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호스피스환자 주 수발자의 죽음에 대한 인식과 호스피스 환자의 삶과 질과의 관계
최영순,Choe, Yeong-Sun 한국호스피스협회 2006 호스피스 학술지 Vol.6 No.2
In Korea, there are constantly increasing number of cancer patients with reaching 65,000 deaths and it was 26.3% of the total number of death in 2004. Many cancer patients suffer from surgery, chemotherapy, and radiotherapy after being diagnosed as cancer. And many of them are facing fear of death because they can't be perfectly cured. Due to patients' physical, psychological, and spiritual pain, quality of life drops dramatically. Patients' families also suffer from huge medical expenses while they have to take care of patients's suffering from pain. At the same time, family's attitude can influence on the quality of patients' life. The purpose of this study is to investigate the relationship between the death orientation of first care giver and the quality of life of hospice patient. The subjects of the study were 80 hospice patients registered at ten hospice institutions with hospice team and medical practitioners in six cities including Seoul as well as their first care givers. This study used 13 questions for the hospice patients and nine questions for the first care givers to recognize general characteristic. To measure death orientation of the first care giver the tool developed by Noh, Soon-hee (2003) was used. And to measure quality of life of the hospice patients Yoo, Seung-yeon's structured tool was used. The data were collected for a month through interview method. SPSS win 12.0 was used to analyze the data by using frequency, percentage, t-test, Pearson correlation. The study result is as follows. In relationship between general characteristic of hospice patient and quality of life, the highest suffering was pain (60%) and the second suffering was anorexia (23.8%). There was no significant relationship between physical pain and general characteristics of hospice patient. In psychological aspects, religion (p=.044) showed significant difference (p<.05). In existential aspects, age (p=.035) showed significant difference (p<.05). There was no significant difference variable in support aspects. And religion (p=.000) was statistically significant variable in spiritual aspects (p<.001). Age (p=0.025) and religion (p=.050) were the variable showed significant difference according to general characteristics of first care giver's death orientation. Although the relation between death orientation of first care giver and quality of life of hospice patient was not statistically significant correlation. In conclusion, while death orientation of first care giver and hospice patient's quality of life are not statistically significant in correlation analysis.
중등학교 가정과 교사들의 주거개념에 대한 중요도 인지 및 주거학 교육방법에 관한 연구 - 부산시를 중심으로 -
최영순 한국주거학회 1990 한국주거학회 논문집 Vol.1 No.1
This study was designed to identify the problems in teaching housing course at secondary level. The main tasks of Investigation were to: (1) identify appropriate housing concepts to be taught at secondary school, (2) determine the Kinds of media and methods used for teaching housing course at secondary school. The questionnaire was divided Into three sections: (1) the teacher`s background, (2) the teacher`s opinion regarding the importance of various housing topics to teaching. (3) what type of media and methods were used by teachers. Data were collected In Pusan during November 1959. The Sample, 150Home Economics teacher was randomly selected from secondary school list in Pusan. Responses from 122 Home Economics teachers, were processed by the S.P.S.S. computer program. and N.P.E.R.C using for frequency counts and percentages to analyze the data from all three sections of questionnaire. One-way Analysis of Variance and Newman-kuels Multiple Comparison test were used to reject or accept the hypotheses. The major findings were: (1) there were some difference between teachers` opinions regarding the importance of various housing topics to teach and teachers actural practice of teaching housing concepts and topics, (2) teachers taught housing concepts which were important to teach by their opinion, even though those concepts were neglected in textbook, (3) teachers did not use a various of media and methods for their teaching housing class, (4) the important reasons given why the teachers for not using the various media and methods were because of undesirable educational situations, and (5) there were some significant differences between teachers` background and teachers` opinion regarding importance of teaching topics in housing class at secondary school, using media and methods.
최영순,신백효,김갑수,함태수,김정수,전우재 대한마취과학회 1997 Korean Journal of Anesthesiology Vol.33 No.5
Background: Hemodilution reduces the concentration of clotting factors in blood and this may induce some degree of impairment of coagulation. But there are some evidence that hemodilution may induce a hypercoagulable state. The goal of this study is to investigate the changes of coagulation status during progressive hemodilution. Methods : Whole Blood was diluted by 10% increment to 80% with 0.9% normal saline. At each 10% dilution blood coagulation status was analysed using thrombelastography(TEG) and was compared with that of an undiluted control specimen obtained concurrently from the same patients. Results : Hemodilutions up to 40% decrease r and K times and increase values of MA and angle. Hemodilutions more than 70% increase r and K times and decrease values of MA and angle. Conclusions : Hemodilutions up to 40% increase coagulability and hemodilutions more than 70% decrease coagulability of whole blood in vitro.(Korean J Anesthesiol 1997; 33: 918∼922)
최영순,이우용,김갑수,김유홍 대한마취과학회 1999 Korean Journal of Anesthesiology Vol.36 No.1
There has existed controversies concerning the relationship between hypokalemia and perioperative dysrhythmia. Definite lowest serum potassium level that guarantee safety has not been determined. We found accidentally severe hypokalemia (below than 2 mmol/L) after the induction of anesthesia in a 51-year-old man who had no systemic disease. This patient suffered from a traffic accident 18 years ago and has bed-ridden up to now. In addition, recently he had poor oral intake. The patient's serum potassium level was within normal range in blood chemistry taken 5 days before operation. Although no dysrhythmia developed, we administered potassium during operation. With the continuous potassium and magnesium replacement postoperatively, the serum potassium level returned to normal range. With the experience of this case, we had a chance to review the effect of hypokalemia on dysrhythmia and causes of hypokalemia. (Korean J Anesthesiol 1999; 36: 175∼179)