의료서비스 품질향상 수준에 대한 통계적 분석 및 예측

전나미 한국경영공학회 2010 한국경영공학회지 Vol.15 No.3

Medical service consists of three elements including structure, process and outcome in the professional and technical perspectives. Among these three elements, outcome indicator such as mortality rate of cancer patients reflects the final quality of medical service which is provided to the patients. It is important to monitor and predict outcome of medical service as an indicator of quality improvement. The purpose of this study was to analyze and predict an influence of medical service quality improvement on cancer patients mortality rate. To analyze the improvement of medical service quality, a statistical model was developed by using the 2010 national data of cancer patients mortality rate and mortality rate of cancer patients in the following years was estimated and predicted. The model developed in this study can be utilized on quantitative analysis of service quality improvement especially on medical service quality improvement.

PLISSIT 모형 부인암 여성 성기능 향상 프로그램의 효과

전나미 한국간호과학회 2011 Journal of Korean Academy of Nursing Vol.41 No.4

Purpose: The purpose of this study was to evaluate the effectiveness of the Permission, Limited Information, Specific Suggestions, Intensive Therapy (PLISSIT) model sexual program on female sexual function for women with gynecologic cancer. Methods: The integrative 6-hr (two hours per session) program reflecting physical and psychosocial aspects of women’s sexuality was developed based on Annon’s PLISSIT model. Participants were 61 women with cervical, ovarian, or endometrial cancer. Of them, 29 were assigned to the experimental group and 32 to the control group. The women completed the Female Sexual Function Index (FSFI) including sexual desire, arousal, lubrication, orgasm, satisfaction, and pain. Independent t-test and repeated measured ANOVA were used to test the effectiveness of the program. Results: Significant group differences were found on FSFI sub-domain scores including sexual desire, arousal, lubrication, orgasm, and satisfaction but not pain. Significant time differences were found on all domains except for pain in the experimental group repeated measured ANOVA. Conclusion: The results indicate that the three-week PLISSIT model sexual program is effective in increasing sexual function for women with gynecologic cancer. Nurses may contribute to improving women’s sexual function by utilizing the program. Strategies to relieve sexual pain need to be considered for greater effectiveness of the program.

부인암 여성의 성기능 구조모형

전나미 한국간호과학회 2008 Journal of Korean Academy of Nursing Vol.38 No.5

This study was designed to construct and test a structural equation model on sexual function in women with gynecologic cancer. Methods: The model was constructed and tested under the hypotheses that women’s physical changes in sexual function after gynecologic cancer treatment did not automatically lead to sexual dysfunctions. Women’s psychosocial factors were considered to be mediating variables. Two hundred twelve women with cervical, ovarian, and endometrial cancer were recruited and asked to complete a survey on their physical factors, psychosocial factors and sexual function. Data was analyzed using SPSS WIN 12.0 and Amos WIN 5.0. Results: Predictors of sexual function in the final model were sexual attitude affected by physical distress and couple’s age, sexual information affected by physical distress and couple’s age, depression affected by physical distress, and marital intimacy affected by physical distress. Tumor stage and time since last treatment directly affected women’s sexual function without any mediating psychosocial variables. However, body image did not affect women’s sexual function. Conclusion: Nursing professionals should develop a tailored educational program integrating both physical and psychosocial aspects, and apply it to women and their spouses in order to promote sexual function in women with gynecologic cancer.

부인암 여성의 성 욕구, 성 흥분, 질분비, 절정감, 성 만족도, 성교 통증에 대한 심리사회적 예측요인

전나미 한국간호과학회 2010 Journal of Korean Academy of Nursing Vol.40 No.1

Purpose: This study was done to identify psychosocial factors that might be predictive of sexual desire, arousal, lubrication, orgasm, satisfaction, and pain in women with gynecologic cancer. Methods: Two hundred and twelve women with cervical, ovarian, or endometrial cancer completed questionnaires on the Female Sexual Function Index including sexual desire, arousal, lubrication, orgasm, satisfaction, and pain, and data on their psychosocial factors including body image, sexual attitude, sexual information, depression, and marital intimacy. Stepwise multivariable regression analysis was performed to explore psychosocial predictors of women’s sexual function domains. Results: Predictors were identified as sexual attitude, depression, sexual information, and body image for sexual desire; sexual information, depression, and sexual attitude for sexual arousal; sexual information, marital intimacy, and depression for lubrication; sexual information, marital intimacy, depression, and body image for orgasm; marital intimacy, sexual information, sexual attitude, and depression for satisfaction; sexual information, depression, and marital intimacy for pain. Conclusion: The results indicate that women’s sexual function needs to be approached to domains of female sexual function psychosocially as well as to general sexual function. These factors should be considered in future interventions to positively promote sexual function in women with gynecologic cancer.

