급성백혈병 환자를 대상으로 구강함수제별 구내염 및 구강안위감에 대한 무작위대조시험연구

송지은(Song Chi Eun),소향숙(So Hyang Sook),주덕(Ju Deok),김은정(Kim Eun Jeong) 대한종양간호학회 2011 Asian Oncology Nursing Vol.11 No.1

Purpose: This study compared the effect of two oral care agents on preventing stomatitis and discomfort for acute leukemic patients. Methods: A total of forty patients was enrolled and randomly assigned to sodium bicarbonate or chlorhexidine group. WHO oral toxicity scale was used for measuring stomatitis and Beck’s subjective oral discomfort scale for evaluating oral comfort. Data was collected from August 2009 to February 2010. The data was analyzed using Chi-square test, Fisher’s exact test, and Mann-Whitney test. Results: Data analyzed was thirty five one. The incidence of stomatitis was 47.4%, 68.8% in sodium bicarbonate and chlohexidine group respectively. The onset of stomatitis was about the 10th and 9th day after chemotherapy initiation, and the duration was 8.0 and 8.67 day respectively. The severity of stomatitis was highest on the 21st day after chemotherapy initiation. There were no statistical differences in the status of stomatitis and the levels of oral comfort during treatment periods. Conclusion: Nurses should routinely assess oral cavity and encourage patients to do oral care actively from second to third week after chemotherapy initiation. Also sodium bicarbonate agent can be recommended to for preventing stomatitis.

구강관리 프로토콜 적용이 항암화학요법을 받는 고형암 환자의 구강상태 및 자가간호수행에 미치는 효과

정미숙(Mi Sook Jeong),송지은(Chi Eun Song),이애리(Ae Ri Lee),정은숙(Eun-Suk Jung),김광숙(Gwang Sug Kim) 한국콘텐츠학회 2018 한국콘텐츠학회논문지 Vol.18 No.8

본 연구의 목적은 항암화학요법을 받는 고형암 환자를 대상으로 구강관리 개별교육과 냉동요법 및 벤지다민 구강함수를 포함한 구강관리 프로토콜 적용이 대상자의 구강상태와 수행에 미치는 효과를 파악하기 위함이다. 총 연구 대상자는 31명이었으며, 실험군에 13명, 대조군에 18명이 배정되었다. 실험군에게는 구강관리교육, 냉동요법 및 벤지다민 구강함수를 적용하였으며 대조군은 기존의 구강간호를 제공하였고, 대상자의 구강상태와 자가간호 수행정도를 측정하였다. 수집된 자료는 Mann-Whitney test, Friedman test, 및 Chi-square test로 분석하였다. 연구결과, 매 측정 시기 별 두 그룹 간 구강상태의 차이는 없는 것으로 나타났다. 그러나 두 그룹 모두 측정시기에 따른 구강상태의 변화는 유의하였는데 항암치료 후 14일경에 구강상태점수가 가장 낮게 측정되었다. 자가간호 수행정도는 실험군이 대조군보다 유의하게 높았으며 연구 완료 후 4개월까지 유지되는 것으로 나타났다. 이러한 결과는 종양간호사에 의한 환자개별교육의 효과로 여겨지며 고형암 환자의 구강상태 개선을 위하여 냉동요법과 벤지다민 구강함수에 대한 효과를 파악하기 위한 추가적인 연구가 요구된다. The purpose of this study was to identify the effectiveness of oral care protocol including individual oral care education, cryotherapy and benzydamine gargling on oral cavity status and self-care performance in solid cancer patients receiving chemotherapy. Thirty-one patients were enrolled by convenience sampling in this study and allocated to control (n=18) and experimental group (n=13). In the intervention group, individual oral care education, oral cryotherapy and benzydamine gargling were applied, while the control group received pre-existed oral care. Oral cavity status and self-oral care behavior were measured in five periods. The data were analyzed using the Mann-Whitney test, Friedman test, and Chi-square test. There was no significant difference in oral cavity status between the groups. But the two groups showed the poorest oral cavity status on 14th day. Self-care behavior was significantly higher in the intervention group than the control group. This effect had maintained for 4months after completion of study. The results showed that individual oral care education by oncology nurse is effective to encourage patients to do self-care behavior and a further study is needed to explore the effect of cryotherapy and benzydamine gargling on oral cavity status of patient with solid tumor.

