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임신중 요통경험 산모의 산후요통, 기능제한 및 산후우울과의 관계
오현이,김진선 한국모자보건학회 2004 한국모자보건학회지 Vol.8 No.2
연구목적 : 본 연구는 임신 후반기에 요통을 경험한 임부를 대상으로 이들이 산욕기 동안 겪게 되는 요통, 기능제한과 산후우울의 변화 및 이들 변수들 간의 관계를 파악하기 위함이다. 방법 : 연구 대상은 임신기간 36∼39주에 요통을 경험한 임부 70명이었다. 이들을 대상으로 3차에 걸쳐 자료수집을 하였는데, 1차 자료수집은 임신기간 중, 2차 자료수집은 분만 후 10일째, 3차 자료수집은 산후 8주에 실시하였다. 조사내용은 1차에는 통증부위, 강도 및 통증으로 인한 장애를 측정하였고, 2차와 3차에는 통증의 강도, 산후 기능제한정도와 산후우울을 측정하였다. 자료수집 기간은 2002년 5월부터 2002년 10월까지였다. 3차에 걸친 자료수집을 모두 마친 60명이 본 연구를 위한 분석에 사용되었으며, 자료분석을 위해 기술통계, 대응표본 t-검정, t-검정, 일원분산분석, 반복측정분산분석, 피어슨 상관분석을 실시하였다. 결과 : 1. 연구대상자의 산후 10일째 평균 통증점수 4.58, 산후 8주째 평균 통증 2.48로 임신 36∼39주의 평균 통증점수 5.60에 비해 낮았지만 산후에도 요통이 지속되고 있었으며, 세 시점에서의 통증점수는 통계적으로 유의한 차이가 있었다(F=36.34 , p=0.000). 2. 산후 8주째 기능제한 점수는 25.12점으로 산후 10일째 기능제한 점수인 25.98점보다 약간 낮게 나타났지만, 통계적으로 유의한 차이는 없었다(t=0.89 p=0.376). 3. 산후 8주째 산후우울 점수는 77.47점으로 산후 10일째 산모의 산후우울 점수인 76.63점보다 약간 높았으나, 통계적으로 유의한 차이는 없었다(t=-0.50 p=0.622). 4. 기능제한과 산후우울은 대상자의 인구학적, 산과적 특성에 따라 통계적으로 유의한 차이가 없었다. 통증 특성만이 기능제한(F=12.64, p=0.000)과 산후우울의 차이(F=4.82, p=0.012)를 설명하는데 통계적으로 유의했다. 5. 산후 요통의 강도, 산후 기능제한 정도, 산후우울 간의 상관관계를 살펴본 결과, 산후 10일에 기능제한이 심할수록 산후우울이 심했으며(r=0.36, p=0.005), 산후 8주의 요통의 강도가 심할수록 기능제한 정도가 크고(r=0.60, p=0.000), 기능제한이 심할수록 산후우울이 심한 것으로 나타났다(r=0.36, p=0.000). 결론 : 임신중 요통문제를 가지고 있는 임부들은 산욕기까지 요통의 문제가 지속되는 경향이 있으므로 산욕기동안 산모의 요통과 더불어 산모의 기능회복과 산후우울과의 관련성을 고려하여 산모교육에 요통관리, 기능제한과 산후우울을 포함하는 것이 필요하다고 본다.
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오현이,강영순 조선대학교 1981 The Medical Journal of Chosun University Vol.6 No.-
Evaluation of job satisfaction of nurses is very important for solving the problems which occur in hospital duty and to set up policies of job procedures. This study was undertaken to investigate the responses and the priorities in job satisfaction. This data were collected through questionnaires from 177 nurses working at two hospitals in Kwangju City during the period of December 12~24,1980. The questionnaires developed by the researcher included 46 questions concerned vvith job satisfaction; i. e. professional status, interaction, task requirements, administration, doctor-nurse relationships, Pay, and personal autonomy. The results obtained can be summarized as follows: 1) The response of job satisfaction occording to hospital duty was most positive 63.9% in Hospital A and 53.0% in hospital B for personal autonomy and most negative 26.2% in hospital A and 25.4% in hospital B for administration. 2) The response of job satisfaction. according to educational level was most positive 64.6% for graduates from junior colleges and 61.5% for graduates from four-year colleges for autonomy and most negative junior college 26.1%, four-vear college 24.8% for administration in hospital A. In hospital B, it was most positive 51.8% & 54.6% for interaction and most negative for doctor-unrse relationship among graduates from junior college 24. 4% and for administration among graduates from fouryear colleges 25.9% 3) The response of priority according to each item showed that personal autonomy is considered the most important and administration the least important in bofh hospitals.
