驅鼠劑 中毒患者의 看護와 臨床的 考察

李玉淑 中央醫學社 1977 中央醫學 Vol.32 No.1

An investigational survey has been made as of April, 1976 concerning nursing rounds contributing to better control quality care in the hospital nursing management, selecting 245 head nurses, supervisors, and nursing directors in 36 hospitals here in Korea. 1. As for the size of the hospitals concerned, above 400 bed hospitals outnumber to approximately 38%. 2. The number of nursing director is 17 (7%), supervisors 77 (31.4%) and head nurses 151 (65.3%). 3. As for nurse career, 65.3% have the careers of less than 5 years. 4. As for the educational background, 80.8% graduated from nursing high schools. 5. As for the prime objective of the nursing round, 183 out of 236 (77.5%) put the first priority on "To see and take care of patient". 6. As for the effect of nursing round, 183 out of 236 (55. 1%) put the priority on "Communication with patient". 7. As for the numbers and required hours of the nursing round per day, head nurses have 1. 5 nursing round and 97.5 minutes, supervisors have 2.7 nursing round and 102 minutes and nursing directors have 2.7 round and 50.5 minutes per nursing round. 8. As for planning of the nursing round, 39.4% nurses have a periodical meeting and prepare the plan sheet before the nursing round, 30.1% take impromptu nursing round. 9. As for the after round report, 50.8% nurses have a periodical meeting and prepare plan sheet after round, 21.5% have none of those thing.

혈액투석 환자의 스트레스와 자가간호와의 관계 연구

李鈺淑 全北大學校 1996 論文集 Vol.42 No.-

This study was attempted to identify the correlation between the stress and the intellectual abilities of self-care and the practice of self-care of the patients on hemodialysis for the purpose of providing basic data for effective nursing intervention. The subjects of this study were 74 patients received hemodialysis of two general hospitals in Chon-ju. The data were collected from September 1st to October 15th, 1994 through questionnaire. The instruments used for this study were the Stress Scale designed by Chun (1985) and the Intellectual abilities of Self-care, The Practice of Self-care in patients on hemodialysis designed by Kim (1987) and translated by Rho (1988). The data were analyzed by means of percentage, means, SD, t-test, ANOVA, Pearson Correlation Coefficient. 1. Hypothesis Ⅰ : "There would be some correlations between the level of intellectual abilities of self-care and the level of stress" was not supported. 2. Hypothesis Ⅱ : "The higher the level of stress in patients on hemodialysis, the higher the level of practice of self-care" was supported (r=0.8648, P〈.05). 3. Hypothesis Ⅲ : "The higher the level of intellectual abilities of self-care, the higher the level of practice of self-care" was supported (r=0.8459, P〈.05). 4. In the relation general characteristics and stress, education(F=2.68, P〈.05), occupation before illness(F=2.44, P〈.05) and the presence of occupation (F=2.21, P〈.05) were statistically significant. 5. In the relation general characteristics and intellectual abilities of self-care, practice of self-care, education was statistically significant(F=2.59, P〈.05). (F=1.81, P<.05).