다층모형을 적용한 조혈모세포이식 환자의 삶의 질 변화 영향요인

송지은(Song, Chi Eun),소향숙(So, Hyang Sook) 한국간호과학회 2015 Journal of Korean Academy of Nursing Vol.45 No.5

암생존자의 자가관리 프로그램 개발을 위한 증상관리 및 신체적 활동 관련 가이드라인의 통합적 고찰

송지은(Chi Eun Song) 한국콘텐츠학회 2018 한국콘텐츠학회논문지 Vol.18 No.4

본 연구는 암 치료를 완료한 암생존자를 위한 통합 자기관리 어플리케이션 개발을 위한 기초자료를 수집하고자 시도되었다. 자기관리 프로그램은 증상관리와 신체활동관리로 구분되며 증상관리는 피로, 수면장애, 통증, 우울과 불안이 포함된다. 근거기반실무 가이드라인을 PubMed, CINAHL 및 EMBASE를 통해 검색하였으며 가이드라인 질 평가 후 최종 8개를 선정하여 분석하였다. 구조화된 표를 이용하여 스크리닝 대상자, 시기, 내용, 포괄적 사정대상자 및 사정내용을 추출하였고, 비약물적 중재 중 신체적 활동 및 운동 관련 내용을 정리하였다. 통합한 결과, 암 치료 완료 후에도 모든 암 생존자를 대상으로 신뢰도와 타당도가 입증된 도구를 이용하여 정기적인 증상 스크리닝을 하여야 하고 중정도 이상의 증상 호소 시 전문가에 의한 포괄적인 사정을 요한다. 피로의 경우 신체적 활동이 일차적 중재법으로 권고되었으나 이 외 증상의 경우 보조요법 수준으로 효과가 있는 것으로 권고되었다. 따라서 암 생존자에게 꾸준한 신체적 활동을 격려하여야 하고 치료와 관련된 합병증이 없는 한 중강도의 신체활동을 꾸준히 유지할 수 있도록 중재하여야겠다. 이를 위해 신체적 활동에 대한 다양한 동기화 전략을 개발하고 적용해야 할 것으로 사료된다. The purpose of this study attempted to collect basic data for development of an integrated self-management program for cancer survivors who completed cancer treatment. Self-management programs are divided into symptom management and physical activity management. Symptom management includes fatigue, sleep disturbance, pain, depression and anxiety. PubMed, CINAHL and EMBASE were used for searching guidelines. Based on the guideline quality evaluation, the final 8 guidelines were analyzed. The structured table was used to extract the screening subjects, timing, contents, subjects for comprehensive assessment and contents, and summarized contents related to the physical activity and exercise in non-pharmacological approach. As a result, after the completion of cancer treatment, all cancer survivors should be screened regularly using reliable and validated tools. In the case of fatigue, physical activity was recommended as the primary intervention, but it was recommended for other symptoms as adjuvant therapy. Therefore, Cancer survivors should be encouraged to be active in their physical activity, and maintain the moderate intensity physical activity as long as they have no complication related to the cancer treatment. Motivation strategies for physical activity need to be developed and applied.

