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      • KCI등재후보

        의료환경 변화에 따른 감염성 심내막염의 양상 변화

        신소연 ( So Youn Shin ),박윤수 ( Yoon Soo Park ),최준용 ( Jun Yong Choi ),조정호 ( Cheong Ho Cho ),박윤선 ( Yoon Seon Park ),김창오 ( Chang Oh Kim ),윤희정 ( Hee Jung Yoon ),김효열 ( Hyo Yul Kim ),염준섭 ( Jun Sup Yum ),이꽃실 ( K 대한내과학회 2005 대한내과학회지 Vol.68 No.2

        목적 : 2000년 7월 국민 건강 증진, 보건 관련 비용의 감소, 약물 오 남용 방지 등의 취지로 의약분업이 시행되었다. 의약분업 이전에는 항생제의 구입에 별 다른 제약이 없었으나, 의약분업 이후 대부분의 항생제가 전문의약품으로 분류되면서 항생제의 구입시 의사의 처방전이 필요하게 되었다. 감염성 심내막염은 비특이적인 초기 임상증상으로 환자들이 내원 전 경구 항생제를 복용하는 경우가 많았다. 혈액배양 음성 감염성 심내막염의 가장 흔한 원인으로 내원 전 Background : In July 2000, there was a dramatic change in Korean health care system with the medical reform, the separation system of pharmacies and prescriptions. Before then, patients could easily get antibiotics without doctors` prescriptions. Since th

      • KCI등재

        기혼간호사의 육아경험에 관한 현상학적 연구

        조정호 여성건강간호학회 1996 여성건강간호학회지 Vol.2 No.2

        The purpose of this study is to examine a married nurse's experience of child rearing through being applied to phenomenological research method. By exchanging their experiences, helping and understanding one another, married nurses can work with delight considering their own present job as their lifelong job. In addition this study can help single nurses overcome the female crises such as marriage, childbirth, and child rearing they will experience in the future. The subject of this research was 26 married nurses who work for a university hospital in affiliation in Seoul and have children. The period of materials collection was from Feb. 1st to Mar. 3, 1995. The meth of materials collection was primarily to write down a questionary with openhearted contents. In collecting it, the respondents were allowed to say at their pleasure through further interview. The materials were analyzed by Giorgi's phenomenological analysis method. The findings of this study are as follows ; 1) The responses of married nurses' experience of child rearing - 【pleasure】 【family solidarity】 【maternal-infant attachment】 【understanding】 【toilsome】 - were induced. That is, at once affirmative experience and hard experience coexisted. 2) The method of married nurses' child rearing - 【rearing politely】 【raising understanding】 【having the sense of family community】 【rearing with praying the heart】 【careless】 - were induced. 3) The support system of married nurses' child rearing - 【having help from family】 【having help from others】 - were induced. According to the above findings, the married nurses showed affirmative responses about their experience of child rearing, but at the same time they expressed painful when stayed apart from their children on account of their job or when their children were sick. In the method of child rearing, they tried to grow their children polite because there was much time for them to stay apart from their children. And they tried to give a better explanation in order that their children can have an independence spirit. They tended to compensate through frequent physical touch with their children. As the support system of married nurses' child rearing, they asked their parents or their parents-in-law to take care of their children, hired a nursery governess in their houses, or used a children's home, if they can't afford to. That is, the only one who has a firm sense of her profession, tries to inspire her accomplishment, and is receiving her husband' love and understanding is considered to perform two things simultaneously with harmony, having an recognition of lifelong job. Suggestions 1. The method to solve mental troubles on child rearing should be groped. 2. Their economical burden should be reduced by establishing children's home in their working places, and the increase of maternal-infant interaction should be contrived. 3. The chance of education should be offered in order that married nurses themselves might inspire self-conceit and professionalism on clinical nursing. 4. The familiar mood should be created through planning the programs to be accompanied with children as an annual event in hospital. 5. The part-time nurse system should be suggested to utilize. 6. The system of circulation working should be converted into the system of fixing working according to the characteristic of each department. 7. Programs for special activities such as learning foreign languages and computer should be supported positively.

