표준화환자 활용 정신간호학 융합시뮬레이션 실습에 대한 간호학생의 학습만족도가 전이동기에 미치는 영향: 학습자기효능감의 매개효과

오현주,김미자,박경미,Oh, Hyun-Joo,Kim, Mi-Ja,Park, Kyung-Mi 한국융합학회 2020 한국융합학회논문지 Vol.11 No.9

본 연구는 임상실무에 접하기 전 표준화환자를 활용한 정신간호 융합 시뮬레이션 실습을 받은 간호학생의 학습 만족도와 전이동기와의 관계에서 학습자기효능감의 매개효과를 확인하기 위한 서술적 조사 연구이다. 연구대상은 144명의 3학년 간호학생이었다. 자료분석은 기술통계, t-test, one-way ANOVA, 상관분석을 하였고, Baron & Kenny의 다중회귀분석과 Sobel test를 하였다. 연구결과, 학습만족도와 학습자기효능감(r=.686, p<.001), 학습만족도와 전이 동기(r=.633, p<.001), 학습자기효능감과 전이동기(r=.804, p<.001)간 유의한 상관관계가 있었다. 학습자기효능감은 학습만족도와 전이동기와의 관계에서 부분매개효과가 있는 것으로 확인되었다.(Z=7.63, p<.001). 교육에서 습득한 지식과 기술을 실무에 적용하고자 하는 전이동기를 높이기 위해서 간호대학생의 학습자기효능감을 높일 수 있는 전략이 요구된다. The study was to examine the mediating effect of self-efficacy in learning in the relationship between the learning satisfaction and motivation to transfer of nursing students who received the psychiatric nursing convergence simulation practicum using standardized patients. Participants were 144 third grade nursing students. Data were analyzed descriptive statistics, t-test, one-way ANOVA, Pearson's correlation coefficient analysis, and multiple regression following the Baron and Kenny's method and Sobel test for mediation. There were significant correlations between learning satisfaction and self-efficacy in learning(r=.686, p<.001), learning satisfaction and motivation to transfer(r=.633, p<.001) and self-efficacy in learning and motivation to transfer(r=.804, p<.001). Self-efficacy in learning showed partial mediating effects in the relationship between learning satisfaction and motivation to transfer(Z=7.63, p<.001). To increase the motivation to transfer, strategies to enhance the self-efficacy of nursing students are required.

듀안안구후퇴증후군의 얼굴돌림과 내전시 과도한 상하전에 대한 수술적 치료

오현주,문성혁,김명미,Oh Hyun Ju,Sung Hyuk Moon,Myung Mi Kim 대한안과학회 2013 대한안과학회지 Vol.54 No.6

Purpose: To present the results of patients undergoing surgical treatment and determine clinical guidelines for the face turn, and up and down shoot in Duane retraction syndrome (DRS). Methods: Thirty-four patients with DRS were treated with single horizontal rectus muscle recession, lateral rectus (LR) recession with Y-splitting, or LR recession with Y-splitting combined with medial rectus (MR) recession. The different treatment approaches were based on the angle of deviation in the primary position, versions, and ductions. In all patients, ocular alignment, face turn and up and down shoot were assessed preoperatively and postoperatively. Results: The average standard deviation reduced from 18.5 ± 6.5 prism diopters (PD) to 4.6 ± 5.8 PD in horizontal rectus muscle recession and 14.4 ± 5.5 PD to 1.6 ± 2.8 PD in LR recession with Y-splitting. LR recession with Y-splitting combined with MR recession was effective in reducing globe retraction. Postoperative 4-mm LR recession with Y-splitting did not change ocular alignment; 7-mm LR recession with Y-splitting showed an average correction of 12.8 PD. Postoperatively, all patients presented a reduction in face turn; however, there was no statistically significant difference between the 2 procedures (Mann-Whitney U test, p = 0.620). Conclusions: Decisions regarding surgical approaches in DRS should be based on the amount of deviation in primary eye position, the expression of up and down shoot, and the degree of face turn. Surgeons planning Y-splitting of LR with MR recession must consider modifying the MR recession amount due to the smaller LR recession effect of Y-splitting compared with conventional LR recession.

