전담간호사의 역할갈등 적응과정에 대한 근거 이론적 접근

양인숙(Yang In-Suk),강지숙(Kang Ji Sook) 질적연구학회 2012 질적연구 Vol.12 No.1

Purpose: The purpose of this research is to disclose the particular experiences of Clinical Nurse Specialist (CNS) with role conflict in Korea. Methods: This research utilized grounded theory approach in order to study the experiences CNS with role conflict, to disclose the basic socio-psychological process of them and to develop a substantive theory with regards to these finding. The author had in-depth interviews and participant observations with them until they were saturated. Total 8 CNS participated in this study. Results: As a result, 72 concepts, 24 subcategories and 13 categories were generated and paradigm model was proposed as follows. The causal conditions were 'role ambiguity,' 'high achievement motive.' The central phenomenon was 'being indecisive' for CNS. The contextual conditions that affected indecision were 'new experiences', 'unexpected workload'. The intervening condition was 'comparing others,' 'communicating,' 'pursuing knowledgement,' 'pending system.' The action/interaction, which are strategic or routine responses of the participants was 'aggressive coping,' 'passive coping.' According to consequences, those who discovered 'being indecisive' with role conflict of CNS can select 'distinct role,' or 'resignation.' The core category of this study was the 'establishing role.' Conclusion: As a nursing administration, it is needed to improve CNS' role and position by developing system, and as a nursing education, there will be prepared for CNS' job education program.

불명열로 오인된 아급성 괴사성 림프선염 1례

양인숙,박경호,강진한,김소영,이원배,김현희,Yang, In Suk,Park, Kyung Ho,Kang, Jin Han,Kim, So Young,Lee, Won Bae,Kim, Hyun Hee 대한소아감염학회 2001 Pediatric Infection and Vaccine Vol.8 No.2

1972년에 Kikuchi씨에 의해 최초로 보고된 아급성 괴사성 림프선염은 30세 전 연령에서 주로 발병하고 여자에서 다소 높게 발생하는 역학적 특성이 있는 질환으로서 발열, 발진, 림프구감소 등의 임상증상이 동반되어 감염성 병원체에 의한 질환일 가능성을 추정하나 원인은 확인되지 않았다. 한편 Kikuchi씨 질환은 임상적으로 불명열에 준하는 장기간의 발열과 림프선 종창을 보이는 소견 이외에 특징적인 증상과 증세가 없고 진단을 위한 면역혈청학적 특이검사가 없어 진단이 매우 어려워 조기에 감염 질환, 자가면역성 질환, 교원성 질환, 림프종양질환과의 감별이 용이하지 않아 이 질환이 의심될 경우 조기에 림프절 생검을 통한 조직병리 소견으로 진단하여 불필요한 검사와 치료를 방지하는 것이 중요하다. 저자들은 기침, 객담, 경부 림프절 종창이 있으면서 발열이 30일 동안이나 지속되어 불명열 환자로 오인되었던 14세 된 남아에서 생검한 경부 림프절 조직에서 전형적인 아급성 괴사성 림프절염 소견을 확인하고, 동시에 동소 교잡법으로 EBV 잠복감염을 확인한 1례를 경험하였기에 문헌고찰과 함께 보고하는 바이다. Kikuchi's disease(histiocytic necrotizing lymphadenitis) is characterized by lymphadenopathy in young patients below 30 years old, and persistent fever, lymphopenia and splenomegaly are concomitantly developed in many cases. So, it has been confused with lymphoma, SLE, and tuberculosis, and has easily led to inappropriate diagnostic procedures and administration of drugs. Many reports have indicated that Kikuchi's disease should be added to the list of causes of FUO in the setting of lymphadenopathy, and recommended early lymph node biopsy to distinguish from lymphoma, SLE, and tuberculosis to avoid unnecessary treatments. We experienced a case of subacute necrotizing lymphadenitis in a 14-year-old boy who presented with persistent high fever, productive coughing and cervical lymphadenopathy for about 1 month. Initially, diagnostic workup was done to look for the causes of FUO in vain. Finally, we confirmed diagnosis by histopathological findings of lymph node biopsy and detected latent gene of EBV in the biopsied specimen using in situ hybridization.

Theme 여성이여, 벤처여!

