여드름에 관한 문헌적 고찰

조혜명 中央醫學社 1999 中央醫學 Vol.64 No.1

류마티스 관절염환자와 일반인의 일상활동, 피로 및 우울에 관한 비교 연구

조혜명,박정숙,박명화 성인간호학회 2001 성인간호학회지 Vol.13 No.2

This study was conducted to compare activities of dally living. fatigue and depression between rheumatoid arthritis patients and healthy persons. The subjects consisted of 53 rheumatoid arthritis patients and 53 healthy persons at a university hospital in Daegu City. Data were collected by means of structured interviews with questionnaires from July 20, 1999 to August 25, 1999. The instrument used in this study were the activities of daily living scathe developed by Katz et al. (1970) and Barthel(1973), Multidi-mensional Assessment of Fa샤� by Belza et al.(1995) and CES-D(Center for Epidemiologic Studies-Depression) scale. Analysis of data was done by use of descriptive statistics, Pearson Correlation, Chi-square test, t-test, ANOVA, MANCOVA and Duncan with the SPSS program. The major finding are summarized as follows : 1. The first hypothesis that the rheumatoid arthritis patients will have a lower decree of activities of dally living than the healthy persons was supported (F=4.584. p= .035). 2. The second hypothesis that the rheumatoid arthritis patient will have a higher decree of fatigue than the healthy persons was supported (F=7.799, p= .006). 3. The third hypothesis that the rheumatoid arthritis patients will have a higher degree of depression than the healthy persons was supported (F=4.7y8, p= .031). With the above results, it can be concluded that rheumatoid arthritis patients had a lower degree of activities of daily living and a higher degree of fatigue and depression than the healthy persons. Therefore, by providing appropriate nursing intervention, activities of and depression would be alleviated.

신장수혜자의 간호문제와 관리에 관한 고찰

조혜명(Cho Hyea Myung),박정숙(Park Jeong Sook),박명화(Park Myung Hwa) 계명대학교 간호과학연구소 2001 계명간호과학 Vol.5 No.1

This study attempted to review literatures regarding to nursing problems and management of kidney transplantation recipients. Renal transplantation has recently become recognized as a superior method of treatment and rehabilitation of the chronic renal failure patients who is receiving hemodialysis or pentoneal dialysis. Renal transplantation was increased since March 1969 in Korea when the first operation was performed. Immunosuppressive agents & Steroids are used to prevent rejection of the transplantation and to keep the normal function of transplanted kidney. So transplant patients need to comply therapeutic regimens, perform regular follow-up care and accomplish self care activities. Transplant patients were inclined to have physical, mental and psychosocial problems because of their poor adjustment. They have to control their health problems throughout their lifetime too. Review of literatures on body image of kidney transplantation recipients revealed that those patients have side effects of the therapeutic drugs such as immunosuppressive agents and steroid. These side effects are weight gain, puffy face, acne and so on. Especially steroids which are used to prevent rejection of transplantation, lead to muscle weakness and limitation of activity of daily living. If these physical problems continue for a long time, it is possible for those patients to have uncertainty of the future, threaten to keep their job, and some changes of function and relationship within family and social group. Consequently some of them couldn't comply therapeutic regiments and give up their life. Therefore, nurses should help the kidney transplantation recipients to improve physical function, physical ability and satisfaction about their own physical appearance. In order to admit and accept their matters, the nurse also should help to support the patients social adjustment and emotional satisfaction. Review of literatures on the stress of kidney transplantation recipients revealed that those patients felt anxiety and fear a lot because of rejection and complications related to immunosupressive drug. Although they were initially satisfied with their life after kidney transplantation, most of them have possibility to lost their self-confidence and experience loneliness, depressions and despair. Most of those patients also felt guilty for not being able to accomplish their appropriate roles in the family. They also had financial difficulties and social restrictions. Review of literatures on the relationship between stress and the quality of life revealed a significant negative correlation. Especially younger ones regretted of losing hope and ambition, so gradually felt lowered quality of life. In order to establish and implement an effective and comprehensive nursing interventions for transplant patients, nurses should understand their psychosocial problems such as body image, activity of daily living, stress and quality of life, compliance with follow-up care after kidney transplantations as well as physical problems.

