간호ㆍ간병통합서비스 병동 간호사의 직무만족에 미치는 영향 요인 - 간호전문직관과 근무환경을 중심으로 -

심옥수,강지순 한국융합학회 2018 한국융합학회논문지 Vol.9 No.7

본 연구는 간호․간병 통합서비스병동의 간호사의 직무만족에 미치는 영향요인을 파악하고자 하였다. 임상간호사 127명을 대상으로 설문조사하였고, 5점 Likert척도를 이용하여 간호직무만족, 간호전문직관, 간호근무환경을 측정하였다. 자료분석은 SPSS WIN 23.0프로그램을 이용하여 t-test, ANOVA, correlation, Regression분석을 실시하였다. 연구결과는 간호․간병 통합서비스병동 직무만족과 독립변수간 상관계수는 간호전문직관(r=.90, p<.001), 간호근무환경(r=.75, p<.001)으로 유의하였다. 직무만족에 영향을 미치는 요인은 간호전문직관, 간호근무환경 순으로 나타났으며(F=31.516, p<.001), 설명력은 84.1%였다. 따라서 직무만족을 향상시키는 중재방안의 중요성과 올바른 간호전문직관 확립, 간호근무환경의 향상을 위한 융합적 전략의 필요성을 제시하였다. The purpose of this study was to investigate the factors affecting job satisfaction of nurses in nursing care service ward. The subjects were 127 nurses, nursing job satisfaction, nursing intuition, and nursing work environment using the 5 - point Likert scale. Data were analyzed by t-test, ANOVA, correlation and regression analysis using SPSS WIN 23.0 program. The results showed that the correlation between job satisfaction and independent variables in nursing and nursing care service ward was significant in nursing professionalism (r = .90, p <.001) and nursing work environment (r = .75, p <.001). In addition, factors affecting job satisfaction were in the order of nursing professionalism and nursing work environment (F = 31.516, p <.001), and explanatory power was 84.1%. Therefore, Therefore, the necessity of nursing convergency strategy for improvement of these is suggested.

혈액투석노인의 스트레스와 건강관련 삶의 질과의 관계에서 자아존중감의 조절효과

심옥수 노인간호학회 2010 노인간호학회지 Vol.12 No.2

Purpose: This study was conducted in order to investigate the relationship between stress in elderly patients on renal dialysis and health-related quality of life, especially the moderating effect of self-esteem. Methods: The structural equation model was tested by setting the stress of elderly patients on renal dialysis as a prediction variable, their health-related quality of life as an outcome variable and their self-esteem as a moderating variable. The participants were 443 patients from Seoul and Gyeonggi province who were over 65 years of age and on renal dialysis. Measurement tools were health-related quality of life , stress, and self-esteem scales. Statistical descriptive analysis, Pearson correlation coefficients, reliability analysis, Scheffe test and multiple regression analysis were used to analyze the data. Results: For these patients, stress had a significant negative correlation with health-related quality of life and self-esteem had a significant positive correlation. The level of self-esteem plays a moderating role in the relationship between stress and health-related quality of life among elderly renal dialysis patients. Conclusion: The results indicate that interventions that are effective in increasing self-esteem can help these patients cope with stress and increase their health-related quality of life.

