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용윤미,신경미,이강민,조재영,고선혜,윤민향,김태원,정종현,박용문,고승현,안유배 대한당뇨병학회 2015 Diabetes and Metabolism Journal Vol.39 No.2
Background: We investigated whether an intensive individualized reinforcement education program could influence the prevention of hypoglycemic events in patients with type 2 diabetes. Methods: From March 2013 to September 2013, patients aged 35 to 75 years with type 2 diabetes who had not previously participated in diabetes education, and treated with insulin or a sulfonylurea-containing regimen were included in the study. After structured group education, the patients assigned to the intensive individualized education group (IT) were requested to visit for reinforcement. All subjects in the IT were encouraged to self-manage dose adjustments. Participants in both groups (control group [CG, group education only; n=22] and IT [n=24]) attended follow-up visits at 2, 8, 12, and 24 weeks. At each visit, all patients were asked whether they had experienced hypoglycemia. Results: The total study population consisted of 20 men (43.5%; mean age and diabetic duration of 55.9±11.0 and 5.1±7.3 years, respectively). At 24 weeks, there were no significant differences in hemoglobin A1c values between the CG and IT. The total number of hypoglycemic events per patient was 5.26±6.5 in the CG and 2.58±2.3 times in the IT (P=0.004). Adherence to lifestyle modification including frequency of exercise, self-monitoring of blood glucose, or dietary habit was not significantly different between the groups. However, adherence to hypoglycemia management, especially the dose adjustment of medication, was significantly higher in the IT compared with the CG. Conclusion: Compared with the structured group education, additional IT resulted in additional benefits in terms of avoidance of hypoglycemia and treating hypoglycemia in patients with type 2 diabetes.
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종합병원에 근무하는 간호사의 대인관계능력, 직무만족도 회복탄력성 및 행복지수에 관한 연구
신주희,이창희,이정숙,한혜숙,백미경,김미선,용윤미,이지은,안희상,김소연,오수민,김연미 한국간호연구학회 2018 한국간호연구학회지 Vol.2 No.1
Purpose : This study was conducted to identify factors affecting the nurses’ happiness index, focusing on the associations among their interpersonal relation, job satisfaction and resilience and attempt to provide the base data for the program development to improve nurses’ happiness. Methods : After obtaining approval of institutional review board, a self-administered questionnaires was completed by 269 nursed who was working in general hospital over 6 months. The collected from January 2nd to 20th 2017 were analyzed using t-test, ANOVA, Pearson’s correlation coefficients and multiple regression with SPSS/Window 20.0. Results : There were significant differences in the happiness index for the following demographic variables: marital status(t -4.17, = p .001), religion < (t 3.66, = p .001), academic background(F 4.07, <= p .018), position(t -2.95, == p .003), clinical career(F == 10.76, p .001), job pattern(t 5.95, <= p .001), annual salary(F 6.78, <= p .001), work unit(t 13.23, <= p .001) < and leisure activity(t -3.66, = p .001). There was a positive correlation among interpersonal relation(r .40, <= p .010), job satisfaction(r .55, == p .010), resilience(r .57, == p .010) and happiness index. Both job satisfaction = (β 0.36, = p .001) and resilience( <β 0.38,= p .001) were significant factors influencing nurses’ happiness index. < Conclusion : The results of this study highlighted the need to develope self management program to improve nursing happiness, job satisfaction and resilience.
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