문제중심학습을 연계한 시뮬레이션 실습교육에서 간호대학생의 문제해결능력, 임상수행능력, 학습자신감의 변화 : 암환자 간호 시나리오 중심으로

윤소영(So Young Yun),송지은(Chi Eun Song) 한국산학기술학회 2021 한국산학기술학회논문지 Vol.22 No.8

본 연구는 간호대학생을 대상으로 문제중심학습 연계 시뮬레이션 실습(S-PBL)의 효과를 파악하기 위해 시도되었다. 본 연구는 단일군 반복측정설계로 G시 N대학 간호학과 4학년 65명이 참여하였다. 프로그램은 암환자 간호에 대한 2개의 시나리오를 기반으로 각 모듈 별 시뮬레이션-문제중심학습-시뮬레이션-디브리핑 과정으로 구성되었다. S-PBL프로그램의 적용 전, 4주 후, 8주 후에 문제해결능력, 임상수행능력, 학습자신감의 변화여부를 측정하였다. 수집된 자료는 Repeated-measures ANOVA를 이용하여 분석하였다. 연구결과, 문제해결능력은 사전 점수 4.18±0.47점, 4주 후 4.34±0.40점, 8주 후 4.56±0.42점으로 증가하였고 시간에 따라 유의한 차이가 있었다(F=31.95, p<.001). 임상수행능력은 사전 점수 3.90±0.39, 4주 후 3.96±0.37점, 8주 후 4.20±0.41점으로 증가하였고 시간에 따라 유의한 차이가 있었다(F=21.26, p<.001). 학습자신감은 사전 점수 3.91±0.39점, 4주 후 4.06±0.36점, 8주 후 4.25±0.38점으로 증가하였고 시간에 따라 유의한 차이가 있었다(F=24.91, p<.001). 본 시뮬레이션 운영 설계 효과에 대한 외적 타당도를 높이기 위한 무작위 대조군 실험설계 연구가 추후에 이루어져야 할 것이다. This study was designed to identify the effectiveness of simulation-based practice learning with problem-based learning (S-PBL) among nursing students. The subjects included 65 nursing students in their fourth year of studies at N University, G city, South Korea, identified through the use of a repeated-measures design on a single-participant group. The program consisted of a stepwise procedure combining simulation-problem-based learning-simulation-debriefing per module, based on two scenarios providing care for cancer patients. The changes in problem-solving ability, clinical performance, and confidence in learning were measured, before the application of the S-PBL program, then repeated after its application at four and subsequently eight weeks. The collected data were analyzed using repeated-measures ANOVA. The results showed that problem-solving ability increased from 4.18±0.47 before application to 4.34±0.40 after four weeks and reached 4.56±0.42 after eight weeks with significant time-dependence (F=31.95, p<.001). Clinical performance increased from 3.90±0.39 before application to 3.96±0.37 after four weeks and 4.20±0.41 after eight weeks, also with significant time-dependence (F=21.26, p<.001). Confidence in learning increased from 3.91±0.39 before application to 4.06±0.36 after four weeks and 4.25±0.38 after eight weeks with significant time-dependence as well (F=24.91, p<.001). Further, a follow-up randomized trial study is warranted to improve the external validity of the effects of this simulation"s operational design.

내 · 외과 간호사의 근거기반 통증사정 및 관리 가이드라인 수행도

김희량(Kim, Heui Lyang),송지은(Song, Chi Eun),소향숙(So, Hyang Sook) 한국성인간호학회 2016 성인간호학회지 Vol.28 No.5

신규간호사의 직장 내 괴롭힘 경험에 따른 대처적응과정과 조직사회화의 차이

김희진 ( Kim Hee Jin ),송지은 ( Song Chi Eun ) 병원간호사회 2020 임상간호연구 Vol.26 No.3

Purpose: This study is a descriptive study to identify the degree of workplace bullying experience of newly graduated nurses and the difference in coping and adaptation processing, organizational socialization in relation to workplace bullying experience. Methods: The Study participants were newly graduated nurses with 3 months to 1-year clinical experience (N=186) and conveniently sampled from a small to medium-sized hospital located in G Metropolitan City. Data were collected in July 2018, using structured questionnaires. Results: Half of the participants (50.0%) reported workplace bullying experience. Most bulling experiences were person or work related. Newly graduated nurses who experienced bullying in the workplace demonstrated significantly lower coping and adaptation process (t=3.34, p=.001) and organizational socialization (t=7.46, p=<.001) than nurses who did not experience bullying in the workplace. Conclusion: Orientation programs for newly graduated nurses need to include contents that can improve the coping and adaptation process. Nursing managers at small and medium-sized general hospitals should actively support the mentor-mentee program to promote the organizational socialization of newly graduated nurses.

