제2형 당뇨병 환자의 혈당조절에 대한 영향요인 분석: 제6기 국민건강영양 조사자료(2013~2015) 활용

구미옥(Gu, Mee Ock) 한국성인간호학회 2019 성인간호학회지 Vol.31 No.3

국내 근거기반간호실무지침의 현황과 실무적용 활성화

구미옥(Gu, Mee Ock) 한국근거기반간호학회 2018 근거와 간호 Vol.6 No.1

초청원고 : 한국 노인의 건강증진행위에 대한 문헌분석 연구

구미옥 ( Mee Ock Gu ) 서울대학교 간호과학연구소 2006 간호학의 지평 Vol.3 No.1

정맥주입요법 간호실무지침 개정

구미옥 ( Gu Mee Ock ),조용애 ( Cho Yong Ae ),은영 ( Eun Young ),정인숙 ( Jung Ihn Sook ),김현림 ( Kim Hyun Lim ),윤희숙 ( Yoon Hee Sook ),김은현 ( Kim Eun Hyun ),윤지현 ( Yoon Ji Hyun ),장희경 ( Chang Hee Kyung ) 병원간호사회 2017 임상간호연구 Vol.23 No.3

Purpose: This study was conducted to update the existing nursing practice guideline for intravenous infusion guidelines according to the evidence-based practice guideline in South Korea. Methods: Guideline update process was performed using 22 steps according to the manuals developed by NICE and SIGN. Results: Updated nursing practice guidelines for the intravenous infusion were consisted of 23 domains and 322 recommendations. The number of recommendations in each domain were 4 for general instruction, 12 for vascular access device selection, 20 for site selection, 9 for insertion, 54 for stabilization, 21 for maintaining patency, 4 for blood sampling, 33 for exchange and removal, 28 for add-on device selection, 28, 72 for infusion related complications, 56 for infusion therapies, 7 for education, and 2 for documentation and report. There were 15.9% of A, 30.2% of B, 53.9% of C in terms of grade recommendations. A total of 178 (51.6%) recommendations were newly developed and 24 previous recommendations have been deleted. Conclusion: Updated nursing practice guideline for intravenous infusion was expected to be an evidence-based practice guideline for intravenous infusion in South Korea. This guideline is suggested to be disseminated to clinical nursing settings nationwide to improve the efficiency of intravenous infusion practice.

직무요구-자원모형을 기반으로 한 요양병원 간호사의 소진에 대한 영향요인 분석

양은옥(Eun-Ok Yang),구미옥(Mee-Ock Gu) 한국산학기술학회 2019 한국산학기술학회논문지 Vol.20 No.4

본 연구는 Xanthopoulou 등(2007)의 확장된 직무요구-자원모형을 기반으로 요양병원 간호사의 소진에 미치는 영향요인을 규명하기 위해 시도되었다. 요양병원 간호사 167명을 대상으로 설문지를 이용하여 2018년 8월 25일부터 2018년 9월 6일까지 자료를 수집하였다. 연구도구는 Maslach Burnout Inventory, Copenhagen Psyco-social Questionnaire version II, Connor-Davidson Resilience Scale 및 Thomas & Ganster (1995)가 개발한 도구를 사용하였다. SPSS WIN 23.0 프로그램을 이용하여 빈도, t-test, ANOVA, 피어슨 상관계수, 위계적 회귀분석으로 분석하였다. 연구결과 요양병원 간호사의 소진은 직무요구(r=.24, p=.002)와는 정적 상관관계를 보이고, 회복탄력성(r=-.43, p<.001)과 사회적지지(r=-.41, p<.001)와는 부적 상관관계를 보였다. 요양병원 간호사의 소진에 회복탄력성(β=-.28, p<.001), 사회적 지지(β=-.20, p=.016), 직무요구(β=.17, p=.016) 순으로 유의한 영향을 미쳤고, 이들 변수의 설명력은 32.0%로 나타났다. 따라서 요양병원 간호사의 소진 예방 및 감소를 위해 직무요구를 줄이고 회복탄력성과 사회적 지지를 향상시킬 수 있는 중재의 수행을 적극적으로 권장한다 This study was conducted to investigate the factors influencing burnout of nurses in long-term care hospitals based on the expanded JD-R model (Xanthopoulou et al, 2007). Participants were 167 nurses who worked in long-term care hospitals. The instruments used in this study were the Maslach Burnout Inventory, Copenhagen Psycho-social Questionnaire version II, Connor-Davidson Resilience Scale and the instrument developed by Thomas and Ganster (1995). Data were collected from August 25 to September 6, 2018 and analyzed based on frequency, t-tests, ANOVA, Pearson"s correlation, and hierarchical regression using the SPSS WIN 23.0 program. The results were as follows: Nurses" burnout in long-term care hospitals was positively correlated with job demands (r=.24, p=.002) and negatively correlated with resilience (r=-.43, p<.001) and social support (r=-.41, p<.001). Factors influencing the level of burnout were resilience (β=-.28, p<.001), social support (β =-.20, p=.016), and job demands (β=.17, p=.016) ), which together explained 32.0% of the total variance in burnout. Therefore, we strongly recommend interventions that reduce job demands and enhance resilience and social support to prevent and reduce the burnout of nurses in long-term care hospitals.