방송광고언어의 문제점

조혜명(Cho Hyeamyung) 길림성민족사무위원회 2012 중국조선어문 Vol.180 No.-

결장루 보유자의 자가 간호 상태

박점희,조혜명 慶北大學校 醫科大學 1988 慶北醫大誌 Vol.29 No.2

The purpose of this study were : To identify the ranks of problems of subjects with a colostomy. To identify the self-care condition between regular paticipants and irregular participants in the self-Help Group. To identify the self-care condition according to elapsed time after colostomy. To idenfify the self-care condition according to elapsed time after colostorny between regular participants and irregular participants in self-help Group. Seventy three subjects who have membership in the Korean Ostomy Association, Taegu Kyung-book Branch were selected as research Sample. The instrument used in this research was the guestionnaire. The data was collected by personal interviews and via mail from 1, Feb. to 31, Mar., 1987. Among 73 subjects, 25 interviews and 17 responded mail were used for a final analysis. For the measurement of self-care condition, 15 items were used on Likert-type scale. The analysis of this research was tested by percentage, t-test, ANOVA. The analysis of this research were as follow : 1. The ranks of problems related to colostomy were defecation control, odor control, use of Applience, gas passing, peristomal skin care, etal. 2. The highest self-care condition in items was family relationship. The lowest self-care condition in items was. Regulality of defecation and odor control, sexual Life with a spouse, daily physical activity, gas passing were also Low items. 3. The regular participants shows significantly hegher self-care condition than irregular participants in self-help group. (p<0.01) 4. There was no significant difference in self-care condition according to elapsed time after colostomy. (p>0.01) 5. There was no significant difference in self-care condition according to elapsed time after colostomy between regular participants and irregular participants in self-help group. (p>0.01)

일 지역 임상간호사의 Preceptor제도에 대한 견해조사

박정숙(Park Jeong Sook),조혜명(Cho Hyea Myung) 계명대학교 간호과학연구소 2003 계명간호과학 Vol.7 No.1

The Purpose of this study was to identify clinical nurses' view on preceptorship and develop of preceptor program for nursing students and newly hired nurses. The subjects of this study were 183 nurses who have worked in 5 general hospitals located in Daegu Data were collected from October 1, 2000 to June 30, 2001 and were analyzed by descriptive statistics with SPSS/WIN. The research instrument have 51 questionnaires, which were developed by researchers on following areas socio-demographic characteristics, preceptor's qualities and competencies, rewarding preceptors, learning content. The results of tins study were summarized as follows 1. The highest level of self-assessment as preceptor was "1 value learning(4.52)", and the lowest level of self-assessment as preceptor was "1 am consistent in my words, actions and feeling(3.75)". 2. The best education level as preceptor was "baccalaureate (49.7%)" and the most appropriate nursing career as preceptor was "above 4years (51.9%)". 3. The highest level of preceptor's learning method was "I learn by doing(4.49)", and the lowest level was "I learn by hearing(3.61)" and "My apprentice learns by reading(3.61)" 4. What the most Important learning content to teach preceptee was "Clearly organized around the exploration of problems(4.46)", and the least important learning content was "I ask questions to help the apprentice reflect on similarities and differences between patient situations, symptoms and responses(3.86)". 5. Professional and educational rewards, especially "attending special education(4.34)", "make handle of duty schedule for teaching(4.25)", "involving relative research and program(4.15)", were better than economical rewards for preceptor. 6. The most importances of preceptor's quality were "educational consideration(4.70)", "truth(4.70)", "expert nursing performance(4.69)", "leadership(4.59)", "professionalism(4.57)" 7 In preceptor program, the most importances of teaching content for preceptor were "methods of problem solving(4.82)", "interpersonal and communication skill(4.58)", "role and responsibility as teacher(4.46)" Through the results of this study, It seems that the content of effective preceptor program, the principle of adult learning, scientific problem solving, communication, feedback, and direct teaching experience affect the individual nursing performance of the preceptor. Also, this study recommended a systematic reward system for the preceptors to increase the motivation to teach preceptee is needed.