綜合病院 應急室에 來院한 急性中毒 患者에 對한 臨床看護學的 觀察

李鈺淑,李星子 全北大學校 1992 論文集 Vol.34 No.-

To investigate the status of the acute poisoning, the medical records were reviewed for 338 acute poisoning patient who have been admitted to the Chonbuk University Hospital via emergency room during a period from Apr. 1990 to Mar. 1991. Among the total 338 cases, 165(48.8%) were male and 173(51.2%) were female. The most frequent age group was the twenties of either sex. Out of 6 causative substances pesticides and rodenticides were the most frequent cause of poisoning(54.1%), followed by Co gas(16.3%), sedatives and hypnotics(11.2%), Others(10.7%), and chemical(5.0%). The occurrence of acute poisoning was the highest in summer(31.9%) and the lowest in winter(16.6%). According to intent of poisoning, the suicidal poisoning(61.5%) was higher than the accidental poisoning(38.5%). Among Co poisoning cases, 92.7% were poisoned addidently, but 97.4% in sedatives and hypnotics, and 78.1% in Pesticides and rodenticides were poisoned by suicidal purpose. The mean fatality rate of acute poisoning was 11.5%. According to the intent of poisoning, the fataity rate of suicidal poisoning was 16.3% and accididental 3.9%. According to the causative substances the fatality rate of pesticides and rodenticides poisoning was 17.5%, unlcnown drug 11.1%, Co gas and other drugs 5.5%, sedatives and hypnotics 2.6%, chemicals 0%.

외과계 병동 환자의 입원스트레스에 관한 연구

李鈺淑,鄭承姬 全北大學校 1994 論文集 Vol.37 No.-

This study was designed to find hospitalization stress events related to the experience of the surgical in-patients and to offer nursing intervention in order to reduce the degree of hospitalization stress of patients. The subjects were 100 surgical in-patients at an university hospital in Chon-Ju from July 1 to 20. 1993. Data were analyzed by SPSS/PC, using Mean, T-test, ANOVA. Pearson Correlation Coefficient. The result of the study were as follows : 1. The mean of the hospitalization stress score was 2.482(Maximum=4), this means that the degree of hospital stress was slightly high. 2. High scored items were 1)Thinking you might have pain for operation or diagnostic test; 2)thinking you might lose a kidney or some other organ; 3)knowing you have a serious illness. The other side, three lower scored items were l)to help a partial bed bath; 2)to admit for accident; 3)not having friends visit you. 3. The mean scores of hospital stress factors were in sequence : l)problems with medication(M=2.657) factor; 2)threat of serious illness(M=2.634) factor; 3)unfamiliality of surroundings(M=2.608) factor; 4)lose of independence(M=2.432) factor. 4. There was statistically significant difference in the degree of hospitalization stress according to demographic characteristics : age(F=3.492, P< .01). educational level(F=2.465, P< .05), job(F=2.630, P < .05), and previous hospitalization(T=2.53, P < .05).

應急室 患者에 對한 實態調査

李鈺淑 全北大學校 醫科大學附設 看護專門大學 1980 논문집 Vol.6 No.-

This experimental research was examined and analyzed the records about 5.952 Patients admitted at emergency room at Jeonbug National University Hospital through one year from January 1 to December 31 in 1978. The results are as follows : 1. The mean number of the patients about the total ones through a year is 496 per month and 16.3 a day. 2. In the distribution of sex, male patients are more than female ones - that is 59.4% to 40.66% respectively. The patients of the highest rate came from the ones up to 10 years of age(26.3%) and those of the lowest (6.96%) over the age of 60. 3. The rate of the patients who visited the Dep of Interal Medicine showed the highest(39.19%) and the one related to Dep. of E.N.T. the lowest(1.95) by department of the hospital. Moreover, the rate of male and female patients by Dep. showed similar results same as the above rates, respectively. On the other hand, the male patients are much more than female ones in the Dep. of General Surgery, Neuro Surgery, Orthopeedics surgery, Pediatrics and less in the Dep. of Psychology. The rate of male and female patients traumatic injury is 7.39% to 2.12% respectively. 4. By diseases, the patients of digestive showed the highest rate (22.67), those of the respiratory organ the next (11.46%) and these of gas intoxication the lowest (1.42%). 5. The highest visiting time of the patients ranged grom 7 to 12 p.m. and the lowest from 7 to 12 a.m. (1.42%) : 6. By month the rate of the patients is the highest in July (12.06% - male 7.41%, female 4.65%) and the lowest one is in March(6.40% - male 3.44%, female 2.96%). 7. Be season summer is the highest(31.67%), autumn the next(25.72%) and winter the lowest.(20.13%) 8. The rate of the patients admitted in emergency room is 23.27%. And this rate came to 39.28%, compared with the number of the total patients admitted to the hospital. 9. The death rate of the patients in emergency room was 3.02% which was 59.25% of the total deceased.