만성중심장액맥락망막병증에서 절반 에너지보다 낮은 에너지를 이용한 광역학치료의 효과

오현주,장우혁,사공민,Hyun Ju Oh,MD,Woohyok Chang,MD,PhD,Min Sagong,MD,PhD 대한안과학회 2013 대한안과학회지 Vol.54 No.7

Purpose: To investigate the safe, effective light dose for photodynamic therapy (PDT) in the treatment of chronic central serous chorioretinopathy (CSC). Methods: Thirty-eight eyes of 37 patients with chronic CSC were recruited for this study. From November 2009 to July 2010 and from April 2011 to February 2012, PDT was performed using 50% and 25% of the full light dose in 27 eyes of 27 patients (group I) and 11 eyes of 10 patients (group II), respectively. The minimum follow-up period was 6 months. Mean change in best corrected visual acuity (BCVA) and central retinal thickness, hyperpermeability change from abnormal choriocapillaris, success rate, recurrence rate, and complications were analyzed. Results: Group I showed that BCVA (log MAR) improved significantly from 0.33 ± 0.17 to 0.14 ± 0.15 at 6 months (p < 0.001). However, there was no significant improvement of BCVA (p = 0.050) in group II. One eye out of 27 eyes (3.7%) in group I and 5 eyes out of 11 eyes (45.5%) in group II showed recurrence at the 6-month follow-up (p = 0.016). After initial PDT, hyperpermeability from abnormal choriocapillaris reduced or disappeared at 95.5% in group I and 54.5% in group II at month 3 (p = 0.016). No patient in either group experienced severe adverse events. Conclusions: PDT performed with 50% of the full light dose appears to be a more useful method in the treatment of chronic CSC, with less frequent recurrence, than PDT using 25% of the full light dose.

굴곡-신연기법과 낙차 교정법이 허리 척추사이원반 탈출증 환자의 시각적 상사 척도 및 엉치뼈 각에 미치는 영향

오현주,최석주,이관섭,최지운,Oh, Hyun-Ju,Choi, Seok-Joo,Lee, Kwan-Sub,Choi, Ji-Oun 대한물리치료과학회 2018 대한물리치료과학회지 Vol.25 No.3

Background: In order to find out the effect of therapy methods through Flexion-distraction technique and drop technique on pain, sacral angle of patients with lumbar herniated intervertebral disc targeting patients with lumbar herniated intervertebral disc due to L5-S1. Method: This study was to present the directivity of the therapy method for lumbar herniated intervertebral disc by comparing and analyzing the spinal decompression therapy and provide an effective treatment method to patients with lumbar herniated intervertebral disc by identifying the therapeutic effect of Flexion-distraction technique and drop technique. The research period is March 1, 2018 to June 30, 2018 and subjects are the patients diagnosed as lumbar herniated intervertebral disc due to L5-S1 by their doctor through clinical findings and medical equipment such as X-ray, CT, MRI etc. Among patients who visited and hospitalized in S Orthopaedics located in Daegu and 30 female patients with sacral angle of more than $30^{\circ}$ were randomly classified into 15 people and we carried out treatment three times a week for 8 weeks for 15 people in the experimental group applying Flexion-distraction technique and drop technique and 15 people in the control group applying spinal decompression therapy to compare and analyze the changes in pain, sacral angle of patients with lumbar herniated intervertebral disc. Result: According to the results of this study, changes in the Visual Analogue Scale showed statistically significant differences in both the experimental group and control group(p<.05), while there was statistically significant difference in the comparison between groups before and after measurement of experimental group (p<.05). In the comparison within two groups of sacral angle, both groups showed statistically significant difference(p<.05) but there was no statistically significant difference in the comparison of scores between groups before and after measurement of each group(p>.05). Discussion: All those results the above proved that we need to confirm various benefits of the therapy with the flexion-distraction technique and drop technique, and the findings of the concerned study will possibly become useful information when doctors actually work on a therapy to treat patients with the lumbar herniated intervertebral disc.