간호ㆍ간병통합서비스병동과 일반병동 간호사의 직무만족, 간호전문직관, 간호근무환경 비교

심옥수,이현주 중소기업융합학회 2017 융합정보논문지 Vol.7 No.6

본 연구의 목적은 간호ㆍ간병통합서비스병동의 간호사와 일반병동 간호사의 직무만족, 간호전문직관, 간호근 무환경을 비교분석하여 기초융합자료를 제공하기 위함이다. 연구는 2016년 5월 1일부터 7월 30일까지 서울ㆍ경기지역 임상간호사를 대상으로 실시하였다. 자료는 SPSS WIN 23.0으로 분석하였다. 연구결과는 일반병동 간호사 100명 과 간호․간병통합서비스병동 간호사 92명을 비교하였을 때, 일반병동에서 간호근무환경 점수(t=3.027, p=.003)와 직 무만족 점수(t=2.451, p=.015)가 통계적으로 높게 나타났다. 일반병동간호사는 간호전문직관이 높을수록 직무만족 (r=.605, p<.001)에 정적인 상관이 있는 것으로, 간호간병통합서비스병동 간호사 또한 간호전문직관이 높을수록 직무 만족 (r=.642, p<.001)에 정적인 상관이 있는 것으로 나타났다. 향후 간호ㆍ간병통합서비스의 질적 보장을 위해서는 간호ㆍ간병통합서비스병동의 간호근무환경과 간호전문직관의 확립을 위한 전략이 필요하다. This study was conducted to analyze the Job Satisfaction, Nursing Professionalism, and Nursing Work Environment of Comprehensive Nursing Care Ward nurses and General Ward nurses and provide a convergent basic data. The participants of this study were clinical nurses in the Seoul and Gyeonggi provinces in May 1st.~July 30th., 2016. The data was analysed using SPSS WIN 23.0. When comparing General Ward 100 nurses and Comprehensive Nursing Care Ward 92 nurses, the Nursing Work Environment levels (t=3.027, p=.003) and Job Satisfaction levels (t=2.451, p=.015) were higher in General Wards. Among the General Ward nurses, higher Nursing Professionalism levels had positive correlations to Job Satisfaction levels(r=.605, p<.001). Among the Comprehensive Nursing Care Service Ward nurses, higher Nursing Professionalism levels also had positive correlations to Job Satisfaction levels(r=.642, p<.001). In conclusion, a strategy for the establishment of Nursing Work Environment and Nursing Professionalism is necessary in order to guarantee a higher quality of comprehensive nursing care service.

혈액투석노인의 건강상태 변화인식과 건강관련 삶의 질에 관한 연구

심옥수(Shim, Ok Su) 한국노년학회 2010 한국노년학 Vol.30 No.1

본 연구는 만성신부전으로 혈액투석치료를 받고 있는 노인의 건강관련 삶의 질을 고찰해보고, 대상자들의 일반적 특성, 건강상태에 대한 인식, 그리고 건강관련 삶의 질 간의 관계분석을 통해 혈액투석노인의 건강관련 삶의 질에 대한 폭넓은 이해와 함께 건강관련 삶의 질을 향상시키기 위한 체계적인 방안을 모색해 보고자 시도되었다. 연구 대상은 수도권의 인공신장실 부설 병의원 30개에서 현재 1개월 이상 혈액투석치료를 받고 있는 65세 이상 노인으로 연구 참여에 동의한 443명이었다. 조사도구는 건강관련 삶의 질 척도로 SF-36 (Medical Outcome Survey 36-Item Short Form)을 사용하여 건강상태의 변화인식과 건강관련 삶의 질을 측정하였다. 수집된 자료는 변인간의 인과관계 분석을 위해 기술통계분석, 상관관계분석, 신뢰도분석, t-test, ANOVA 및 회귀분석 등에 사용되었다. 연구결과를 요약하면 다음과 같았다. 첫째, 혈액투석노인의 건강관련 삶의 질 총 평점은 57.67이었다. 혈액투석노인의 건강상태에 대한 인식을 작년과 비교하여, 악화된 경우에는 건강관련 삶의 질은 50.63점이었으나, 호전된 노인의 경우에는 62.04점으로 높게 나타났다. 둘째, 혈액투석 노인들 간의 건강관련 삶의 질의 점수는 일반적인 특성 중 성별, 교육정도, 배우자 동거유무, 주수발자, 동반질환수 등에 따라 통계적으로 유의미한 차이를 보이고 있었으며, 또한 건강상태에 대한 인식에 따라 동반질환 수에 있어서도 통계적으로 유의미한 차이를 보였다. 셋째, 혈액투석노인의 건강상태에 대한 인식과 건강관련 삶의 질은 정(+)의 상관관계로 건강상태가 호전 된 것으로 인식할 때 건강관련 삶의 질은 높았고, 동반질환수와 건강관련 삶의 질은 부(-)의 상관관계로 동반질환수가 적을수록 건강관련 삶의 질은 높게 나타났다. 이러한 결과를 바탕으로 혈액투석노인의 건강관련 삶의 질 개선을 위해서는 특성을 고려한 적절한 혈액투석 치료와 자기관리를 통해 현재의 건강상태를 유지ㆍ증진시키는 것이 무엇보다도 중요하다. 그러므로 적절한 투석치료를 위해 의료서비스를 확대하고, 자기관리를 위한 치료식이, 투약, 일상생활을 영위할 수 있는 생활서비스와 역할상실에 따른 지지와 사회적 고립에 따른 사회적 욕구충족이 반영되는 보건복지통합서비스가 실시되어야 할 것이다. The purpose of this study examines the elderly hemodialysis patients' Health-related quality in life(HRQL) and investigates the relationship between HRQL and transition of health condition. The subject were 443 elderly hemodialysis patients(over 65 years old) in Seoul and Gyeonggi province. The Health-related quality of life scale was used in this research, in which were analysed a wide range of statistical descriptive analysis, Pearson's correlation, reliability analysis, multiple regression and the Scheffe test. The results were as follows. The HRQL were statiscally significant difference by Gender, Educational level, Live with spouse, Best supporter, and Number of Disease. Also the factor related to transition of health condition was Number of Disease. The transition of health condition accounted for 13.9% of variance in HRQL and Number of Disease accounted for an additional 7.4% of HRQL. The factors, which influenced finally on the HRQL in the elderly hemodialysis patients, were transition of health condition and number of disease. In conclusion adequate hemodialysis treatment and social services should be provided in accordance with the factors affecting HRQL in order to improve the HRQL for elderly hemodialysis patients.

