노인보호 전문인력 양성을 위한 교육프로그램 개발에 관한 연구

김희년(Hee Nyon Kim),안혜경(Hye Gyung An) 한국노인복지학회 2001 노인복지연구 Vol.12 No.-

This study was performed to find an efficient way to achieve high quality of care services for the elderly who suffer from dementia and physical incapability with activities of everyday living. Specifically, as a link in the chain of program which aims at developing professional workers who can provide good quality of care, the facilities of institutions, and physical conditions and the degree of activities of daily living of the elderly were assessed. Also, the socio-demographic characteristics and the degree of need for professional education of the staff who provide nursing services were assessed and analyzed. The results achieved from data analysis are as follows. First, the total of 11 institutions were studied in this study. Among all of those institutions, 6 were established by social welfare corporations; 2 by corporate juridical persons; In addition, the state government, the individual corporation, and the school corporation established 1 each. Second, the medical delivery system of each institution was evaluated. There were 1 institution which operates medical facility; 6 institutions which were connected with medical examination and treatment system of local medical institution; And, the last of 4 institutions did not have any medical provisions for their clients. The evaluation for admission of each elderly individual was made by nurses and social workers from 36.4% of institutions. Since the degree of illness of each subject were not relatively measured, separate admission evaluated by seriousness of illness was not made. Third, among the elderly who utilize adult day-care centers, the proportion of low-income elderly including those who get public assistance were 39.6%. And 21.6% were living alone without any help from their family. Most of the elderly subjects were suffered from economic hardship on everyday living. Fourth, in terms of the reasons for admission to day-care center, the proportion of elderly persons who did not have any family mernbei- were 14.9%; the elderly who had family member but no one to take care of were 32.1%; the elderly who had family rrember with job were 26.1%; And, the elderly admitted by the wish of their family were 3.0%. For 76.1% of total elderly individuals, it was almost impossible for taking care of their aged parents by their own. Fifth, Among the study subjects, the 25.4% of the elderly were suffered from dementia; 43.3% from the diseases with bones and sinews; 23.9% from strokes; 14.2% from high blood pressure. In terms of the activities of daily living, the percentage of elderly individual who need help with dining were 16.4%; 25.4% had difficulty with sitting down; 35.9% had problems with taking a bath; 21.6% with toilet use; 32.1% with changing their clothes; and 40.3% with outings. Sixth, the most serious problems the staff encounter were the shortage of staff and equipments. And, seventh, among the staff of the adult day-care centers being studied, 79.4% were working at the centers without taking any professional training to learn the method for caring elderly. 85.3% agreed on the necessity of professional training for taking care of frail elderly. The need for education developed by the researcher were appeared high by the average of 3.2787 points for the highest score of 4.

수술실 간호사의 수술용 장갑 천공률 조사연구 : 한 겹 장갑과 이중 장갑 비교

강지민(Ji-Min Kang),안혜경(Hye-Gyung An) 한국자료분석학회 2018 Journal of the Korean Data Analysis Society Vol.20 No.1

본 연구는 수술실 간호사의 한 겹 혹은 이중 장갑 착용이 수술 부위 감염을 최소화하기 위한 보호도구로써 효과가 있는지 파악하기 위해 시도된 조사연구로서 일개 3차 대학병원 수술실 간호사 중 연구에 참여를 동의한 79명 간호사의 총 243건의 장갑을 대상으로 하였다. 수집된 자료를 SPSS/Win Ver. 21.0을 이용한 통계분석결과는 한 겹 장갑은 28.7%, 이중 장갑은 35.5%의 천공률을 보였으나, 한 겹 장갑과 이중 장갑의 착용별 천공발생률의 통계적 유의한 차이는 없었다(=1.307, p=.274). 부위별 장갑 천공률은 한 겹, 이중 장갑 모두 왼손 검지에서 각각 31.4%, 25.6%로 가장 많은 천공이 일어났다. 장갑 착용 유형에 따른 대상자의 일반적 특성, 수술 관련 특성, 수술 장갑 관련 특성별 장갑 천공률 비교에서 한 겹 장갑군에서 장갑 착용 시간에서만 통계적으로 유의한 차이가 있었다(chi^2=.10.645, p=0.14). 장갑 천공률에 영향을 미치는 요인을 파악하기 위한 코크란-멘텔-헨젤 검정(Cochran-Mantel-Haenszel test)에서는 진료과에 따라서 한 겹 장갑 착용 시간에 따른 장갑 천공률은 서로 연관성이 존재하였다(chi^2=5.197, p<.05). 오즈비 2.578로 진료과에 상관없이 한 겹 장갑의 착용 시간이 3시간 미만에 비하여 3시간 이상일 때 장갑 천공이 나타나지 않는 경우에 비하여 천공이 나타날 확률이 2.578배 높다는 것을 알 수 있었다. The purpose of this study was to compare the perforation frequency of single and double-layered gloves in perioperative nurses and to investigate whether double-layered gloves are effective as a protective tool to minimize surgical site infection. A total of 243 gloves of 79 nurses who agreed to participate in this study were included in the study room nurses of a tertiary university hospital. Data were analyzed using descriptive statistics, chi-square test and Cochran-Mantel-Haenszel test. As a result, the perforation rates of single gloves and double gloves were 28.7% and 35.5%, respectively, but there was no statistically significant difference between the two groups (chi^2=1.307, p=.274). There was a statistically significant difference in glove perforation rates according to the type of wearing gloves (=.10.645, p=0.14). In the Cochran-Mantel-Haenszel test to determine the factors affecting the perforation rate of single gloves, there was a correlation between the glove perforation rates according to the time of wearing the gloves (chi^2=5.197, p<.05). The odds ratio was 2.578, which means that the probability of puncture was 2.578 times higher than that of glove perforation when the wearing time of a glove was 3 hours or more than 3 hours, regardless of the department.