양인숙,Yang, In-Suk 벤처기업협회 2006 벤처다이제스트 Vol.96 No.-

미래를 움직이는 힘 Woman Venture 21세기에는 우리 사회에서 소비를 주도하는 소비자로서의 여성의 파워가 확장될 뿐만아니라, 여성의 삶, 나아가 건강한 사회의 생활을 선도하는 여성 벤처기업이 성장할 것이라는 전망이 나오고 있다. 앞으로 여성 벤처는 우리 생활과 밀접한 곳에서부터 미래를 움직이는 힘을 발휘해 나갈 것이다. 여성벤처 Over the Woman Venture 지난해 5월, 우리나라의 여성 경제활동인구가 천만 명을 넘어섰다. 가사를 병행해야 하는 현실과 사회적 편견, 전문 인력의 부족 등 넘어야 할 산들은 여전하지만 특유의 열정과 전문성으로 무장해 뚜렷한 질적 성장을 보이고 있는 여성 벤처 기업. 일하는 여성의 안타까운 조건들 속에서 불굴의 뚝심으로 값진 성공의 가치를 일구어내는 성공 여성 벤처 기업들을 살펴본다.

심부전 환자의 사회적 지지와 부정적 정서상태가 자가간호 이행에 미치는 영향

양인숙(Yang, In-Suk) 한국성인간호학회 2016 성인간호학회지 Vol.28 No.3

관상동맥질환자의 위험요인 인식 및 관련요인

양인숙(Yang In-Suk),최동훈(Choi Donghoon),강윤희(Kang Younhee) 한국성인간호학회 2010 성인간호학회지 Vol.22 No.5

알레르기성 기관지 - 폐 아스폐르길루스증 1 례

양인숙(In Suk Yang),김현희(Hyun Hee Kim),김소영(So Young Kim),이원배(Won Bae Lee),이준성(Joon Sung Lee) 대한소아알레르기호흡기학회 2000 소아알레르기 및 호흡기학회지 Vol.10 No.3

Aspergillosis is a systemic fungal infection caused by Aspergilli, mainly, Asper gillus fumigatus. The pulmonary aspergillosis is a group of three separate disease, comprising invasive aspergillosis, aspergilloma, and allergic bronchopulmonary aspergillosis(ABPA), or a disease process in which one of three entities overlap with another process. ABPA is a chracterized clinically by asthma, blood and sputum eosinophilia and recurrent pulmonary infiltrations or mucoid impaction, which pathogenesis seems to be hypersensitivity reaction to Aspergillus fumigatus(Af). Recently we experienced a case of ABPA, one of three clinical manifestations of pulmonary aspergillosis. He had asthma as an infant, but had no asthmatic symptoms on admission, and there was no evidence of fungal infection at blood culture and routine bacterial culture with sputum. But, diagnosis was confirmed by test for immediate skin reaction to Af was positive, skin prick test and Greenburg and Petterson`s criteria. After steroid treatment, he became asymptomatic. We report this case with brief review of literature.

Influencing factors of tuberculosis preventive behavioral intention in nursing students

In-Suk Yang(양인숙),Ji Sook Kang(강지숙) 성인간호학회 2013 성인간호학회 학술대회 Vol.2013 No.12

심장질환자의 개별화된 간호, 간호 만족도, 건강 관련 삶의 질의 관계

양인숙(In Suk Yang) 대한여성건강학회 2008 여성건강 Vol.9 No.1

병원 간호사의 연구 활동, 근거중심 간호 실무 및 정보 자원의 접근성

강윤희 ( Youn Hee Kang ),양인숙 ( In Suk Yang ) 이화여자대학교 간호과학연구소 2011 Health & Nursing Vol.23 No.2