전기자극이 성견 골결손부에 매식된 임플란트 주위조직의 치유에 미치는 영향

심재창,김영준,김옥수,정현주 전남대학교 치의학연구소 2003 구강과학 Vol.15 No.2

Several experimental studies showed that the application of small amounts of electric current to bone stimulated osteogenesis at the site of the cathode and suggested that electrical currents promote osseointegration around dental implants. The purpose of this study was to determine the effect of direct microcurrent to endosseous titanium implants placed in bone defects. The right and left 2nd, 3rd and 4th mandibular premolars in ten mongrel dogs (15kg of weight) were extracted. One month later, Ti-machined screw type implants(3.8 mm diameter×8.5 mm length, AVANA�, Ostem) were placed in surgically created circumferential defect area(width 5mm, depth 4mm). The implants were divided into three groups according to the treatment modalities: Control group- implants without electrical stimulation; Experimental group I- implants with allogenic demineralized freeze dried bone grafting and Experimental group Ⅱ- implants allogenic demineralized freeze dried bone grafting and electric stimulation. The animals were sacrificed in the 4th and 8th week after implant placement and un-decalcified specimens were prepared for histological and histometrical evaluation of bone-implant contact ratio (BIC) and bone formation area ratio (BFA) in defect area. Some specimens at 8 weeks after implantation were used for removal torque testing. Histologically, there were connective tissue infiltration in the coronal part of defect area in control and the experimental group I. whereas direct bone contact was found in the experimental group Ⅱ without connective tissue invasion. Average BIC ratios at 4 weeks of healing were 60.1% in the experimental group Ⅱ, 47.4% in the experimental group I and 42.7% in the control. Average BIC ratios at 8 weeks after implantation were 67.6% in the experimental group Ⅱ, 55.9% in the experimental group I and 54,6% in the control. The average BFA ratio was 84.0% in the experimental group Ⅱ, 71.8% in the experimental group I and 58.8% in the control at 4 weeks, and the BFA ratios were 89.6% in the experimental group Ⅱ, 81.4% in the experimental group I and 70.5% in the control at 8 weeks after implantation. The experimental group Ⅱ showed also significantly greater BIC and BFA ratios compared to the control and the experimental group I (p<0.05). The removal torque values at 8 weeks after implantation were 56 Ncm in the experimental group Ⅱ, 49 Ncm in the experimental group I and 43 Ncm in the control. There was a statistically significant difference among 3 groups(p<0.05) . These results suggest that electrical stimulation improve and accelerate bone healing around endosseous titanium implants in bone defect.

전기자극이 성견 골결손부에 매식된 임플란트 주위조직의 치유에 미치는 영향

심재창,김영준,정현주,김옥수,Shim, Jae-Chang,Kim, Young-Jun,Chung, Hyun-Ju,Kim, Ok-Su 대한치주과학회 2004 Journal of Periodontal & Implant Science Vol.34 No.1

