exercise participation. Exercise score were directly affected by perceived self efficacy, BMI, life-style, past exercise behavior, perceived benefits of action, family support, perceived health status, perceived barriers of action, and fatigue, which explained 70%. Perceived benefits of action was directly influenced by BMI, life-style, which explained 39% perceived barriers of action were directly influeced by Past exercise behavior, perceived health status, which explained 7%. Perceived self efficacy were directly influeced by level of education, perceived health status, life-style, which explained 57%. Depression were directly influeced by past exercise behavior, BMI, life-style, which explained 27%. Family support were directly influeced by life-style, perceived health status, which explained 29%. Fatigue were directly influeced by BMI, life-style, perceived health status, which explained 41%. Duration of arthritis were directly influeced by life-style, past exercise behavior, BMI, which explained 6%. In conclusion, important variables for physical fitness were life-style, and variable affecting exercise participation were life-style Perceived self-efficacy of exercise was a significant predictor of exercise score. BMI, Life-style, perceived benefits of action, family support, past exercise behavior showed direct effects on perceived self-efficacy. Therefore, disease related factor should be minimized for physical performance and well being in nursing intervention for patients with rheumatoid arthritis, and plans to promote and continue exercise should be seeked to reduce disability. In addition, Exercise program should be planned and performed by the exact evaluation of exercise according to the ability of the patients and the contents to improve the importance of exercise and self efficacy in self control program, dedicated educational program should be involved. This study suggest that the methods to reduce the disease related factors, the importance of daily life-style, recognition of benefit of exercise, and educational program to promote self efficacy should be considered in the exercise behavior promotion and nursing intervention for continous performance. The significance of this study is also thought to provide patients with chronic arthritis the specific data for maximal physical and mental well being through exercise, chronic therapeutic procedure, daily adaptation and confrontation in nursing intervention