수치지질도의 세계측지계 좌표변환 (ArcToolbox를 이용한 충주 및 황강리 도폭의 사례)

오현주,Oh, Hyun-Joo 대한자원환경지질학회 2015 자원환경지질 Vol.48 No.6

우리나라에서는 2010년부터 국제적으로 통용되는 세계측지계의 사용을 의무화하였다. 이에 따라 현재 국토지리정보원에서 발행되는 수치지도는 세계측지계 기준으로 제공되고 있다. 그러나 현재도 대부분의 수치지질도는 동경측지계 기준으로 제공되고 있다. 따라서 사용자들은 수치지질도를 이용한 2D/3D 지질공간분석에 있어서 수치지질도의 좌표를 세계측지계로 변환하여 사용할 수밖에 없는 실정이다. 따라서 본 논문에서는 수치지질도의 좌표정의 및 변환에 익숙하지 않은 사용자들을 위해 ArcToolbox를 이용한 동경측지계로의 좌표정의 및 세계측지계로의 좌표변환 방법을 소개하고자 한다. 이때 좌표정의 및 변환의 객관성을 도모하기 위해서 인접한 1:5만 축척의 충주와 황강리의 지질도폭을 예를 들어 사용하였다. 동경측지계 좌표정의에 있어 충주와 황강리 도폭을 각각 동경측지계 중부원점과 동부원점으로 정의하였고, 황강리 도폭을 다시 동경측지계 중부원점으로 변환하여 충주 도폭과 병합하였다. 세계측지계 좌표변환에 있어 병합된 충주 및 황강리 도폭은 다시 세계측지계 중부원점으로 변환하였다. 변환 결과, 병합된 충주와 황강리 도폭은 수치지도(대소 367041) 위치와 정확히 일치하였다. 이와 같은 방법으로 과거에 만들어진 수치지질도의 좌표문제를 효과적으로 해결 할 수 있었다. 따라서 본 논문에서 제시한 좌표정의 및 변환 방법은 향후 다양한 수치주제도들의 2D/3D 지질공간분석시 주제도들의 전처리 과정으로 유용하게 사용될 수 있을 것으로 기대된다. In Korea, the use of world geodetic system(WGS) has been mandated in year 2010. Accordingly, the national geographic information institute(NGIS) provides the digital maps according to the WGS. Nevertheless, most of the digital geological maps are still based on the Tokyo Datum(TD). Therefore, users should conduct 2D/3D geological spatial analysis after converting the coordinates of digital geological maps to WGS. The conversion process is often tedious and troublesome for certain users. Therefore, in this study, the method to transform coordinate from TD to WGS using ArcToolbox is introduced for users not familiar with the process. For a better appreciation, the Chungju and Hwanggang-ri digital sheets of 1:50,000 scale was chosen as an example. Here, Chungju and Hwanggang-ri sheets were defined based on the TD-central origin and TD-east origin, respectively. The two sheets were merged after the transformation of TD-east origin of Hwanggang-ri to the TD-central origin, and eventually transformed to WGS-central origin. The merged map was found to match exactly with the digital map(Daeso 367041). The problem of coordinate determination in previous digital geological maps was solved effectively. The proposed method is believed to be helpful to 2D/3D geological spatial analysis of various geological thematic maps.

양독백호탕으로 호전된 소양인 사지 말단부위 냉증 환자 1례 보고

오현주,황민우,Oh, Hyun-Joo,Hwang, Min-Woo 사상체질의학회 2017 사상체질의학회지 Vol.29 No.3

Objectives The purpose of this study was to report significant improvement of peripheral coldness in patient, who was diagnosed with 'Soyangin Chest-heat symptomatic pattern' and applied medication based on Sasang Constitutonal medicine. Methods The patient was treated with herbal medications, according to his own symptomatology. The objective outcome was measured by thermography and the subjective sensation was assessed by using Visual Analogue Scale (VAS). Results The symptoms of peripheral coldness improved remarkedly without any side effects. Accessory symptoms and original symptoms also changed for the better. Conclusions This results show that it is available that peripheral coldness is treated with herbal medications according to Sasang Constitutional medicine, especially ingenious in terms of the fact that some patient can be diagnosed with heat-based condition on the basis of original symptoms, although his/her chief complaint is classified as cold pattern.