      • 출산교육이 간호학생의 출산 및 모성행위 태도에 미치는 영향

        조정호,이미라 중앙대학교 의과대학 의과학연구소 1983 中央醫大誌 Vol.8 No.4

        This study was to observe the effect of childbirth education on the attitude of the nursing students toward childbirth and motherhood. Subjects were junior and senior nursing students, enrolled in Chung Ang University during the period of Aug. to Oct. Measurement Instrument was developed by researcher on the basis of review of literature and advice of professor, this instrument was analyzed by Spearman-Brown Prophecy formula for item analysis and reliability and was found to have reliability level of r=.7647, r=.7663 respectively. Data were analyzed statistically by means of χ^2-test, t-Test, ANOVA, Multiple Range Test and General Linear Models. The results were as follows: (1) There was no significant relationship between childbirth education and the attitude on childbirth and motherhood. (t=0.84, df=75, p>0.05). (t=-0.41, df=75, p>0.05). (2) There was no significant relationship between religion and attitude on childbirth. (t=-1.45, df=75, p>0.05). But there was significant relationship between religion and attitude on motherhood. (t=-2.14, df=75, p<0.05). (3) There was no significant relationship between type of family and attitude on childbirth and motherhood. (t=0.23, df=75, p>0.05), (t=-0.36, df=75, p>0.05). (4) "One brother group" was found to have more positive attitude on childbirth and motherhood than "More than two brother group." (t=-1.79, df=75, p<0.1), (t=-1.71, df=75, p<0.1). There was no significant relationship between number of sisters and attitude on childbirth and motherhood. (5) "Both existence of the parents group" was found to have more positive attitude on childbirth than "One of the parents group." (t=2.22, df=75, p<0.05). (6) There was no significant relationship between level of education of father and attitude on childbirth and motherhood. (t=0.18, df=75, p>0.05), (t=81, d=75, p>0.05). There was no significant relationship between level of education of mother and attitude on childbirth and motherhood. (7) There was no significant relationship between living condition with parents and attitude on childbirth and motherhood. (t=0.61, df=75, p>0.05), (t=1.48, df=75, p>0.05).

      • KCI등재

        Efficacy of the Arbekacin and Teicoplanin Combination on Glycopeptide Intermediate Staphylococcus aureus in a Rabbit Model of Endocarditis

        Cho, Cheong Ho,Choi, Jun Yong,Han, Sang Hoon,Lee, Han Sung,Choi, Suk Hoon,Chin, Bum Sik,Choi, Hee Kyoung,Jeoung, Su Jin,Kim, Myung Soo,Kim, Chang Oh,Kim, Chang Ki,Yong, Dongeun,Song, Young Goo,Lee, Ky 대한감염학회 2008 감염과 화학요법 Vol.40 No.2