看護大學生들의 健康知覺과 健康統制位에 關한 相關關係硏究

李鈺淑,鄭承姬 全北大學校 1991 論文集 Vol.33 No.-

This study was attempted to identify the relationship between Health Perception and Health Locus of Control among 155 nursing students at nursing college in 'C' city from Nov. 10 to Nov. 25, 1988. The results of this study will use to base health education planning. This investigation used Health Perception Questionnaire developed by Ware(1977) and Health Locus of Control Scale developed by K. A Wallston and B. S Wallston(1978). The collected data were analyzed using percent, mean, ANOVA and Pearson's correlation. The summerized results were as follows ; 1. Mean scores of the subjects on Health Perception were Health Outlook 3.76, Prior Health 3.58, Rejection of Sick Role 3. 18 Current Health 3.04, and Resistance-Susceptibility 2.76 (The highest score of each item ; 5.0). 2. There were significant relationship among the five variables of Health Perception except Health Concern. 3. Mean scores of the subjects on Health Locus of Control-Internal, Powerfull Others, Chance were 3.85, 2.88, 2.56 respectively(The highest score ; 5.0). 4. In the relationship among the variables of Health Locus of Control, There was a significant negative correlation between Internal Health Locus of Control and Chance Health Locus of Control(r = -02746, p<.000). There also was a significant correlation between Powerful Others Health Locus of Lontrol Control and Chance Health Locus of Control item(r=-.1350, p<007) 5. The Health Perception of subjects on Health Outlook tended to increase with Internal Health Locus of Control type(r = -.1350, p<.047). 6. As a general characteristics influencing Health Perception, Significant correlations were found between physical health status and the variable of Health Perception. And there also was a significant correlation between Health Mass Media and Internal Health Locus of Control. In conclusion, the subjects were found to have high scores on Health Perception and they were showed a significant positive correlation between Health Perception and Health Locus of Control type.

간호학생들이 경험한 간호행위의 종류와 경험시 느끼는 스트레스 정도에 대한 조사연구

李鈺淑,徐仁善 全北大學校 1995 論文集 Vol.39 No.-

This study was performed to examine the kind of nursing activities which nursing student had experienced, and the degree of stress perceived during the period of nursing activities. It was carried out on Sep. 30, 1994. The object of study was 70 senior nursing students in Chon-Ju and Dae-Jeon selected from 2 universities by questionnaire. The collocted data was analyzed by statistical method. The results obtained from this study are summerized as follows : 1. The total experience rate of 10 nursing fields was 89.7%. On which, the students-themselved practiced rate was 66.9% and the observation rate was 22.8%. 2. The students-themselves practiced rates in nelaton catheterization, measuring vital signs, position change, and intramuscular injection were 100%. 3. The highest rank of inexperience rate was colostomy irrigation(67.1%). The inexperience rates in bed bath, artificial respiration were 65.7%, 64.3%. 4. The average of degree of stress student received in 10 nursing fields : Mean score was 2.143, when maximum score was 5. The highest rank of degree of stress was suction(2.771), elimination and irrigation(2.366), and recording(2.291) were other nursing fields of higher rank. The lowest rank of degree of stress was comfort and heat therapy(1.600). 5. The degree of stress in 50 nursing activities, the highest rank of degree of stress was tracheal suction(3.120), foley catheterization(2.929), nasal, oral suction(2.739) were other nursing activities of higher rank. The lowest rank of degree of stress was cold compress(1.174). 6. In regard to the motive for majoring in nursing, the occupational stability had the highest percentage(41.4%), and self-confidence in nursing activities(M=2.89), and knowledge in nursing activities(M=2.94) were in the middle range. 7. When we examind mutual relation between stress degrees in each nursing field and self confidence and knowledge about nursing activities, self confidence about nursing activities appeared to have reverse relations in the field of oxygen supply and cardio-pulmonary resuscitation(r=-.2344,P<.05). Knowledge about nursing activities appeared to have reverse in the field of measuring status value(r=-.2402,P<.05).