Several experimental studies showed that the application of small amounts of electric current to bone stimulated osteogenesis at the site of the cathode and suggested that electrical currents promote osseointegration around dental implants. The purpose of this study was to determine the effect of direct microcurrent to endosseous titanium implants placed in bone defects. The right and left 2nd, 3rd and 4th mandibular premolars in ten mongrel dogs (15Kg of weight) were extracted. One monthe later, Ti-machined screw type implants(3.8 mm diameter x 8.5 mm length, $AVANA^{(R)}$, Ostem) were placed in surgically created circumferential defect area(width 5mm, depth 4mm). The implants were divided into three groups according to the treatment modalities: Control group- implants without electrical stimulation; Experimental group I- implants with allogenic demineralized freeze dried bone grafting; and Experimental group II-implants allogenic demineralized freeze dried bone grafting and electric stimulation. The animals were sacrificed in the 4th and 8th week after implant placement and un-decalcified specimens were prepared for histological and histometrical evaluation of bone-implant contact ratio (BIC) and bone formation area ratio (BFA) in defect area. Some specimens at 8 weeks after implantation were used for removal torque testing. Histologically, there was connective tissue infiltration in the coronal part of defect area in control and the experimental group I, whereas direct bone contact was found in the experimental group II without connective tissue invasion. Average BIC ratios at 4 weeks of healing were 60.1% in the experimental group II, 47.4% in the experimental group I and 42.7% in the control. Average BIC ratios at 8 weeks after implantation were 67.6% in the experimental group II, 55.9% in the experimental group I and 54.6% in the control. The average BFA ratio was 84.0% in the experimental group II, 71.8% in the experimental group I and 58.8% in the control at 4 weeks, and the BFA ratios were 89.6% in the experimental group II, 81.4% in the experimental group I and 70.5% in the control at 8 weeks after implantation. The experimental group II showed also significantly greater BIC and BFA ratios compared to the control and the experimental group I (p<0.05). The removal torque values at 8 weeks after implantation were 56 Ncm in the experimental group II, 49 Ncm in the experimental group I and 43 Ncm in the control. There was a statistically significant difference among 3 groups (p<0.05). These results suggest that electrical stimulation improve and accelerate bone healing around endosseous titanium implants in bone defect.

혈액투석환자의 식이실태에 관한 조사연구

김정희,심옥수,박수영,이경숙,최송희,김성화 병원간호사회 1995 임상간호연구 Vol.1 No.-

This study was undertaken in order to provide fundamental data of diet education which would be prevention of nutritional deficiency and complication through the analysis of the contents of diet intake. The data was collected from June first, 1993 to June twenty-sixth, 1993. The 25 patients were selected among the hemodialysis therapy over 3 months at one university hospital. The instrument used for this study was patients' diet record. The results of this study are as follow; 1. Daily mean intake of calory was 1459.9 calory, which was lower than the recommended level. 2. Daily mean intake of protain was 57gm, which was higher than the recommended level per mean patients weights. 3. Daily mean intake of lipid was 26gm, which was lower than the recommended level. Daily mean intake of glucose was 248gm, which was the recommended level. 4. Daily mean intake of sodium was 357gm, which was the recommended level. 5. Daily mean intake of potassium was 989gm, which was lower than the recommended level. 6. Daily mean intake of phosphorus was 861gm, which was the recommended level. Daily mean intake of calcium was 397.6gm, which was lower than the recommended level. 7. Daily mean intake of vitamine B_(1), B_(2), C, niacin were 0.8mg, 1.0mg, 40mg, 13.8mg, which were lower than the recommended levels. In conclusion, dietary education of hemodialysis patients should be based on analyzed patient's diet record. Also, educational method of diet intake is recommended by the concept which is correct and easily understandable for hemodialysis patients.