        목적 : 동물 모델을 이용하여 GISA에 의한 심내막염에서 teicoplain과 arbekacin 병용 요법의 치료 효과를 알아보고자 하였다. 재료 및 방법 : 토끼 심내막염 모델을 이용하여 GISA 에 의한 심내막염에서 teicoplanin과 arbekacin 병용 요법의 효과를 단독 요법의 효과와 비교하였다. GISA 균주는 Mu50 균주를 사용하였고, 기존 문헌과 동일한 방법으로 토끼를 이용하여 동맥판 심내막염 모델을 사용하였다. 항생제 치료는 균을 주사한지 20시간 이후에 시작하였다. Teicoplanin은 40 mg/kg를 1회 근육 주사한 후에 20 mg/kg의 용량을 12시간 마다 4일간 투여하였다. Arbekadn은 5 mg/kg를 12시간 마다 4일간 근육 주사하였다. 마지막 항균제 투여 20시간 이후에 토끼 대동맥판의 증식(vegetation)을 채취하였다. 항균제를 투여하지 않은 대조군, teicoplanin 단독 치료군, arbekacin 단독 치료군, teicoplanin과 arbekacin 병용치료 군간의 증식의 무게(gram) 당 log_10)CFU의 차이를 비교하였다. 결과 : Teicoulanin과 arbekacin 병용 치료군에서 teicoplanin단독 치료군, 혹은 arbekacin 단독 치료군에 비해 증식의 무게(gram)당 log_10)CFU 값이 유의하게 낮았다(P<0.05). 결론 : 동물 모델에서 GISA에 의한 심내막염에 대한 teicoplanin과 arbekacin 병용 치료의 효과가 teicoplanin이나 arbekacin 단독 치료에 비해 우월하였다. Background : There have been no reports to evaluate the usefulness of combination therapy with glycopeptide and arbekacin in endocarditis by in vivo model. Materials and Methods : We investigated the efficacy of the arbekacin and teicoplanin combination on glycopeptide intermediate Staphylococcus aureus (GISA) in rabbit model of endocardits. GISA Mu50 strain was used for the experiment. The rabbit model of aortic valve endocarditis as described previously was used. Treatment was started 20h later inoculation with teicoplanin alone (at 20 mg/kg of body weight intramuscularly every 12 hours for 4 days after loading dose of 40 mg/kg of body weight intramuscularly), arbekacin alone (5 mg/kg of body weight intramuscularly every 12h for 4 days), or teicoplanin plus arbekacin. Results : The results of therapy for experimental endocarditis due to Mu50 showed that teicoplanin and arbekacin combination was more effective than the administration of both drugs alone in reducing the log_10)CFU/g of aortic vegetation (P<0.05). Conclusion : The combination of teicoplanin and arbekacin was more effective against GISA (Mu50) than both drugs alone in vivo endocarditis model.