류마티스 관절염환자의 피로에 대한 조사

박정숙(Park, Jeong Sook),조혜명(Cho, Hyea Myung) 한국간호교육학회 2001 한국간호교육학회지 Vol.7 No.2

간호사와 환자의 간호역할 기대

김현미,박점희,이현주,조혜명 慶北大學校 醫科大學 1992 慶北醫大誌 Vol.33 No.4

종합병원에 근무하는 간호사와 입원한 환자가 느끼는 간호역할에 대한 기대정도를 비교함으로써 간호업무 수행 시 일어나는 간호사와 환자의 갈등을 줄이고 보다 향상된 간호를 제공하기 위해 1990년 10월 10일부터 10월 20일까지 대구시내에 소재한 2개 종합병원에 근무중인 간호사 120명과 입원중인 환자 120명을 대상으로 하여 두 집단 간의 간호역할 기대정도를 비교 분석한 결과는 다음과 같다. ·간호역할에 대한 간호사의 기대정도는 평균 3.85였고, 영역별 기대는 촉진자, 조정자 순으로 높았으며, 교육자, 변화발동자 역할에 대해서는 기대정도가 같았고, 다음이 옹호자 역할 순이었다. ·간호역할에 대한 환자의 기대정도는 평균 3.60으로 영역별 기대는 촉진자, 조정자, 변화발동자, 옹호자, 교육자 역할 순이었다. · 두 군간 간호역할 기대정도는 간호사군에서 유의하게 높았다. 영역별로는 조정자, 변화발동자, 교육자 역할에서 모두 간호사군이 유의하게 높았다. ·일반적 특성별 간호사의 간호역할기대정도는 연령, 근무경력 및 직위에 따라 유의한 차가 있었다. 연령별로는 41세 이상이 간호역할기대정도가 가장 높았고, 26세에서 30세가 가장 낮았으며, 직위가 높을수록 역할기대가 높았다. 그에나 근무경력이 길수록 역할 기대가 높은 것은 아니었다. ·일반적 특성별 환자의 간호역할기대정도는 유의한 차가 없었다. The Purpose of this study was to reduce the trouble between the nurse and patients occurred in the nursing duties, and to provide the improved nursing service, by comparing expectation to the nursing role suggested by the patients and their nurse serving at the general hospital. To accomplish these purposes, this study was carried out on 120 patients and 120 nurses serving at two general hospitals located in Daegu, Korea, from the 10th to 20th of October, 1990. The result of this study was summarized as follows : The expectation of these nurses was averagely 3.85. Then, the expectation by fields was high in such order as facilitator and coordinator, while the expectation to the role as educator and change agent was same. The next expectation was the role as the advocator. The expectation of these patients was averagely 3.60. The expectation by fields was high in such order as the facilitator, coordinator, change agent, advocator and educator. The expectation to the nursing role between two groups was remarkably high in the nurses group, while their group also showed the higher expectation to the role as the coordinator, change agent and educator, with respect to fields. The expectation of the nurses to the nursing role by general characteristics indicated a remarkable difference according to the age, service career and position. The expectation to the nursing role by age was highest for 41 years old or more, while the lowest was for 26-30 years old. Also, the higher the position, the higher the expectation to the role. It was not that, however. the longer the career, the higher the expectation to the role. There was no remarkable difference in the expectation of these patient to the nursing role by general characteristics.

Issues in Facilitating Nursing Effectiveness Research and Developing Clinical Databases in Korea

Park Myong Hwa(박명화),Cho Hyea Myung(조혜명),Lee Hae Ran(이혜란) 계명대학교 간호과학연구소 2005 계명간호과학 Vol.9 No.1

  간호의 결과를 가시화하고 그 효율성을 입증하는 방법은 간호 효율성 연구를 통해서 이루어져야 하며 간호 효율성 연구의 촉진을 위해서는 대단위 임상데이터베이스의 개발과 확립이 필수적인 요소이다. 본 연구에서는 간호효율성 연구의 범위와 필요한 연구설계를 확인하고 이러한 간호 효율성 연구를 위해 필요한 데이터베이스의 종류와 필수적인 간호자료를 위한 최신 연구결과를 고찰함으로써 국내에서의 간호효율성 연구와 대단위 임상데이터베이스 구축을 위한 기초자료를 제공하고자 한다. 본 연구에서 고찰된 내용은 다음과 같다. 1) 효율성 연구와 간호효율성 연구의 개념, 2) 간호효율성 연구에 유용한 연구설계와 종류, 3) 간호 효율성 연구를 위한 데이터 및 데이터베이스, 4) 간호효율성 연구를 위한 대단위 임상 데이터베이스의 종류와 기능. 본 연구의 고찰을 바탕으로 다음과 같은 제언을 하고자 한다. 첫째, 개별 간호사 수준에서 정확한 사정과 결과평가를 통해 신뢰할 수 있는 데이터를 산출하여야 하며 또한 간호효율성 연구에 직접 관여하여 연구결과의 산출이 촉진되어야 한다. 둘째, 임상자료가 축적되어 있는 데이터베이스에 대한 정보가 제공되어 개별 연구자와 실무자들의 데이터베이스에 대한 접근성을 증진시켜야 한다. 셋째, 기존 데이터베이스의 신뢰성에 대한 지속적인 평가와 필수적인 자료와 비필수적인 자료에 대한 명확한 구분이 필요하다.

노인의 지속적인 운동행위 실천에 영향을 미치는 요인

박정숙(Park Jeong-Sook),장순양(Jang Soon-Yang),조혜명(Cho Hyea-Myung) 계명대학교 간호과학연구소 2005 계명간호과학 Vol.9 No.1

  Purpose: Purpose of this study was to identify factors influencing on performance of exercise in the elderly. Method: The design of this study was focus group research method. Data were collected from November 9, 2002 to December 7, 2002. through 4 focus groups(26 elderly) interviews with participants" consent. Result: 12 Themes were extracted from total 364 significant statements. Factors influencing on performance of exercise in the elderly were internal facts and external facts. The reason disturbing on performance of exercise in the Elderly were physical states, psychological states, eyes of other people, circumstances, environment. Conclusion: This study provides knowledge to assist in development of exercise intervention program for elders which reflected the characteristics of the elders.