COVID-19 상황에서 노인간호학 교내실습 교육이 간호대학생의 노인에 대한 태도, 노인을 대하는 행동, 노인간호 실천, 치매태도에 미치는 효과

박영선,심옥수,이화자 사단법인 한국융합기술연구학회 2022 아시아태평양융합연구교류논문지 Vol.8 No.11

This is a single-group pre- and post-primitive experimental study, given the shift toward on-line and in-school nursing practice of geriatric nursing practice education due to the spread of COVID-19, to verify the effect of in-school nursing practice education on nursing students' attitude and behavior towards the elderly, geriatric nursing practice, and dementia attitude in nursing students. The subjects were 258 3rd grade students enrolled in Department of Nursing at K University who taking. The in-school nursing practice was conducted for 18 hours out of 90 hours of 2 credits in the geriatric nursing practice education, and was conducted from September 14, 2020 to December 28, 2020. The results showed that the behavior towards the elderly(t=3.16; p=.002), geriatric nursing practice (t=-6.91, p=.001), dementia attitude total score (t=-5.85, p<.001) and dementia attitude knowledge score(t=-7.22, p<.001) increased statistically significantly. But the attitude towards the elderly (t=3.22; p=.001) and dementia attitude social comfort score(t=-5.85; p<.001) did not show statistically significantly. Attitude towards the elderly was found to have significant correlations with behavior towards the elderly and geriatric nursing practice. These results suggested that the geriatric nursing in-school practice is effective to improve behavior towards the elderly, dementia attitude, and geriatric nursing practice. However, the negative consequences of attitudes toward the elderly are a matter to be considered in future program development. This study is significant in that it analyzed the effects of the in-school geriatric nursing practice as geriatric nursing practice progressed online and in-school and the results are expected to be used as basic data for the development and administration of curriculum for geriatric nursing in-school practice. 본 연구는 노인간호학 임상실습교육이 코로나바이러스 감염증-19의 확산으로 인해 노인간호학 임상실습이 온라인 및 교내 실습으로 전환됨에 따라 노인간호학 교내 실습이 간호대학생의 노인 태도, 노인에 대한 행동, 노인 간호 실천, 치매 태도에 미치는 효과를 검증하기 위한 단일군 사전∙사후 원시 실험 연구이다. 교내 실습은 노인간호학 실습 2학점 90시간 중, 18시간 진행되었으며 2020년 9월 14일부터 2020년 12월 28일까지 시행되었다. 연구대상자는 K대학 간호학과 3학년 노인간호학 실습을 수강하는 학생 258명으로 하였다. 연구결과, 노인을 대하는 행동(t=3.16, p=.002), 노인 간호 실천(t=-6.91, p=.001), 치매 태도 총점(t=-5.85, p <.001), 치매 지식 소척도(t=-7.22, p <.001) 점수에서 통계적으로 유의하게 향상됨이 나타났으며, 노인 태도(t=-3.22, p= .001)와 치매 안정 소척도(t=-.91, p=.363)는 통계적으로 유의하게 나타났지 않았다. 노인 태도는 노인을 대하는 행동과 노인 간호 실천에 유의한 상관관계가 있었으며 치매 태도는 노인 간호 실천과 유의한 상관관계가 있었다. 따라서 노인간호학 교내 실습 후, 노인에 대한 행동, 치매 간호를 수행 시 태도, 노인 간호 실천에 대해서 효과적 교육이었음이 나타났다. 그러나 노인에 대한 태도의 부정적 결과는 차후 프로그램 개발 시 고려해야 할 문제이다. 본 연구는 노인간호학 실습이 온라인 및 교내 실습으로 진행되면서 교내 실습에 대한 효과를 분석하였다는 데에 의의가 있으며 노인간호학 교내 실습 개발 및 운영에 기초자료가 될 것을 기대한다.

보조공학기기 사용 장애인근로자의 작업수행 효과와 영향 요인 분석

김수봉,심옥수 한국통합사례관리학회 2018 한국케어매니지먼트연구 Vol.0 No.26

본 연구는 보조공학기기를 사용하고 있는 장애인근로자의 작업수행 효과와 그 영향 요인이 무엇인가를 고찰해보고, 개선방안을 모색해보는데 있다. 분석을 위해 장애인고용공단의 ‘2013년 보조공학기기 및 서비스 만족도 조사’ 자료를 활용하였으며, 연구결과는 다음과 같다. 첫째, 보조공학기기 자체에 대한 만족도 영역에서도 ‘무게 만족’ 영역 점수가 상대적으로 낮았으며, 지원서비스 영역별 만족도 ‘공단의 정보 내용’ 영역의 만족도가 가장 낮았다. 한편, 작업수행 효과영역에서도 생산성 향상에 대한 변화 인식이 가장 적은 것으로 나타났다. 둘째, 보조공학기기의 작업수행 효과는 장애정도가 중증일수록, 3차 산업에 종사하는 경우, 보조공학기기 자체 만족도, 서비스 및 지원제도 만족도가 높을수록 큰 것으로 나타났다. 그러므로 단기적으로 보조공학기기 사용의 작업 효과를 향상시키기 위해서는 관련 변인들에 영향을 줄 수 있는 적극적인 정책이 요구되고 있다. 한편, 장기적으로 경증장애인이나 1·2차 산업에 종사하는 장애인근로자등에게도 작업 효과가 나타날 수 있도록 보조공학기기 관련 정책들이 마련되어야 할 것이다. 결론적으로, 보조공학기기의 작업수행 효과를 개선시키기 위해서는 지원서비스 전달체계 개선은 물론맞춤제작 보조공학기기의 보급지원이 활성화될 수 있도록 제도개선을 해야 할 것이다. 더구나, 맞춤형 사회보장제도의 실시와 발을 맞추어 보조공학기기 지원 분야에서도 장애인의 개별특성에 맞는 보조공학기기 서비스 전문화가 강화되어야 할 것이다.

혈액투석환자의 식이실태에 관한 조사 연구

김정희,심옥수,박수영,이경숙,최송희,김성화 이화여자대학교 의과대학 1993 임상간호연구지 Vol.1 No.-