의약품부작용보고시스템(KAERS)을 활용한 예방접종 이상반응 분석

차혜경(Cha, Hye-gyeong) 한국웰니스학회 2016 한국웰니스학회지 Vol.11 No.3

본 연구의 목적은 예방접종 이상반응의 보고사례 분석을 통해 보다 안전한 예방접종을 위한 인과성 연구 및 정책마련에 기초 자료를 제공하기 위함이다. 이를 위해 한국의약품안전관리원의 의약품부작용보고시스템(KAERS)에 2013월 1월부터 12월까지 보고된 3,217건의 의약품부작용원시자료(KIDS KAERS database, KIDS-KD)를 SPSS 22.0 통계 프로그램을 통해 분석하였다. 연구결과 예방접종 이상반응은 투여부위 이상반응, 전신 이상반응, 위장계 이상반응 순으로 많이 나타났으며, 백신별로는 Flu(Influenza) 백신, PCV(Pneumococcal Vaccines), Hib(Haemophilus influenzae type B) 백신, HPV(Human papillomavirus) 백신 순으로 나타났고, 48건의 심각한 예방접종 이상반응의 사례도 보고되었다. 향후 안전한 예방접종이 되기 위해서는 예방접종 이상반응 영향요인을 규명하기 위한 연구가 이루어져야 하며, 이를 위하여 대상자의 일반적 특성 및 질병관련 특성을 포함한 구체적인 보고가 되어야 하고, 예방접종 이상반응에 대한 의료인의 보고를 확대하여 지속적인 모니터링이 이루어져야 한다. The purpose of this study was to provide basic materials for causal research and policy preparation for safer vaccination by investigating information on adverse events following immunization(AEFI). This study employed KIDS KAERS database(KIDS-KD) of 3,217 cases reported between January 2013 and December 2013 through the Korea Adverse Event Reporting System(KAERS) in the Korea Institute of Drug Safety & Risk Management(KIDS). Data were analyzed with a statistical program SPSS 22.0. From the results of this study, AEFI were found in application site disorders, body as a whole-general disorders and gastrointestinal system disorders in order of incidence. As for classification of vaccine, the largest number of adverse events was found in Flu vaccine. The second was PCV, and adverse events of Hib vaccine and HPV vaccine were found in order of incidence. As a whole, serious 48 AEFI were reported. For safer vaccination, it is necessary to carry out research related to factors influencing on AEFI, to make close reports including general characteristics and diseases-related characteristics of the subjects to this end, and to continue to monitor AEFI with the extended reports of medical personnel.

만성기 뇌졸중 환자의 재활인식에 대한 주관성 연구

이은희(Eun-Hee Lee),차혜경(Hye-Gyeong Cha),안옥희(Ok-Hee Ahn) 한국웰니스학회 2016 한국웰니스학회지 Vol.11 No.2

본 연구는 만성기 뇌졸중 환자의 재활에 대한 인식을 파악하기 위해 Q-방법론을 적용한 연구이다. 연구방법은 J시에 위치한 재활병원과 한방병원에 입원 중인 65명의 만성기 뇌졸중 환자를 P 표본으로 하여, 40개의 Q 표본을 9점 Q-분포도 상에 강제 분포하도록 하였다. 수집된 자료는 pc-QUANAL program을 이용하여 주 인자분석법으로 처리하였으며, 분석 결과 ‘홀로서기형’, ‘현실부담형’, ‘적극적관리형’, ‘가족의존형’의 4개 유형으로 분류되었다. 본 연구결과를 토대로 만성기 뇌졸중 환자의 재활인식 유형에 따라 대상자의 심리적 상태를 고려한 간호중재 프로그램 개발 및 적용을 제언한다. This study applies the Q-methodology for clarifying chronic stroke patients’ recognition of rehabilitation. As for the method adopted in this study, we selected as P‐samples 65 chronic stroke patients admitted to some rehabilitative hospitals and traditional Korean medicine clinics located in J City with 40 Q-samples forced to be distributed on a 9-point Q-distribution. The collected data were processed by the main factor analysis using pc-QUANAL program. As a result of the analysis, the patients were classified into 4 types including the ‘type of surviving alone,’ the ‘type of being responsible for the current condition,’ the ‘type of aggressive endeavor,’ and the ‘type of dependence on family.’ Based on the results of this study, we propose developing and applying a nursing intervention program in consideration of subjects’ psychological states in accordance with the types of the chronic stroke patients’ recognition of rehabilitation.