부인암 여성의 증상 클러스터(Symptom Cluster)

전나미,권지연,노기옥,김상희 병원간호사회 2008 임상간호연구 Vol.14 No.1

Purpose: Women with gynecologic cancer often experience various physical and psychological symptoms relating to the cancer and its treatment. The purpose of this study was to identify symptom clusters. Method: A survey was conducted on 184 women with diagnoses of cervical, ovarian or endometrial cancer. Fifty symptoms were assessed for prevalence, severity and interference, and symptom clusters were identified. Cluster analysis was done using SPSS version 12.0. Results: Fatigue was identified as the most prevalent symptom (81.52%), lack of vaginal lubrication (2.26) as the most severe symptom, and lack of vaginal lubrication as the most interfering one (2.15). Identified six clusters were: Anorexia-pain cluster (loss of appetite, taste change, weight loss, appearance change, alopecia, weakness, pain), Fatigue cluster (lack of concentration, lack of memory, fatigue, dry mouth), Urinary-bowel distress cluster (urinary difficulty, constipation), Abdominal discomfort cluster (lower abdominal pain, abdominal pain, bloating), Emotional distress (sadness, anxiety-worry, nervousness, restlessness), and Menopausal cluster (sweating, hot flush, fever). Conclusion: The result of this study provides fundamental data to health care professionals in developing interventions for effective symptom management for women with gynecologic cancer by understanding identified 6 symptom clusters.

서울시 교사의 건강검진 및 건강증진 프로그램에 대한 만족도 및 요구도

전나미,윤재희,김채윤,황나미,김영숙,황문숙,채현주 한국지역사회간호학회 2012 지역사회간호학회지 Vol.23 No.2

Purpose: The purpose of this study was to investigate Seoul teacher's satisfaction with and needs for health examination and health promotion programs. Methods: The participants were 3,186 teachers in Seoul. Data were collected through an on-line survey system from November 16 to December 7, 2008. Collected data were analyzed by descriptive statistics, t-test, ANOVA, and Scheffe's test using PASW 18.0 program. Results: Teacher's satisfaction with teacher health examination was low and needs for detailed tests of cancer and vocal cord disorders were high. Teacher's satisfaction with teacher health promotion programs was low and needs for stress management,exercise and vocal cord protection program were high. Conclusion: Vocal cord disorders should be included in teacher health examination and vocal cord protection program should be provided for teacher's health promotion. Stress management and exercise program should also be provided for teacher's health promotion.

『법화경』의 비유에 나타난 붓다의 상담기법

전나미 한국불교상담학회 2009 불교상담학연구 Vol.1 No.1

근대 이래로 서양에서는 마음의 문제를 과학적으로 연구하는 심리학이 지속적으로 발전되어왔으며, 최근에는 동양의 전통적 지혜와 결합하면서 의식연구는 더욱 심화되어가고 있는 추세이다. 19세기 후반 불교가 서양에 본격적으로 소개되면서 서구에서도 불교에 대한 학문적 접근이 가능해졌으며, 이를 통해 불교를 심리학적으로 연구하기 위한 기초가 마련되었다고 할 수 있다. 즉 동양의 불교와 서양의 심리학이 만남으로써 인간의 마음을 보다 포괄적, 심층적으로 이해하는데 기여하고 있다. 최근에는 이러한 연구가 더욱 심화되어, 불교와 심리치료를 결합하여 새로운 치료이론을 구축하려는 노력이 시작되었고* 교신저자(Corresponding Author): 불교상담개발원 상담팀장, 불교상담학회 이사 Tel: 02)737-8803 / E-mail: nm550@hanmail.net 대표적인 국내의 선행연구로는 서양의 심리치료 이론과 불교와의 비교를 연구한 다양한 논문들을 들 수 있는데, 주로 인본주의(윤호균, 1982,; 함승희, 1990), 분석심리(유미정, 1996), 인지치료(권석만, 1997), 행동주의(김보경, 2001) 등 다양한 심리치료 학파와 불교 간의 유사점 및 차이점을 분석하는데 초점을 맞추고 있다. 불교 사상의 기본적인 해석에 기초한 논문들로는 팔정도(박영동, 1989), 연기법과 중도(조혜진, 2000), 오온설과 사성제(조경자, 2001) 관련 주제들을 들 수 있으며, 이 외에 불교 명상이나 수행과 관련된 실험논문 및 불교사상의 카운슬링 활용(박지숙, 1999) 등이 있다. , 우리나라 불교계에서도 상담학과 불교학을 접목한 불교상담에 관심을 가지면서 ‘중생구제’라는 불교 본연의 목적에 쉽게 다가설 수 있다는 분위기가 점차 확대되고 있다.

서울시 교원의 다빈도 질환 및 관리실태 조사

전나미,윤재희,김채윤,김영숙,황나미,이경아 韓國學校保健學會 2012 韓國學校保健學會誌 Vol.25 No.2

부인암 여성 성기능 향상 프로그램 개발 및 적용

전나미 한국간호과학회 2010 한국간호과학회 학술대회 Vol.2010 No.10

손마사지가 항암화학요법을 받는 부인암 환자의 안위에 미치는 효과

전나미(Chun Nami),김상희(Kim Sang Hee) 대한종양간호학회 2010 Asian Oncology Nursing Vol.10 No.1

Purpose: This study was to identify the effect of hand massage on comfort in women with gynecologic cancer undergoing chemotherapy. Methods: A nonequivalent control group pretest-posttest design was used for this study. Hand massage was provided to the experimental group for 5 min (2.5 min for each side) once on admission day, twice from the second day until the day before discharge, and once in the morning on discharge day. Results: Findings showed no significant differences in pre and post levels of general, physical, psycho-spiritual, social and environmental comfort. However, women’s comfort levels in all domains were increased after the chemotherapy in the experimental group. Conclusion: Although there were some increases in women’s comfort levels on all domains after the treatment, hand massage was not proved as a statistically useful nursing intervention in comforting women with gynecologic cancer. The results suggest that hand massage could be effective if it is applied longer than it was in this study. The future implications of hand massage in patients with various cancers are discussed.