      • 신규간호사의 간호전문직에 대한 만족도 조사연구

        박경숙,조정호,김옥명 중앙대학교 의과대학 의과학연구소 1995 中央醫大誌 Vol.20 No.2

        Nowadays, it is absolutely necessary for the able professional nurses in order for continuous development. But they shows higher tendency of separation rate. If they are satisfied with their job, te they will work continuously. The purpose of this study is to suggest the basic data for effective management of man power. In order to look into the satisfaction of the nursing profession, this study inquired of 91 subjects, who are already decided to work in C university medical center, from Feb. 1 to Feb. 26, 1993. They responded to totally 40 questions; 4 for economic side, 6 for security of social status, 6 for autonomy, 6 for working environment, 6 for details of duty, 7 for administrative policy, 3 for achievement, 2 for relationship with other people, etc. These data were analyzed by & SAS program. The results can be summarized as follows : 1) In economic factors, it turned out that the hightest average item was "the economic status will be getting increased" as 3.84 and the lowest one was "it is monthly profitable profession" as 2.89. In security of social status factors, it showed that "the nursing business should be enlightened to the general people" was the hightest average item as 4.33 "it is a favorable profession in the society" was the lowest item as 3.07. In the factor autonomity, it showed that the highest average item was "it is necessary to give an self-development opportunity to nurses(by education to higher level or inservice education) as 4.35 and the lowest item was "it is relatively possible to control as individual's will for her duty" as 3.43. In the factor of working environment, it turned out that the highest average item was " the welfare of hospital is good" as 2.79 and the lowest one was "the nursing care is too heavy due to the lack of man power" as 1.56. In the factor for details of duty, the highest average item appeared as "there should be theoretical background" of 4.32 and the lowest as "it should be broken from traditional nursing education emphasizing only service and self-sacrifice of 3.88. In the factor of administrative policy, it turned out that the highest average item was "it is necessary for economic aid of nursing care study" as 4.37 and the lowest one was "they are satisfied with authority of nursing department in hospital" as 2.85. In the factor of achievement, it appeared that the highest average item was "they have a calling consciousness that this is a service profession in society as 3.86 and the lowest one was "the nurses have a pride on their own job" as 3.68. In the factor of relationship with other people, it turned out that the highest average item was "when they work with other companions, they fell comfortable" as 3.86 and the lowest one was "The nurses and medical team are cooperating each otehr well" as 3.22. 2) According to the research results on job satisfaction of nursing profession by general characteristics of new nurses, the technical school graduates and the graduates from university of nursing were 72(M=140.2, S.D=9.6) and 19(M=133.0, S.D=9.3) respectively. The technical school graduates appeared to have the higher job satisfaction than others. It turned out to be significant statistically(P=.0041). According to the results of the job satisfaction by age, it turned out that below 24 ages were 43(M=139.9, S.D=9.9) and above 22 were 48(M=137.6, S.D=9.9). Below 22 ages appeared to be high. There was no significant difference statistically. In the research of job satisfaction by whether they have or not have the religion, the nurses who have the religion were 59(M=139.8, S.D=9.1) and no religion nurses were 32(M=136.6, S.D=11.1). It turned out that the former had a higher job satisfaction than the latter. But there was no significant difference statistically. According to the data of job satisfaction by working period, "will work through life" were 17 persons(M=141.8, S.D=10.6), "if the condition is good, then will work continuously" 71(M=138.1, S.D=9.8), "will retire in the near future" 2(M=136.5, S.D=4.9), and "Others" 1(M=131.0, S.D=.0). It turned out that the longer the working period was, the higher the job satisfaction was. However, there was no significant difference statistically. 3) According to the data by job satisfaction factors of new nurses, it turned out to be in order of details of duty(M=4.18, S.D=3.3), autonomy(M=3.90, S.D=.36), achievement(M=3.77, S.D=49), security of social status(M=3.60, S.D=.34), economic factor(M=3.40, S.D=4.3), administrative policy(M=3.40, S.D=.40), factor of relationship with other people(M=3.30, S.O=.47), and factor of working environment(M=2.23, S.D=.38). On the basis of these results, the suggestions are as follows : 1) The results indicated that the technical school graduates, below 21 ages, the nurses who have the religion had a higher job satisfaction than others. But it is necessary for continuous study in order to check it. 2) According to the research results, the job satisfaction appeared highly in factors of details of duty, autonomy, and achievement, but lowly in factors of working environment, relationship with other people, and administrative policy. Therefore, it is necessary to make high the job satisfaction in the factors of latter as follows : ① Factor of working environment : It is necessary for the effective personnel arrangement by administrator so as to be able to perform the nursing with reasonable number of members. ② Factor of relationship with other people : Both of the administrators and the nurses should try to make a mood which the nurses can work together with members of many sections harmoniously in academic, technical, and systematic side.③ Factor of administrative policy : The nurse and the administrator should make efforts together so that the department of nursing care is able to play a leading role as participating in hospital management directly.

      • 간호대학생의 전문간호이미지에 대한 인식 : Q-방법론 적용 Q-methodological approach

        김복순,조정호,지동옥,현신숙,채정선,이소연,지희영,정은경,지성애 중앙대학교 의과대학 의과학연구소 1998 中央醫大誌 Vol.23 No.4

        Applying Q-methodology, this research analyses the image style of the nurse college students to get the data for the nursing education about the nursing professional. The research was between 1998. 8. 13 and 1998. 10. 5 with 35 students of the C-nurse college second and third grade. We gather 148 Q-statement cards and use 39 items of them. Analysis of Q-type obtained by QUANL pc program. As the result of the research, there are three styles about the nursing professional image of the student. The first type is the value-complexed style : students have conflict about the nursing as a professional, and recognize the outside viewpoint and the influence of the environment factors about the nurse as negative and skeptical. The second type is the proud style : their image about the nurse and the nursing is very positive and they try to develop the professional knowledge continuously and think of the nature of the nursing as important. The third type is in search for the profession : their perception of the nursing as a profession is very high but they have a negative viewpoint about the nurse because of the lack of the professional pride and the endeavor of the self-development. As the result of the research, the styles of the image about the nursing as a profession is available for the reconstruction of the attitude for the professional nursing and data for nursing education. We suggest the below according to the result of this research : 1. The strategic research to make the image of the nursing as a profession better has to be continuous. 2. It is necessary to compare the nurse college student with the nurse about the difference of the image of the nursing as a profession.