갑상선 질환자에게 적용한 중재 프로그램에 대한 체계적 문헌고찰 - 국내연구를 중심으로

오현주,조정화,Oh, Hyun-Joo,Cho, Jeong-Hwa 한국융합학회 2021 한국융합학회논문지 Vol.12 No.4

본 연구는 국내 갑상선질환자를 대상으로 한 중재 연구 프로그램의 특성과 결과변수를 분석하기 위한 체계적 문헌고찰 연구이다. 국내 5개의 데이터베이스에서 2019년까지 발표된 문헌을 체계적으로 고찰하였다. 확인한 824편 중 선정기준에 맞는 6편을 추출하였다. 본 연구의 결과 프로그램은 교육, 활동, 상담으로 분류되었다. 교육 및 상담요법은 심리사회적인 변수와 신체생리적인 변수에 유의한 영향을 미치고 있었다. 활동요법은 신체생리적 변수에 유의한 영향을 나타내었다. 본 연구는 국내 갑상선질환자를 위한 다양한 중재 프로그램의 개발과 운영방안에 대한 근거를 제시하였다는 것에 의의가 있으며 향후 갑상선질환자의 신체생리적 기능과 심리사회적 문제를 고려한 융합적 프로그램개발연구에 활용될 수 있을 것이다. This study is a systematic review of literature to analyze the characteristics and outcome variables of intervention research programs for domestic thyroid patients. We systematically reviewed the literature published until 2019 in five domestic databases. Six of the 824 confirmed articles were extracted according to the selection criteria. The results of this study were classified into education, activities, and counseling. Education and counseling therapy had a significant effect on psychosocial and physiological variables. Activity therapy had a significant effect on physiological variables. This study presented the basis for the development and implementation of various intervention programs for domestic thyroid patients and can be used for the study of the convergence program development considering physiological and psychosocial problems of the thyroid patients.

건칠 추출물이 Streptozotocin으로 당뇨를 유도한 흰쥐에 미치는 영향

오현주,고성규,신용철,Oh, Hyun-Joo,Ko, Seong-Gyu,Shin, Yong-Cheol 대한예방한의학회 2006 대한예방한의학회지 Vol.10 No.1

Rhus verniciflua Stokes(RVS) has been widely used as a food and traditional herbal medicine in Korea. RVS has been reported that the extract from its wood and fruit has strong antioxidant activity and anticancer effect but there is little information on Lacca Sinica Exsiccata(LSE), the resin of RVS, as a medicinal use. The aim of this study was to evaluate the antidiabetic effect of ethanol-eluted extract of LSE on streptozotocin(STZ) - induced diabetic rats. Diabetes was induced in male Sprague-Dawley rats with STZ injection. Oral administration of LSE extract(50mg or 100mg/kg of body weight/day) was given to diabetic group. During 4 weeks of experiment, diabetic rats showed significant weight loss and decreasing feed efficiency ratios(FER) compared with normal rats, while the diabetic group orally fed with LSE extract showed a trend of decreasing weight loss and a significant increase of FER(p<0.05). In 4 weeks after induction of diabetes, diabetic rats showed an increase in weight of liver, kidney and heart, whereas the diabetic rats administered with LSE extract showed a reduction in the weight of heart. Blood glucose level was decreased in diabetic rats treated with LSE extract, but it was not statistically significant. Glutamic oxaloacetic transaminase, Glutamic pyruvate transaminase and total cholesterol levels were lower in the diabetic group treated with LSE extract than in untreated diabetic group, but not significant. These results present that LSE may partly have antidiabetic effect and may protect against the development of diabetic heart complications resulting from impaired glucose metabolism.

기능성 소화불량증이 호전된 소양인 비수한표한병 환자 3례 보고

오현주,홍승민,황민우,Oh, Hyun-Joo,Hong, Seung-Min,Hwang, Min-Woo 사상체질의학회 2016 사상체질의학회지 Vol.28 No.3

Objectives The purpose of this study was to report significant improvement of functional dyspepsia in 3 patients, who were diagnosed with 'Soyangin Spleen Cold-based Exterior Cold disease' and applied medication based on Sasang Constitutonal medicine.Methods The patients were treated with herbal medications, according to their own constitution. The objective outcome was measured by body composition analyzer and Gastrointestinal Symptom Rating Scale (GSRS), and the subjective sensation was assessed by using Visual Analogue Scale (VAS).Results The symptoms of functional dyspepsia improved remarkedly in all respects, without any side effects. Original symptoms also changed for the better.Conclusions This results show that it is available that functional dyspepsia is treated with medicines according to Sasang Constitutional medicine.

