신생아실의 퇴원교육 방법에 따른 산모의 만족도 비교 연구 : Videotaped vs. Verbal

주현실,서영준,이규식,김춘배 한국의료QA학회 2001 한국의료질향상학회지 Vol.8 No.2

Background : This study was conducted to compare the level of satisfaction between mothers who were educated on the care of newborns by video-taped method and those by verbal one before discharge. Methods : Fifty-two mother(verbal method group)from a free standing OB & GY hospital in Wonju City and forty-seven mothers(videotaped method group)from the OB & GY section of Wonju Christian Hospital(WCH) were selected for a study sample. The knowledge and understanding of newborn care and the degree of maternal satisfaction were assessed after the education by self-administered questionnaires. The opinions of the 11 nurses of WCH who were involved in the education were also collected by a questionnaire. Results : With respect of the level of understanding and satisfaction with the discharge education on newborn care, there is no significant difference between the videotaped educated group and verbal educated one. The correlation analysis of the video education group revealed a strong correlation between the score of understanding and satisfaction with the discharge preparation(r=0.409, p=0.01), and between the satisfaction scores for discharge preparation and discharge education(r=0.844, p=0.001). As for the verbal education group, the score of understanding also correlated significantly with both the score of satisfaction with the discharge education(r=0.272, p=0.001) and the discharge preparation(r=.680, p=0.001). Conclusions : This study showed that the discharge education to mothers regarding newborn care by a videotaped method does not improve the understanding or satisfaction of the mothers. However, the response to the mode of discharge education varies by the characteristics of the mothers. In conclusion, the characteristics of the mother should be considered in order to improve the understanding and knowledge of newborn care when the mode discharge education is chosen.

임부 및 모유수유부와 가임기 여성의 건강행태 비교

주현실 ( Hyun Sil Joo ),김춘배 ( Chun Bae Kim ),남은우 ( Eun Woo Nam ),이민영 ( Min Young Lee ),박명배 ( Myung Bae Park ) 여성건강간호학회 2014 여성건강간호학회지 Vol.20 No.3

Purpose: The aim of this study was to assess health-related behavior of pregnant women and breastfeeding mothers by investigating relevant risk factors. Methods: Data of 10,396 women (age 19 to 49 years) from the Korea National Health and Nutrition Examination Survey report from 2007 to 2012 was used to analyze factors associated with health-related behavior. The subjects were divided into pregnant women; breastfeeding mothers; and non-pregnant women. Bottle feeding mothers were excluded. Results: Current smoking rate including self-reported smoker and/or positive cotinine urine test were lower for pregnant or breast-feeding group than non-pregnant group. Heavy-drinking was not different among groups while monthly drinking rate was higher in non-pregnant group. Rate of stress recognition was lower in pregnant and breast-feeding group than non-pregnant group. Rate of experience for depressive symptoms and rate of suicidal ideation were not different among groups. Conclusion: Pregnant women and breast-feeding mothers maintain a good pattern of health- related behavior compared to non-pregnant women. However, substantial proportion of pregnant women and breast-feeding mothers continue to drink and smoke. This shows the need for a plan that will modify health-related behavior.

COVID-19 관련 업무 경험이 간호사의 직무 스트레스에 주는 영향

김연희,주현실,이정언,이미선,Kim, Yeon Hee,Joo, Hyun Sil,Lee, Jeong Eon,Lee, Mi Sun 한국직업건강간호학회 2022 한국직업건강간호학회지 Vol.31 No.4

Purpose: This study aimed to compare and analyze the job stress of nurses with and without in COVID-19-related work. Methods: A structured self-reported questionnaire survey was conducted to assess job stress. The extent of job stress was compared between nurses with COVID-19 (COVID-19 group) and those without such experience (non-COVID-19 group). Multiple regression analysis was performed to identify the factors influencing job stress. Results: Job stress was higher in the COVID-19 group compared to the non-COVID-19 group (t=2.54, p=.12). In sub-categorical comparison, stress driven by a taxing work environment, relationship conflict, and work schedule was higher in the COVID-19 group than the non-COVID-19 group. Multiple regression analysis revealed the job stress was higher among nurses with COVID-19-related work experience than that of non-experienced nurses. The factors affecting job stress of nurses with COVID-19-related work experience included emergency room work, providing nursing assistant for COVID-patients, and caring for these patients. Conclusion: Since COVID-19-related work experience is a major factor that affects nurses' job stress, it is imperative to provide various support measures for nursing assistants such as providing a break from working in an environment with high risk of infection, adjusting work schedules, resolving conflicts between personnel, and securing support.