소아암 생존 청소년의 질병력과 부모지지에 따른 삶의 질

김윤정 ( Yoon Jung Kim ),차혜경 ( Hye Gyeong Cha ),김정애 ( Chung Aie Kim ),박윤자 ( Yoon Ja Park ),김혜진 ( Hye Jin Kim ),서종진 ( Jong Jin Seo ),권혜진 ( Hye Jin Kwon ) 대한간호학회정신간호학회 2008 정신간호학회지 Vol.17 No.1

가족확대기 기혼간호사의 일-가정 양립에 대한 주관성 연구

김은지(Eunji Kim), 김희정(Hee-Jeong Kim), 차혜경(Hye-Gyeong Cha) 다문화건강학회 2023 다문화건강학회지 Vol.13 No.1

Purpose: This study categorized the work-family balance for married nurses during the period of family expansion and then applied the Q-methodology to provide basic data for developing customized family-friendly policies suitably attuned to the characteristics of each category type. Methods: The participants were married nurses working in hospitals during the period of family expansion. A total of 219 Q-populations were selected through a literature review and in-depth interviews. Then, 39 Q-samples were selected, and 32 P-samples were extracted at online cafes and hospitals in Korea. After the subjects performed Q-sorting, they filled out the reasons for choosing the statement classified as extreme. The data were analyzed using the PC-QUANL Program. Results: The subjects were classified into four types as follows: 1) Harmony in work-family balance, 2) Crisis in work-family balance, 3) Family-centered work-family balance, and 4) Work-centered work-family balance. Conclusion: Customized family-friendly policies considering the characteristics of each type should be developed to ensure that the careers of married nurses during the period of their family expansion period are not interrupted due to the requirements of childcare or job change, thus enabling them to work for a long time as skilled and experienced nurses.

일개 기숙사형 고등학교 재학생의 생활 스트레스와 대처 기술

최귀순 ( Kwi Soon Choe ),권성복 ( Sung Bok Kwon ),차혜경 ( Hye Gyeong Cha ) 한국간호과학회 정신간호학회(구 대한간호학회정신간호학회) 2011 정신간호학회지 Vol.20 No.1

Purpose: This study was done to explore life stress and coping skills of boarding high school students. Methods: Triangulation (quantitative and qualitative) research method was used through three stages. First, 47 high school students were interviewed to identify life stressors. Second, 208 students were surveyed via internet questionnaires to assess stress level for each stressor. Lastly, in order to survey stress coping skills, 61 students answered 10 subjective questions orally or in writing. Results: Thirty-seven life stressors in five categories were identified through thematic content analysis of the interviews: dormitory life, appearance and self management, human relations, study, and other areas. Stresses from schoolwork were highest and participants also experienced stress from their dormitory life. The overall stress level was higher in girls than in boys, and students in their 2nd year perceived their stress as higher than those in other grades. Various stress coping skills were being used, and positive coping skills were commonly used. Conclusion: To improve quality of life of boarding high school students, various strategies are needed to reduce their life stress. Especially, girls are in need of special concern and care because of their vulnerability to stress.

좋은 간호에 대한 간호사의 경험

이은경(Lee, Eun-Kyung),권성복(Kwon, Sung-Bok),차혜경(Cha, Hye-Gyeong),김희정(Kim, Hee-Jeong) 한국웰니스학회 2017 한국웰니스학회지 Vol.12 No.2