간호대학생을 위한 복합운동과 운동습관형성 프로그램 개발 및 효과검증

이미숙(Lee, Mi Sook),구미옥(Gu, Mee Ock) 기본간호학회 2020 기본간호학회지 Vol.27 No.4

Purpose: This study was conducted to develop and test the effects of a combined exercise and exercise habit formation program for undergraduate nursing students. Methods: A non-equivalent control group pre-post test design was used. The participants were 44 students (experimental group: 23, control group: 21) who had not done regular exercise for over 3 months before this study. The program was developed based on theory of planned behavior and the habit formation model. The program consisted of 24 sessions for 8 weeks and included combined exercise (aerobic exercise 30 minutes, resistance exercise 20 minutes, and flexibility exercise 10 minutes), exercise intention promotion strategy and exercise habit formation strategy (30 minutes, weekly). Data collection was done before, and immediately after the program: September 4 to October 29. Data were analyzed using t-test, paired t-test, x² test, Mann-Whitney U test, and Wilcoxon signed rank-sum test with SPSS/ WIN 21.0 program. Results: Exercise intention, exercise habit strength, exercise behavior, and physical fitness (cardiopulmonary endurance, muscle strength, and muscle endurance) were significantly better and stress and fatigue were significantly lower in the experimental group compared to the control group. Conclusion: The study findings indicate that the combined exercise and exercise habit formation program for undergraduate nursing students was effective and can be recommended as an intervention for improving healthy lifestyle of undergraduate nursing students.

슬관절 전치환술 노인 환자를 위한 정맥혈전색전증 예방교육의 효과

이미희(Lee, Mi Hee),구미옥(Gu, Mee Ock) 기본간호학회 2019 기본간호학회지 Vol.26 No.4

Purpose: This study was conducted to develop and test the effects of venous thromboembolism prevention education for elderly patients with total knee arthroplasty. Methods: A non-equivalent control group posttest only non-synchronized design was used. The participants were 43 older adults (experimental group: 21, control group: 20) who had experienced total knee arthroplasty surgery at *university hospital located in *city. Venous thromboembolism prevention education consisted of a 20 minute intervention on the evening before the operation and a 5 minute intervention on the operation day including education and strategies for enhancing health belief. Data were collected from October 20, 2017 to March 10, 2018. Data were analyzed using independent t-test and Mann-Whitney U test with SPSS/WIN 24.0. Results: The experimental group showed significantly higher levels of knowledge, self-reported preventive behaviors, and number of ankle movements compared to the control group. Conclusion: The study findings indicate that venous thromboembolism prevention education can be recommended as an effective nursing intervention for preventing venous thromboembolism of elderly patients with total knee arthroplasty.