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오현이,강희영,백영주 朝鮮大學校 附設 醫學硏究所 1996 The Medical Journal of Chosun University Vol.21 No.1
This study was designed to investigate the relationship among morale, task performance. and burnout experience of nurses. Two hundred and fourteen nurses working in clinical settings were selected by purposing sampling at 1 university hospital and 2 general hospitals in Kwangju. The data was collected from August 31 to September 9, 1992. For this study, three instruments were used. For measuring nurse's morale, Choi's instrument was used. The questionnaire is corn posed of 32 items. For measuring task performance, Lee's Nursing Performance Evaluation Tool was used The questionnaire is composed of 44 items For measuring nurse's burnout experience used which developed by Pines. The questionnaire is composed of 21 items. The data were analyzed by frequency, t-test. ANOVA. Pearson 's Correlation Coefficient. The results of the study were as follows: 1. The level of nurse's morale was 2.90 point(by 5 point scale) The level of nurse's task performance was 3.50 point (by 5 point scale) and the level of nurse's burnout experience was 3.64 point (by 7 point scale) 2. The relationship among morale, task performance and burnout experience of nurses. The 1st hypothesis. "The higher the level of morale, the level of task performance would be higher." was supported(r=0.455. p<0.001). The 2nd hypothesis, "The higher the level of morale, the level of burnout experience would be lower." was supported (r=-0.572, P<0.001). The 3rd hypothesis. "The higher the level of task performance, the level of burnout experience would be lower." was supported(r=-0.280. P<0.001).
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오현이,강영순 朝鮮大學校 醫學硏究所 1982 The Medical Journal of Chosun University Vol.7 No.-
The data in this article were obtained from a survey of the attitudes and the actual practice of health care among nursing students in Kwangju, Jeonnam, Korea. The survey was carried out during the period of Decemder 1 through 10, 1981. In total, ninety-three female students responded to the questionaire. Results of the survey are : 1. Parasite Control 65.5% of the students were planning to take anthelmintics twice a year, but only 29.0% made it an actual practice when deemed necessary. 46.2% planned to have a stool examination once a year, but in actual practice, 45.2% did not have the test. The results also show that despite their positive attitudes towards parasite control, they did not actually practice it, mostly(61.0%) due to negligence. 2. Dental Care For brushing teeth, the highest percentage (60.2%) of students had the attitudes that brushing three times a day was good, but twice a day was the practice with 62.4% of them. For daily brushing, the highest rated time for brushing was after meals, it was 79.6% in attitudes and 63.4% in practice. For frequency of seeing a dentist, the highest rate of regular consultation was 90.3% in attitudes, and in practice, 54.8% only when necessary. These results show that despite their attitudes, most subjects did not actually practice sound dental hygiene. 3. Smoking Opposite results were obtaindd for smoking with 54.8% opposed to smoking and as high as 93.5% not smoking in practice. 4. Drinking In attitudes 40.9% approved, but in actual practice, 49.5% did not drink at all. In general, they opposed drinking inconsistent with 40.9%. 5. Frequency of X-ray examinations The need for a chest X-ray once a year was held by 79.5%, and in practice, 62.2% had an X-ray taken. The reason for not getting X-rays was that 71.4% of the subjects were either negligent, or felt no need for it. 6. Frequency of Vaccination In attitude, 84.9% considered vaccination necessary for good health, but in practice, 65.6% took them only when it was necessary. The reason was that 71.9% were either negligent, or were not required to be vaccinated. 7. Usage of Medical Care Facilities Initial treatment of illness in an early stage was sought by 44.1% of those surveyed, and the medical care was rendered by a clinic or hospital for 61.2%. 53.8% were advised directly by pharmacists to take medication. Medical care decisions were made with parents in 67.7% of the subjects.
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