여성의 재택건강관리 서비스 요구도 조사

박소미,주현실,황성오 한국간호과학회 2004 한국간호과학회 학술대회 Vol.2004 No.5

환자복과 병원만족도의 관계

진기남,김연희,주현실 한국의류학회 2010 한국의류학회지 Vol.34 No.7

This study analyzes the effect of patient clothes on hospital satisfaction. We conducted a survey on 272 patients from June 12 to August 14 in 2009. For the statistical analysis of data, t-test, ANOVA, and hierarchical regression analysis were used. The results of the study were as follows. First, the clothing satisfaction of patients depended on age and gender. Elderly patients were more satisfied with patient clothes compared to younger patients and patients with low educational backgrounds were more satisfied with patient clothes. Second, the effect of patient clothes on hospital satisfaction was statistically significant even after controlling for other factors. Third, the effect of patient clothes on hospital satisfaction depended on the age of the patient. In the case of young patients, the hospital satisfaction level increased sharply when they were satisfied with patient clothes.

혈액투석 환자의 음식갈망 영향요인

김주연 ( Kim Ju Yeun ),주현실 ( Joo Hyun Sil ) 병원간호사회 2017 임상간호연구 Vol.23 No.3

Purpose: The purpose of this study was to evaluate food carving among hemodialysis patients and to identify factors affecting the food carving. Methods: A descriptive correlational study was conducted. Data were collected from 129 patients receiving hemodialysis between March 15 and April 15, 2017. Measurement instruments included the general food craving questionnaire trait, the center for epidemiological studies-depression scale, and stress response inventory-modified form. The statistical analysis included t-test, analysis of variance, pearson correlation analysis, and stepwise multiple regression analysis. Results: Mean food craving score was 53.00±12.36. Food craving was higher in patients younger than 40 years (F=4.36 p=.006) and having occupation (t=2.18 p=.031). Patients receiving hemodialysis demonstrated higher levels of depression (21.37±9.62) and stress (39.68±15.95). Factors influencing food craving were depression (β=.52, p<.001), stress (β=.65, p<.001), and age 50~59 years old (β=-.28, p=.001) and 60~69 years old (β=-.19, p=.026), which accounted for 25.6% of total variance. Conclusion: Food craving among hemodialysis patients was influenced by patients’ depression, stress and age. Assessment and management of depression and stress needs to be incorporated as a nursing strategy for dietary management for hemodialysis patients.

광학 센서를 이용한 비관혈적 혈압 측정의 오차 보정

고재일,정인철,이동희,박신우,황성오,박소미,김기연,주현실,윤형로,Ko, J.I.,Jeong, I.C.,Lee, D.H.,Park, S.W.,Hwang, S.O.,Park, S.M.,Kim, G.Y.,Joo, H.S.,Yoon, H.R. 대한의용생체공학회 2007 의공학회지 Vol.28 No.2