      • 일부 종합병원 간호사의 AIDS 교육의 효과

        박경숙,조정호 중앙대학교 의과대학 의과학연구소 1996 中央醫大誌 Vol.21 No.1

        This study was performed to check up the nurses attitude and knowledge for AIDS patients. The 148 nurses who attended the education of 'Care for the AIDS patients' held by the Medical Center, CAU were the objects. It was performed from September 15, 1994 which was before the education to December 31, 1994 that was after the education. It was examined about attitude toward the AIDS patients and knowledge of AIDS by using the structured questionaries, managed by computer with SAS and analyzed. The results are as follows. 1. The correlation of 19 questionaries, attitude toward AIDS patients, as not different and low(t=.1692, p=.8658) 'Before the Education'(M=58.1) from 'After the Education'(=58.2). And the six of 19 questionaries that is ㆍThe AIDS patient should have more responsibility for his disease.(t=.-451 P=0.0000), ㆍThe AIDS patient doesn't deserve consideration about disease.(t=-4.21, p=0.0000), ㆍThe AIDS patient is a threatening person to the sound man.(t=-6.60, p=0.0000), ㆍThe death of the AIDS patient is a natural results as an compensation for sin.(t=-2.81), p=0.005), ㆍThe AIDS patient must be isolated from the others.(t=-7.30, p=0.0000), ㆍThe AIDS patient has to quit his job.(t=-7.00, p=0.0000) were shown more negative correlation after the education. On the other hand, eight questionaries that is ㆍAIDS gives more damage to the patient physically.(t=2.63, p=0.009) ㆍYou can talk to the AIDS patient when he goes to hospital.(t=3.73, p=0.0002) ㆍYou can attend the place where and AIDS patient is.(t=3.60, t=0.0004) ㆍYou can go to dinner which is prepared by an AIDS patient(t=6.06, p=0.0000)ㆍYou can work at the same office with an AIDS patient.(t=6.10, p=0.0000) ㆍYou can be a faithful to your friend who proves to be an AIDS patient.(t=2.44, p=0.02) ㆍYou can rent your house again to an AIDS patient.(t=4.49, p=0.0000) ㆍ You may permit your children to visit an AIDS patient's house(p=5.57, p=0.0000) were shown more positive correlation after the education. 2. The questionaries of the nurses's knowledge of AIDS were twenty, and it was marked examination papers on the basis of 20 points. The nurses who obtained right answer were 'Before the Education(M=11.5)' 'After the Education(M=13.1)', and so there was an effect of education. There were six questionaries which were 70% at th right answer rate, five under 50% about the knowledge before the education. And also there were eleven questionaries that were 70% at the rate of right answer, five under 50% about the knowledge after the education. But in the six questionaries that is ㆍAIDS is spread only by sex with a homosexual ㆍHIV of an AIDS pathogen is separated from all humors such as sperm, sputum, peripheral blood, tear etc ㆍThe man who has positive reaction to AIDS antibody will become an AIDS patient. ㆍThe incubational period of AIDS is known as from 6 months to 5 years ㆍYou may be infected through injection of blood material ㆍNot only AIDS patients but also positives to HIV antibody have to be examined no to spread AIDS, the right answer rate lowered after the education and so they will be amphasized at the next education program. This result indicate that the practical and principle education for correction of nurse's negative attitude toward AIDS patients and wrong knowledge will needed.

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