Distribution of Disease Severity and Group A Rotavirus Genotypes (VP7 & VP4) in Children with Acute Rotavirus Gastroenteritis

오현주,강현식,강기수,김연우,홍정연,신경수,이진숙,이수현,이근화,조문제,서동인,Oh, Hyun-Ju,Kang, Hyun-Sik,Kang, Ki-Soo,Kim, Youn-Woo,Hong, Jung-Yun,Shin, Kyung-Sue,Lee, Jin-Sook,Lee, Su-Hyun,Lee, Keun-Hwa,Cho, Moon-Je,Suh, Dong-In The Korean Society of Pediatric Gastroenterology 2011 Pediatric gastroenterology, hepatology & nutrition Vol.14 No.2

목적: 저자들은 지역사회에서, 로타바이러스 장염에 걸린 소아들에서 질환의 중증도와 로타바이러스 VP7 유전형과 VP4 유전형의 분포에 대해 알아보고자 하였다. 방법: 2007년 12월부터 2008년 6월까지 로타바이러스 장염으로 병원에 입원한 156명의 소아들에서 대변 샘플을 수집하였다. 모든 환자들에 대한 질환 중증도는 Vesikari 점수를 이용하여 평가하였다. 로타바이러스 ds-RNA를 분리한 후, 역전사 중합효소 연쇄반응과 다중 중합효소 연쇄반응을 이용하여 cDNA를 합성하였다. 마지막으로 유전형을 확인하였다. 결과: 156명의 환자 샘플에서, VP7(G)는 147명(94.2%)에서 확인되었고 VP4(P)는 140명(89.7%)에서 확인되었다. G1 유전형(147명 중 116명; 78.9%)과 P[8] 유전형(140명 중 137명)이 각각 가장 많았다. VP7과 VP4 조합형은 138명에서 확인할 수 있었는데, G1P[8] 조합형이 111명(80.4)으로 가장 많았다. 다른 조합형들은 종류가 다양하였고 분포가 낮았다. 전체 조합형 중 9.4%가 새로운 로타바이러스 백신에 포함되지 않은 것이었다. 로타바이러스 장염의 질환 중중도는 $11.8{\pm}3.3$ ($mean{\pm}2SD$)였다. 전체 환자에서 경증 내지 중등도가 37.8%였고, 중증은 62.2%였다. 결론: 로타바이러스 유전자 조합형 중 가장 흔한 것은 G1P[8]이었다. 새로운 백신에 포함되지 않은 유전자 조합형은 9.4%였다. 로타바이러스 장염으로 입원한 소아들의 질환 중증도분포는 경증과 중등도보다 중증에서 높게 나타났다. Purpose: We aimed to study the distribution of rotavirus genotypes (VP7 and VP4) and disease severity of rotavirus gastroenteritis prevalent in our community. Methods: Stool samples were collected from 156 children who were hospitalized with rotavirus gastroenteritis from December 2007 to June 2008. The disease severity of all patients was scored using the Vesikari scale. After extraction of ds-RNA of the rotavirus, cDNA synthesis using reverse transcription and polymerase chain reaction (RT-PCR) and multiplex PCR was performed. Following this, the final identification of genotypes was performed. Results: Of the 156 samples, VP7(G) and VP4(P) genotypes were identified in 147 (94.2%) and 140 (89.7%) samples, respectively. G1 (116 of 147 samples; 78.9%) and P[8] (137 of 140 samples; 97.9%) were the most prevalent, respectively. Of the 138 samples identified of combination types of VP7 and VP4, G1P[8] (111 samples; 80.4%) was the most prevalent. Other combination types varied with very low distribution rates. 9.4% of genotypes were not included in the new vaccines. The disease severity score was $11.8{\pm}3.3$ ($mean{\pm}2SD$). The distribution of disease severity was mild or moderate in 37.8% and severe in 62.2% of patients. Conclusion: The most prevalent genotype combination of rotavirus was G1P[8] and genotypes not included in the vaccines represented 9.4% in our community. Disease severity distribution of hospitalized children with rotavirus gastroenteritis was higher in the severe than in the mild and moderate categories.