This study is attempted to correct an error of electronic blood pressure meter with an optical sensor. In general, for a hospitalized patient, ECG, blood pressure, oxygen saturation, and respiration are basically measured to monitor the patient's condition. Opening of a blood vessel after it is occluded by pressurizing the cuff influences the blood flow of peripheral blood vessels as well as oscillation changes in the cuff. Blood vessels are occluded and peripheral blood flow disappears at cuff pressure above the examinee's blood pressure, while blood vessels are opened and peripheral blood flow appears again at cuff pressure under the examinee's blood pressure. Then Disappear-Appear Point Length(DAPL) of peripheral blood flow can be judged with the signal of peripheral blood flow, thus is available as a factor of error correction for electronic blood pressure meter. Also, systolic or diastolic blood pressure can be corrected with Appear-Point-Pressure(APP) of cuff pressure at a point where blood flow occurs and Appear-Maximum Pressure(AMP) of cuff pressure at the maximum amplitude point of peripheral blood flow after peripheral blood flow appears again. For verification, 27 examinees were selected, and their blood value was obtained through experimental procedure of 4 stages including induction of blood pressure change. The examinees were divided into two groups of experimental group and control group, regression analysis was conducted for experimental group, and correction of a blood pressure error was verified with optical signal by applying the regression equation calculated in experimental group to control group. As an experimental result, mean of the whole measurement errors was 5mmHg or more, which did not meet the standard fur blood pressure meter. As a result of correcting blood pressure measurements with data of DAPL, APP, and AMP as drawn out of PPG signal, systolic blood pressure, mean blood pressure, and diastolic blood pressure were $-0.6{\pm}4.4mmHg,\;-1.0{\pm}3.9mmHg$ and $-1.3{\pm}5.4mmHg$, respectively, indicating that mean of the whole measurement errors was greatly improved, and standard deviation was decreased.

인플루엔자 예방접종률에 영향을 미치는 요인

박명배(Myung-Bae Park),김춘배(Chun-Bae Kim),주현실(Hyun-Sil Joo) 한국콘텐츠학회 2013 한국콘텐츠학회논문지 Vol.13 No.4

이 연구는 2007년부터 2010년까지 4년간의 국민건강영양조사에 참여한 대상자 중 인플루엔자 백신 예방접종에 응답한 19세 이상 65세 미만 성인 남녀 18,289명을 대상으로 인구사회학적 특성 및 건강행태에 따른 인플루엔자 예방접종률과 접종에 미치는 영향요인을 분석하였다. 국민건강영양조사 데이터를 분석한 결과, 인플루엔자 예방 백신 접종률은 21.7%이었으며, 예방접종에 영향을 주는 요소는 연령의 증가, 농촌지역 거주, 높은 개인 소득수준, 낮은 교육수준, 직업이 없는 여성, 의료기관 이용 경험이 있는 경우 및 만성질환에 유병 되어 있는 경우이었다. 결론적으로 우리나라의 인플루엔자 예방접종률은 낮고, 다양한 인구사회학적 특성 및 건강행태에 영향을 받는다. 인플루엔자 예방접종률을 높이기 위하여 인플루엔자 예방접종에 영향을 주는 요인들을 고려하여 예방접종률의 극대화를 위한 방안을 모색하여야 할 것이다. The aim of this study was to investigate the factors influencing on influenza vaccination among socio-demographic characteristics and health behaviors. Data of 18,299 adults of age between 19 and 65 years who answered to the survey on National Health and Nutrition and influenza vaccination from 2007 to 2010 was used and analyzed. Overall influenza vaccination rate was 21.7%. Logistic regression analysis revealed that factors influencing on influenza vaccination were an increasing age, a residence in rural area, a high personal income, a low educational level, jobless women, experience of hospital visits, and morbidity of chronic illnesses. In conclusion, influenza vaccination rate in Korea is low and influenced by multiple socio-demographic factors and health behaviors. It is needed to seek a strategy to develop a vaccination program in consideration of factors associated with influenza vaccination.

간호대학생의 임상실습 교육 유형에 따른 문제해결능력, 의사소통능력, 자기주도적 학습능력 비교

원미라(Mi-ra Won),김연희(Yeon-hee Kim),주현실(Hyun-sil Joo) 학습자중심교과교육학회 2023 학습자중심교과교육연구 Vol.23 No.4