울산 지역 유치원 어린이의 요충 충란 양성 실태와 관련 요인 분석

김동희(Dong-Hee Kim),유학선(Hak-Sun Yu),손현미(Hyun-Mi Son),강인순(In-Soon Kang),안혜경(Hye-Gyung An) 한국보건교육건강증진학회 2010 보건교육건강증진학회지 Vol.27 No.3

간호사의 직무만족과 조직몰입에 영향을 미치는 요인

안혜경,강인순 대한간호행정학회 2006 간호행정학회지 Vol.12 No.4

Purpose: This study was to identify factors that influence the organizational commitment and job satisfaction of nurses. Method: The data were collected from 1st, August until 7th, August, 2005. The subjects were 238 nurses from a general hospital in Busan. Data were analyzed with descriptive statistics, t-test, one-way ANOVA, Pearson correlation coefficient, and stepwise multiple regression using SPSS program. Result: The organizational commitment and job satisfaction was significant positive correlations with flexibility, satisfaction, competence factors and significant negative correlations with empathy factors and centralization factor. The most powerful predictors of Nurses's organizational commitment and job satisfaction was managerial strategy of organizational characteristics. And, satisfaction factors of professional self-concept, affiliative-dominant culture and conservative- dominant culture and innovative-dominant culture were powerful predictor factors. The Other powerful predictors of nurses's job satisfaction were satisfaction factors of professional Self-concept, communication and centralization factor of organizational characteristics, affiliative-dominant culture and conservative-dominant culture, professional image factor of nurse image. Conclusion: This study revealed that important factors for nurses's organizational commitment and job satisfaction, Consequently, the manager should be make effective managerial strategy and encourage that nurse have more satisfy to professional self-concept. And the manager make constant efforts to create an affiliative culture in hospital.

노인의 정신건강과 가족지지에 관한 연구

이길자,안혜경,김영선 노인간호학회 1999 노인간호학회지 Vol.1 No.2

This study attempted to investigate the correlation of family support and mental health of the aged. The subjects were 120 older people, men and women over 65years old, living in Yangsan. The data for this study were collected by using the direct interviewing method from December 21, 1998 to February 20, 1999. The instruments used for this study were the Family Support Scale developed by Kang(1985) which was modified by the author, and the Mental Health Scale developed by Choi( 1990). The data were analyzed by descriptive statistics, Peal-son's correlation coefficients, t-test and ANOVA, Stepwise Multiple Regression Analysis by using SPSS 7.5 Window program. The results of this study are summarized as follows: 1. The perceived family support general characteristics were significantly different : spouses(t=2.46, p=0.017); the education(high school, F=3.84, p=0.006), co-living family(1-2, f=2.938, p=0.007) and status of co-living(aging couple, F=4.15, p=0.001). The status of mental condition according to the general characteristics was significantly different in the age(65-69y, F=6.7, P=0.000), sexdnen, t=2.54, p=0.013), education(high school, F=6.563, p=0.001), spouse(being, t=0.838, P=0.024), status of habitation(aging couple, F=2.24, p=.005), aging club house(taking,t=2.68, p=0.051), and aging social peer group(taking, t=20.169,p=0.000). 2. The mean score of the perceived family support was 2.00±0.859. The mean scores of the the family members perceived family support was son(3.534±1.688), daughter-in-law(3.142±1.693), grandson and granddaughter(1.96±1.690), spouse(1.56±2.14) and daughter(1.43±1.797). 3. The mean score for mental health was 2.467 ±0.344. 4. The status of mental health and family relationships had a significant correlation(r=.307, P<.05). 5. The most important variables affecting the mental health condition were : daughter's support(11.9%); and added variables(33.7%); such as : son's support, aging social peer group, work, perceived health status determined by the Stepwise Multiple Regression. In the above results, family support for the elderly of this study was "low" and the mental health status was "moderate" and the family relationships was "not satisfactory", but there was a correlation between the family support and mental health status. The study results indicate that approaches to expanding family support, especially daughter's and son's support, for the elderly as a nursing intervention should be developed in order to better the mental health condition of the elderly