Purpose: The purposes of this study were to explore research activity, evidence-based nursing practice (EBNP), and accessibility of information resources in Methods: A descriptive study using cross-sectional survey method was utilized. Subjects were recruited from the nurses who were working at hospitals in Korea. Research activity, EBNP, and accessibility of information resources were measured by a structured questionnaire which was developed for this study. Data were analyzed by using the frequency, percentage, mean, standard deviation, t-test, ANOVA, and Results: A total 372 subjects were invited to this study. The mean age of subjects was 29.41 ± 5.79 years and four-fifths were worked for tertiary hospitals. Research activity was relatively quiet low level. Level of understanding EBNP was low but perception of necessity for and application of EBNP were high. Printed materials and human resources were frequently used to acquire evidence applying EBNP. The group that had the experience of research participation in clinical unit, the positive intention about future research participation, regularly read research article, membership of nursing academy, attendance of academic conference, had statistically higher accessibility of information resources than the other groups. There was statistically difference in accessibility of information resources among the groups by the degree of understanding EBNP, by the perception of necessity for EBNP, by application EBNP, by the positive intention about application of recent evidence distinct form current clinical practice, by level of searching skill related to research documents. Conclusions: To improve accessibility of information resources, nursing managers and educators ought to encourage nurses take an active part in research activity. In addition, educational strategies were required to understand and implement EBNP more clearly. These efforts would provide the world of nursing science to organizational culture facilitating EBNP.

운동중재가 심혈관질환자의 혈관내피전구세포에 미치는 영향

김아린(Ahrin Kim),양인숙(In-Suk Yang) 한국산학기술학회 2017 한국산학기술학회논문지 Vol.18 No.4

본 연구는 운동중재가 심장질환자의 혈관내피전구세포에 미치는 효과에 대한 선행연구들을 체계적으로 고찰하고, 그 효과에 대한 메타분석을 위해 실시되었다. 국내외 데이터베이스인 Cochrane Library, PubMed, EMBASE, ScienceDirect, CINAHL, Scopus, KoreaMed, KISS, RISS, KMBASE 온라인 검색을 실시하였고, 검색어는 심질환, 관상동맥질환, 심부전, 심혈관질환, 운동, 신체활동, 재활, 혈관내피전구세포를 조합하여 사용하였다. 그 결과, 539편의 논문이 검색되었고, 논문 선정기준에 부합하는 9편의 논문을 최종 분석에 이용하였다. Comprehensive Meta-Analysis version 2.0을 활용하여 효과크기, 출판편중을 분석하였다. 운동군의 혈관내피성장인자(VEGF), 혈관내피세포의 수(CD34+KDR+), 혈관내피세포의 기능(FMD)은 대조군에 비해 각각 2.008 (95% CI 0.204-3.812), 1.399 (95% CI 0.310-2.489), 1.881 (95% CI 0.848-2.914) 효과크기가 나타났다. 따라서 운동 중재가 혈관내피성장인자와 혈과내피전구세포의 수를 증가시키고, 혈관내피세포의 기능을 향상시키는데 효과가 있음을 알 수 있다. 국내 심혈관질환자의 유병률과 사망률이 증가하고 있음을 고려할 때, 심혈관질환자를 대상으로 한 운동중재의 효과를 분석한 본 연구결과는 심혈관질환자의 운동중재를 계획하는데 있어 실질적인 가이드라인을 제시할 수 있을 것이다. In this study, we performed a systematic review and meta-analysis to identify the effects of exercise on endothelial progenitor cells (EPCs) in patients with cardiovascular disease (CVD). We conducted database searches (Cochrane Library, PubMed, EMBASE, ScienceDirect, CINAHL, Scopus, KoreaMed, KISS, RISS, KMBASE) for the effect of exercise on cardiovascular disease, using heart disease, coronary artery disease, heart failure, cardiovascular disease, exercise, motor activity, rehabilitation, and endothelial progenitor cells as the keywords. Of the 539 studies identified, 9 met the inclusion and exclusion criteria. Comprehensive Meta-Analysis version 2.0 was used to analyze the effect size and the publication bias was checked with a funnel plot. Exercise was found to improve the VEGF (vascular endothelial growth factor), CD34+KDR+, and endothelial function, assessed via FMD (flow-mediated dilation), in the exercise vs. control groups, viz. 2.008 (95% CI 0.204-3.812), 1.399 (95% CI 0.310-2.489), and 1.881 (95% CI 0.848-2.914), respectively. Exercise improved the VEGF, number of EPCs, and endothelial function in the CVD patients. Considering the increasing prevalence and mortality rates for cardiovascular disease in Korea, the findings of this study that analyzed the effects of exercise on EPCs might provide guidelines for planning exercise interventions for patients with CVD.