간호대학생의 감성지능과 의사소통능력, 임상수행능력, 임상실습스트레스와의 관계

이외선(Lee, Oi Sun),구미옥(Gu, Mee-Ock) 한국산학기술학회 2013 한국산학기술학회논문지 Vol.14 No.6

본 연구는 간호대학생의 감성지능과 의사소통능력, 임상수행능력, 임상실습스트레스와의 관계를 파악하기 위해 시도되었다. 간호대학 2학년에 재학중인 184명을 대상으로 설문지를 이용하여 2012년 1월 5일부터 2012년 2월 29일까지 자료를 수집하였다. SPSS WIN18을 이용하여 빈도, t-test, ANOVA, 피어슨 상관계수, 다중회귀분석으로 분 석하였다. 연구결과 간호대학생의 감성지능과 의사소통능력, 임상수행능력, 임상실습스트레스는 유의한 상관관계를 보여 감성지능이 높을수록 의사소통능력 및 임상수행능력이 높고 임상실습스트레스는 낮은 것으로 나타났다. 따라서 간호대학생의 의사소통능력 및 임상수행능력을 향상시키고 임상실습스트레스를 감소시키기 위해서는 감성지능을 증 진시킬 수 있는 프로그램 개발 및 검증을 제언한다. This study was done to identify the relationship between emotional intelligence and communication skill, clinical competence & clinical practice stress of nursing students. Subjects were 184 associate nursing students(2nd grade) in Korea. The data were collected using self -report questionnaire from jan 1 to february 29, 2012. Data were analyzed by frequencies, t-test, ANOVA, Pearson's correlation, multiple regression using SPSS Win 18.0. Emotional intelligence were significantly correlation with communication skill, clinical competence and stress of clinical practice in nursing students. And the higher emotional intelligence was showed the higher communication skill, clinical competence and the lower stress of clinical practice. Therefore, To increase communication skill, clinical competence and to decrease stress of clinical practice of nursing students, it is necessary to develop and test the program for improving emotional intelligence of nursing students.

노인 당뇨병 환자를 위한 동기강화상담 당뇨병 자기관리 프로그램의 개발 및 효과

강혜연(Kang, Hye-Yeon),구미옥(Gu, Mee Ock) 한국간호과학회 2015 Journal of Korean Academy of Nursing Vol.45 No.4

Purpose: This study was conducted to develop and test the effects of a motivational interviewing self-management program for use with elderly patients with diabetes mellitus. Methods: A non-equivalent control group pretest-posttest design was used. The participants were 42 elderly diabetic patients (experimental group: 21, control group: 21). The motivational interviewing self-management program for elders with diabetes mellitus developed in this study consisted of a 12-week program in total (8 weeks for group motivational interviewing and education and 4 weeks for individual motivational interviewing on the phone). Data were collected between February 13 and May 3, 2013 and were analyzed using t-test, paired t-test, and repeated measure ANOVA with SPSS/WIN 18.0. Results: For the experimental group, significant improvement was found for self-efficacy, self-care behavior, glycemic control and quality of life (daily life satisfaction, influence of disease) as compared to the control group. Conclusion: The study findings indicate that the motivational interviewing self-management program is effective and can be recommended as a nursing intervention for elderly patients with diabetes mellitus.

혈당 조절 양호, 불충분, 불량 군 간의 자가간호행위, 당뇨관련 스트레스, 스트레스 대처의 비교

강혜연(Kang, Hye-Yeon),구미옥(Gu, Mee Ock) 기본간호학회 2012 기본간호학회지 Vol.19 No.2

The purpose of this study was to compare self-care behavior, diabetes-related stress and stress coping style among 3 blood glucose control groups (good, inadequate, and poor blood glucose control groups). Methods: Participants were 102 type 2 diabetic patients (good group: 41, inadequate group: 31, poor group: 30). Data were collected from Feb 19 to Mar 24, 2010 and were analyzed using Chi-square, Fisher"s exact test and ANCOVA with SPSS/WIN 12.0. Results: Using ANCOVA with frequency of admission, and illness duration as covariates, significant differences were found among the 3 groups in self-care behavior (total score) and the exercise subscale. Using ANCOVA significant differences were found among 3 groups in diabetes-related stress (total score), emotional burden subscale and regimen distress subscale. Using ANCOVA no difference in stress coping was found among the 3 groups, but there was a significant difference in the problem-oriented coping subscale. Conclusions: Self-care behavior, diabetes-related stress, and stress coping style are factors influencing blood glucose control. The results of this study suggest that for improving blood glucose control, self care education program focused on diet and exercise in addition to stress management program for promoting problem oriented coping capability are recommended.