본 연구는 간호사의 ‘좋은 간호’에 대한 경험의 의미와 본질적 구조를 탐색하기 위한 목적으로 심층면담을 통해 수집된 자료를 현상학적 연구방법으로 분석한 질적 연구이다. 연구 참여자는 4개의 종합병원에 근무하는 총 15명의 간호사였고 자료수집기간은 2015년 2월 초부터 2016년 3월 초까지였다. 연구문제는 “간호사가 경험한 좋은 간호는 어떤 것인가?”였으며 연구결과는 총 13개의 의미구성을 통해 주제 2개 ‘만족하는 간호’, ‘인간배려의 간호’와 하위 주제 5개 ‘전문성에 기초한 실무’, ‘완전무결한 간호’, ‘자율 간호’, ‘환자중심의 간호수행’및 ‘간호사-대상자의 치유적 관계형성’으로 도출되었다. 본 연구를 통해 좋은 간호는 ‘간호사-대상자가 치유적 관계를 형성하고 전문성에 기초하여 완전무결하고 자율적인 간호를 환자중심으로 수행함으로써 대상자가 인간 배려적이라고 느끼며 간호사와 대상자가 모두 만족하는 간호’라고 정의할 수 있겠다. 이러한 좋은 간호는 실제 간호실무 현장에서 간호사에 의해 실천하려는 노력이 계속되고 있음을 확인할 수 있었다. 이러한 좋은 간호가 인간미를 갖춘 돌봄으로 오래 유지되고 발전될 수 있도록 하기 위해서는 좋은 간호의 개념에 대한 계속적인 연구가 필요하다고 하겠다. The purpose of this study was to investigate the good nursing experienced as a nurse using the phenomenological methodology. Research participants were 15 nurses and data were collected through in-depth interview during from February 2015 to March 2016. Interviews lasted one hour on an average per one participant and data were analyzed by Giorgi method. Research question was the “What is the good nursing experienced as a nurse?”. Results were investigated two themes; ‘nursing satisfaction’ and ‘nursing of human consideration’ and five sub-themes;‘nursing practice based on expertise’, ‘absolutely perfect care’, ‘autonomous nursing’, ‘patients-centered nursing practice’, and ‘formation a therapeutic interaction of nurse-recipient’. Through this study, a good care can be defined as a ‘by formation a therapeutic interaction of nurse-recipient, perform the absolutely perfect care and autonomous nursing based on a patients-centered nursing practice that person satisfies both the nurse-recipient feels that humans have care’. Such a good nursing could see that effort to practice by nurses in real nursing practice setting continues. In order to ensure that good nursing can be sustained and developed with humanistic care, it is necessary to continue research on the concept of good nursing.

대학생의 금연시도에 대한 주관성 연구

권성복(Kwon, Sung-bok),이은경(Lee, Eun-Kyung),차혜경(Cha, Hye-Gyeong),김희정(Kim, Hee-Jeong) 한국웰니스학회 2016 한국웰니스학회지 Vol.11 No.2

본 연구는 대학생 금연시도의 주관적 인식 유형과 특성을 규명하여 각 유형에 따른 금연 중재 프로그램 개발에 기초자료를 제공하기 위하여 실시하였다. Q 방법론을 적용하여 수행하였으며, 연구결과 자신의 건강을 가장 중요시하고 금연 성공은 자신의 의지와 연관이 있다고 생각하는 특징을 가지는 ‘자기관리 중심의 의지형’과 주변사람이나 주변 환경에 영향을 많이 받는 ‘타인염려중심의 소심형’ 그리고 금연시도를 위해서는 보조제나 상황개선 및 타인의 도움이 필요한 특징을 가지는 ‘금연여건 중심의 주저형’ 3가지로 분류되었다. The purpose of this study was to identify the subjective cognition and the pattern of the university student smokers by means of the Q-methodology. And it also have an intention to provide the basic statistical data for the development of the advanced cessation programs. The results of this study revealed three discrete groups of college students: the self-concern, the other-concern, and the condition-concern. The persons who grouped the self-concern type have the concerned about their physical condition and also make an effort to success in stop smoking. The persons who grouped the other-concern have so dependant for their results on the external condition and other persons. And the person who grouped the condition-concern who usually use the supplement and need other’s assistance to make much more good condition for their smoking cessation.

시뮬레이션 기반 통합실습 프로그램이 일 대학 간호학생의 문제해결과정과 간호수행능력 및 비판적 사고에 미치는 효과

김덕희(Kim, Duck Hee),이윤정(Lee, Yunjung),황문숙(Hwang, Moon Sook),박진희(Park, Jin Hee),김희선(Kim, Hee Sun),차혜경(Cha, Hye Gyeong) 한국간호교육학회 2012 한국간호교육학회지 Vol.18 No.3

Purpose: The purpose of this study was to develop a Simulation-based Integrated Clinical Practice Program (SICPP) for nursing students and to identify the effect of this program. Methods: A non-equivalent pre-post test of quasi-experimental design was used. One hundred thirty-one nursing students participated in the study with 69 in the experimental group and 62 in the control group. We developed a SICPP taking 3 hours per session, once per week for 10 weeks. Data were analyzed using the SPSS 19.0 program with descriptive statistics, χ²-test, independent t-test. Results: There were significant increases in nursing clinical competence (t=2.72, p=.008) and critical thinking(t=2.18, p=.031) in the experimental group compared to the control group. However, there was no difference in the problem solving process (t=0.36, p=.720) between the experimental and control groups. Conclusion: These results indicate that a SICPP can be used as an integrative program for enhancing the core performance of nursing students. However, a SICPP to promote the problem solving process needs to be more developed and research related with SICPP is further needed.