목적 본 연구의 목적은 간호대학생의 임상실습 교육 유형 즉, 오프라인 실습, 온라인 실습, 온오프라인 병행 실습에 따른 문제해결능력, 의사소통능력, 자기주도적 학습능력의 차이를 파악하기 위함이다. 방법 간호대학생 159명을 대상으로 설문조사를 시행하였고, 수집된 자료는 SPSS 22.0을 활용하여 오프라인 실습, 온라인 실습 및 온오프라인 병행실습에 따른 문제해결능력, 의사소통능력, 자기주도적 학습능력의 차이를 비모수 분석인 Kruskal-Wallis 검정을 시행하였고, Mann-Whitney 검정으로 집단 간 차이를 분석하였다. 결과 간호대학생의 확산적 사고(χ²=8.09, p=.006)와 문제해결능력(χ²=3.48, p=.033)은 온라인 실습군이 오프라인 실습군과 온오프라인 병행실습군보다 유의하게 높았고, 주도적 의사소통(χ²=4.45, p=.037)과 타인관점 이해(χ²=4.92, p=.029)는 온라인 실습군의 점수가 오프라인과 온오프라인 병행실습군보다 높았으며, 학습욕구진단(χ²=5.78, p=.045), 학습을 위한 자원파악(χ²=4.45, p=.037), 자기주도적 학습능력(χ²=3.70, p=.027)은 온라인 실습 군이 오프라인 실습군과 온오프라인 병행실습군보다 유의하게 높았다. 또한, 문제해결능력, 의사소통능력, 자기주도적 학습능력은 양적 상관관계가 있는 것으로 나타났다. 결론 온라인 실습이 간호대학생의 문제해결능력, 의사소통능력, 자기주도적학습능력 향상에 효과가 있으며 특히 자기주도적 학습능력 향상에 긍정적 영향을 미치므로 온라인 임상실습 전략 개발이 필요하다. Objectives The purpose of this study is to identify the differences in problem-solving ability, communication ability, and self-directed learning ability according to the types of clinical practice education of nursing students, that is, offline practice, online practice, and online/offline concurrent practice. Methods A survey was conducted on 159 nursing students, and the collected data were analyzed using SPSS 22.0 to determine the differences in problem-solving ability, communication ability, and self-directed learning ability according to offline practice, online practice, and online/offline concurrent practice. Analysis, the Kruskal-Wallis test, was performed, and the difference between groups was analyzed using the Mann-Whitney test. Results Nursing students' divergent thinking (χ²=8.09, p=.006) and problem-solving ability (χ²=3.48, p=.033) were significantly higher in the online practice group than the offline practice group and online/offline concurrent practice group, and the leading For communication (χ²=4.45, p=.037) and understanding others' point of view (χ²=4.92, p=.029), the scores of the online practice group were higher than those of the offline and online/offline concurrent practice groups, and the learning needs diagnosis (χ²=5.78, p=.045), resource identification for learning (χ²=4.45, p=.037), and self-directed learning ability (χ²=3.70, p=.027) showed that the online practice group had both offline practice group and online/offline. significantly higher than that of the practice group. In addition, problem-solving ability, communication ability, and self-directed learning ability were found to be positively correlated. Conclusions Online practice is effective in improving problem-solving ability, communication ability, and self-directed learning ability of nursing students.

지방의료원 수익성과에 대한 결정요인 분석

홍미영 ( Mi Yeong Hong ),이해종 ( Hae Jong Lee ),이동원 ( Dong Won Lee ),주현실 ( Hyun Sil Joo ) 한국병원경영학회 2009 병원경영학회지 Vol.14 No.2

The purpose of this study is to find the determinant variables to make profitability in regional public hospitals. The data come from financial statements and annual reports of 34 regional public hospitals for five years (from year 2003 to year 2007). The T or F-test and hierarchical multiple regression analysis are used. The dependant variables are the profitability indicators, ordinary income to total asset and operating margin to gross revenue, and the independent variables are general characteristics, diagnosis and treatment patterns, financial and public benefits. The findings of this study are summarized as follows. First, Variables affecting the profitability indexes revealed from DEA results is the bed occupancy rate, number of hospitalized patients to outpatients, ratio of first medical examination for outpatients, number of daily patients per medical specialist, labor cost per patient and managerial expenses per patient. Second, the ordinary income to total asset representing the asset usage performance is affected by the average hospitalized days, bed occupancy rate, labor cost per patient and ratio of patients with medical insurance coverage. Third, the operating martin to gross revenue obtained from the actual operations of hospitals has its significance with the bed occupancy rate, number of hospitalized patients to outpatients, managerial expenses per patient and public benefit indicator. This study has some restriction not to use pannel data analysis, although it used data for five years. Accordingly, various additional studies should be done to supplement such problems.