발반사요법이 시설노인의 건강상태에 미치는 영향

김향미,안혜경 노인간호학회 2003 노인간호학회지 Vol.5 No.1

The purpose of this study was to explore the effects of foot reflex therapy on heath status in institutional elders using a quasi-experimental design. Pre and post-experiment measures were compared. Data were collected for a month from July 12 to August 16, 2002. Sixteen institutional elders were selected as the experimental group, and 15 as the control group. Foot reflex therapy was performed to the feet of elders in the experimental group for 40 minutes twice a week for a month, a total of 8 times. During therapy, the elders in the control group enjoyed relaxing in their rooms. The effects of foot reflexology on physical health such as systolic/diastolic pressure, pulse rate, respiration rate, muscle endurance, agility, psychological health such as perception of health status, perception of pain, sleep pattern and spiritual health such as quality of life of institutionalized elders were evaluated. The data were analyzed using SPSS + PC 10.1 for window with frequencies, means and standard deviations, Chi-square test, and t-test. The results are as follows. There was no significant differences between the two groups for weight, age and height at pro-treatment (p<.05). This result indicates that the two groups were similar in the sample distribution. The effects of the foot reflex therapy on physiological responses were a significant decrease in respiration rate after therapy, on muscloskeletal function, a significant increase in muscle endurance after therapy and on kinesthetic perception responses, a significant increase in agility after therapy. The effects of the foot reflex therapy to psychological health were a more perception of health status after foot therapy and a decreased perception of pain after therapy, and improved sleep pattern after therapy. The effects of the foot reflex therapy showed that quality of life improved after therapy. In conclusion, the study provided support that foot reflex therapy for elders promotes positive physiological responses, psychological health and quality of life. From this result, it can be concluded that foot reflex therapy is effective as a intervention for health promotion in elders.

아동을 위한 건강증진 행위에 관한 연구

이화자,정향미,안혜경 동의대학교 기초과학연구소 1997 基礎科學硏究論文集 Vol.7 No.1

Young children need continuous care and fostering by their family. They help children organize and develop their potential and grow to be and integrated individuals. Children are influenced by then family at first and continuously when they grow up and develop their capability. Especially, mothers spend a lot of time with time to their children, encourage children's growth, give advice, and do their best to take care of their children. The ethnograpic study is to understand the patterns and rules of human behaviors. This study utilized this method in order to interpret the maternal health promoting behaviors for their children. The data were collected through the participant observation and direct interview for about 18 months in P city. The participants were 7 mothers, from 32 to 37 years old. They have children of ages 3 to 10 and 1 or 2 children in total. The data was analyzed through the Spradley's Ethnograghic method and the results were summarized as follows : The viewpoints which influence maternal health promoting behaviors include $quot;$quot;having childlike appearance$quot;$quot;, $quot;$quot;having childlike character$quot;$quot;, $quot;$quot;living without illness$quot;$quot;, and $quot;$quot;eating well$quot;$quot;. The maternal health promoting behaviors for children are classified as $quot;$quot;adapting to nature$quot;$quot;, $quot;$quot;supporting of ability$quot;$quot;, $quot;$quot;sharing with the family$quot;$quot;, $quot;$quot;training$quot;$quot;, and $quot;$quot;praying$quot;$quot;. The adapting behaviors include $quot;$quot;recognizing child's innate character$quot;$quot;, $quot;$quot;controlling maternal desires$quot;$quot;, $quot;$quot;preparing natural food$quot;$quot;, which includes breast feedings. The supporting behaviors include $quot;$quot;recognizing childlikeness$quot;$quot;, $quot;$quot;empowering$quot;$quot;, and $quot;$quot;restricting certain actions to preventing accidents$quot;$quot;. In order to promote child's health, it is essential to promote mother's health first of all. The sharing with the family includes $quot;$quot;promoting family concord or acquaintanceships concord$quot;$quot; and $quot;$quot;adapting circumstances beyond family$quot;$quot;. The training behaviors include $quot;$quot;forming good habits$quot;$quot; and $quot;$quot;having good moral value$quot;$quot;. It is very importance to form good habits in childhood. The praying behaviors include $quot;$quot;waiting for opportunities$quot;$quot; and $quot;$quot;endeavoring activity to promote child's health$quot;$quot;. The above 5 behaviors by mothers appeared to be able to promote children's health. The results of this study can be utilized to provide the basic information necessary to develop the patterns of maternal health promoting behaviors consistent with our cultural and can contribute us develop the body of knowledge about the maternal health promotion for children in nursing.