일 대학병원 간호사의 직무만족도와 그에 관련된 요인 조사연구

李鈺淑,李星子 全北大學校 1993 論文集 Vol.35 No.-

The purpose of this study was to investigate selected factors which result in job satisfaction/dissatisfaction on nurses employed in general hospital. The subjects for this study were 217 nurses one hospital in Chon-ju. The nurses were surveyed by means of a questionnaire from December 27, 1992 to January 6, 1993. A job satisfaction questionnaire developed by Slavitt et al. was used for this study. It contains 48 statements and utilizes a Likert type scale of 5. Participants were asked to select response which was congruent with their perceptions of the item. The alpha score of the job satisfaction scale was 0.759. The analysis of data was done by percentage, mean, standard deviation, t-test, ANOVA, and Pearson Correlation Coefficient in SPSS. The results of this study were as follows : 1. The overall mean score for the 48 five-point scales of job satisfaction items was 2.798, showing that the subjects of this study were niether satisfied nor dissatisfied. 2. To indentify the specific job related factors that result in job satisfaction/dissatisfaction, the 48 items of job satisfaction were divided into 6 areas and the mean scores and % of agreement were compared. The specific job related factor that resulted in job satisfaction was professional status and those that resulted in job satisfaction were pay, task requirements and administration. But the areas of autonomy and interaction did not belong to either side of the specific job related factors. 3. In the correlationship between 6 areas of job satisfaction levels, the higher the level of pay, the higher the level of administration(r = .5137, p = .000). 4. An analysis of the relationship between job satisfaction and general characteristics of the subjects was founded to be statistically significant for : age(F = 5.433. p = .0003), marrige(F = -2.02, p = .044), work experience(F = 3.5055, p = .0046), status(t = -3.48, p = .001), the nurses intention to stay(F = 3.7564, p = .0116).

重患者室(ICU)患者에 關한 臨床看護學的 觀察

이옥숙 全北大學校 醫科大學附設 看護專門大學 1982 논문집 Vol.8 No.-

We have analyzed 1,117 patients who were admitted to the I.C.U. for intensive care during a period of 1 years from Jan, 1981, to December, 1981 in Jeonbug National university Hospital. The results are as follows : 1. The proportion to the total in patients number was 1.0% and mortality rate was 16.4%. 2. 50% of the patients were in the 21 to 50 year age group. The highest mortality rate occurred in the 71 age(25.9%) 3. The occupied bed days of the majority of the patient(78.2%) were below 5 days comprising 79.2% of the total expired patients. 4. The mortality rates of the departments of the medicine was 16.9%, general surgery 22.4%, and neurosurgery 29.5%. 5. The number of patients admitted to the department of neurosystem was 30.2%, cardiovascular system 18.3%, respiratory system 8.2%, and urinary system 4.3%. 6. All I.C.U. patients have been divided into two categories, operative and non-operative. The operative cases were 560(50.1%) and non-operative 557(49.9%). The mortality rate of the non-operative cases (21.9%) was higher than operative(10.9%).

기능성 식품의 연구현황 : 생약류의 생물활성 중심으로 Biofuntions of herbal medicines

李玉淑 현곡학회 1997 제3의학 Vol.2 No.1

Modern medicine can not solve all the problems caused by many intractable, chronic and aging related diseases hence more people have come to recognize the role of foods for the promotion of good health as well as prevention from illness. Further more, controlled diet are proven to be used as effective cures for certain diseases. In this paper, the definition, functional factors and mechanisms of designer(funtional) foods are reviewed. Especially, the biofuntional activities of herbal medicines which also can be treated as designer foods are intensively noted in this paper.