모바일 기반의 성찰일지를 활용한 핵심기본간호술 교내실습 운영 사례 연구

최한나(Hanna Choi),송지은(Chi Eun Song) 한국산학기술학회 2021 한국산학기술학회논문지 Vol.22 No.2

핵심기본간호술은 간호사가 환자를 효과적으로 돌보기 위해 반드시 가져야하는 기술이다. 본 연구는 모바일 기반의 성찰일지를 활용하여 교내실습 과정을 소개하고, 핵심기본간호술을 수행할 때 학생들이 직면하는 어려움을 측정하였다. 본 연구는 Kolb의 경험적 학습 과정을 기반으로 교내 실습을 진행한 후 분석되었다. 분석 자료로 학생들이 각 수업에 대하여 작성한 모바일 기반의 온라인 성찰일지를 활용하였다. 성찰일지의 내용을 분석하여 핵심술기 수행에 있어 어려움을 지식, 기술(수행), 태도로 구분하여 파악하였고, 핵심기본간호술에 대한 난이도, 중요도, 자신감도 평가하였다. 핵심기본간호술 평가 결과 학생들은 특히 기술적인 부분에서 다양한 측면의 어려움을 겪고 있었으며, 정맥수액주입 및 유치도뇨와 같이 핵심술기 난이도 “상”에 해당하는 항목에서 자신감이 부족한 것으로 나타났다. 또한 50% 이상의 학생들이 정맥수액주입 및 활력징후 측정을 가장 중요한 핵심기본간호술로 간주하였다. 향후 학생들의 핵심술기 수행 시 겪는 어려움을 해결하기 위해 다양한 콘텐츠 개발 및 교수법의 적용과 관련한 지속적인 연구가 필요할 것으로 사료된다. Basic nursing core skills are the essential skills required of nurses to effectively care for their patients. This study introduces an on-campus practicum using a mobile-based reflective journal, and attempts identify the challenges faced by students when performing core clinical nursing skills. The on-campus practicum was operated based on Kolb"s experiential learning cycle. For each class, students used mobile devices to write an online reflective journal. Analyzing contents of the reflective log helped in identifying difficulties experienced in executing core skills, and classifying them in terms of knowledge, skill, and attitude. The level of difficulty, importance, and confidence in the core clinical nursing skills were also assessed. Students were found to be struggling with various aspects of performing core nursing skills, especially in the skill category. Students also showed a lack of confidence in items they perceived as "high" difficulty, such as IV injection and indwelling catheterization. Moreover, over 50% students considered IV injection and vital sign checking as the most important core clinical nursing skills. Our data suggests the necessity to develop various contents and apply instructional strategies to solve the core skills difficulties faced by nursing students, and to continuously generate evidence for the same.

M-SRN활용이 비판적 사고와 자기 주도적 학습능력에 미치는 효과

박애란(Park, Ae Ran),송지은(Song, Chi Eun) 한국보건기초의학회 2018 보건기초의학회지 Vol.11 No.1

The purpose of this study was to test the effects of modified self-reflection notes (M-SRN) on the critical thinking abilities and selfdirected learning abilities of nursing students. The students of a theory-based adult nursing class were asked to do M-SRNs. The data was collected from 226 third year nursing students, once at the beginning of the semester and again towards the end of the semester. A paired t-test was used for data analysis. As for the results of this study, the mean score for critical thinking abilities of the nursing students increased from 3.40 to 3.66. This difference in the mean score for critical thinking abilities was statistically significant. The mean score of the self-directed learning abilities also significantly increased from 3.11 to 3.37. In conclusion, modified self-reflection notes should be considered a helpful tool for students to improve their critical thinking and self-directed learning abilities.

관상동맥질환 위험요인, 자율성 지지 및 건강행위 이행이 관상동맥질환자의 재발에 미치는 영향

박애란(Park, Ae Ran),소향숙(So, Hyang Sook),송지은(Song, Chi Eun) 한국성인간호학회 2017 성인간호학회지 Vol.29 No.1