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신생아실에서의 모유 퇴원팩이 산후 모유수유 실천에 미치는 효과
최자윤,김미원,Choi Jayun,Kim Miwon 한국아동간호학회 1995 Child Health Nursing Research Vol.1 No.1
The effects of different discharge packs on the rate of breast-feeding practice were investigated in 2, 4 and 8 postpartal weeks. The subjects were those who have made delivery at Chonnam University Hospital from Jan to Feb 1994. They were divided into three groups by the discharge pack provided at the nursery room : the one group was given with formula discharge pack, another with breast-feeding discharge pack and the other nothing. The formula discharge pack contained formula samples, a feeding bottle and a pamphlet prepared by a formula company, and breast-feeding discharge pack contained a manual pump and a pamphlet made by Korean Nurses Association. Following results were obtained : 1. Different discharge packs significantly affected the rate of breast-feeding practice at 2 week postpartum, while not at 4 and 8 week postpartum. 2. At 2 week postpartum, the rate of breast-feeding practice was significantly higher in the group given with breast-feeding discharge pak than in that given with formula discharge pack. It was also significantly higher in the group given with breast-feeding discharge pack compared with the group given nothing. The breast feeding rate, however, did not significantly differ between the formula discharge pack group and the group given nothing. 3. The most common cause for the artificial feeding was 'lacking breast milk'. The most common cause to select a specific brand of formula milk was 'the same as in the nursery room'. In conclusion, it is suggested that encouraging mothers to perform breast feeding and providing them with a breast-feeding discharge pack instead of a formula pack at the nursery room are helpful in promoting the breast-feeding.
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사고 환아에 대한 임상적 고찰 - 일 도시 종합병원을 중심으로 -
김기숙(Kisook Kim),김미원(Miwon Kim) 전남대학교 간호과학연구소 1996 Nursing and Health Issues(NHI) Vol.1 No.-
While increased living standards and development of medical sciences have markedly reduced the death rate of children by infectious disease, the number of pediatric patients with various accidents is being steadily increased. The present study was aimed to examine the cause of the accidents and to help take a measure to meet the situation. As many as 1,161 patients aged less than 15 years, who visited the emergency room of Chonnam National University Hospital from January 1,1989 to December 31,1991,have been surveyed. The patients were examined according to their sex, age, time of the day and place to occur, injury site, etc. The resuIts obtained were as follow s: 1. Annual accidental pediatric patients were 571 in number in 1989, 463 in 1990,and 627 in 1991. 2. Traffic accident w as the most frequnt of all (3 4 .1% ). Male patients outnumbered female by the ratio of 1.8 to 1. The ages between 7 and 12 years (school children) made up 36.5% of the whole numbers. 3. Accidents mainly took place between 5PM to 8PM (37.1% ). The frequent places to occur were home (4 0 .6% ) and streets and highway (35 .0% ). 4. Injury sites were mainly on heads and faces (59 .7% ). 5. Most patients discharged from the hospital in good condition (83.1%) and the rest of them had sequelae (9.3%) or died(7.6%). 6. The patients were with their family at the time of the accident(67.3%). 7. In terms of order in their siblins, 43.1% were the eldest. 8. Most parents graduated from senior high school or above. Mothers in 78.5% of the patents did not have occuapation.
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당뇨보건교육 수행이 간호학생의 당뇨지식, 핵심간호역량 및 임상실습만족도에 미치는 효과
박정모(Park, JeongMo),김정숙(Kim, ChungSook),김미원(Kim, MiWon) 학습자중심교과교육학회 2018 학습자중심교과교육연구 Vol.18 No.2
본 연구의 목적은 당뇨보건교육 수행이 간호학생의 당뇨병 지식, 핵심간호역량, 그리고 임상실습만족도에 미치는 효과를 확인하는 것이다. 연구 방법은 비동등성 대조군 전후설계의 유사실험연구이다. 연구대상자는 지역사회 임상실습 교과목을 수 강하는 학생이다. 실험군은 경로당 노인을 대상으로 직접 당뇨보건교육을 수행한 28명이고, 대조군은 보건소 간호사에 의해 실시되는 교육을 관찰한 27명이다. 당뇨보건교육은 집단교육과 개별관리를 포함한다. 자료 수집 기간은 2015년 8월 24일부터 12월 18일까지이다. 두 군의 주 효과 비교는 Repeated measures ANOVA를 통해 분석하였다. 연구결과, 당뇨보건교육 수행군은 기존의 관찰군에 비해 간호학생의 당뇨병 지식을 효과적으로 향상시켰다. 그러나 핵심간호역량과 임상실습만족도에는 효과적이지 않았다. 모든 학생의 핵심간호역량은 실습 전보다 후에 유의하게 증가하여 보건교육 수행실습과 기존의 관찰실습 모두 간호학생의 역량을 향상시켰다 The purpose of this study was to identify the effects of DM health education practice on knowledge of DM, the core nursing competencies, and clinical practice satisfaction of nursing students, finally to innovate a clinical practicum which enhance their nursing competencies. A quasi-experimental study with a non-equivalent control group pretest-posttest design was used. The participants were recruited from nursing students enrolled in a community health nursing practicum. The experimental group(n=27) performed DM health education for the elderly at senior citizen center. The control group(n=28) observed DM health education applying by a community nurse. The DM health education program consisted of a group education and individual managements for the elderly with DM. The data was analyzed through Mann-Whitney test and Repeated measures ANOVA. The results indicated that the knowledge of DM of post-practicum in the experimental group significantly improved comparing the control group. But the core nursing competencies and clinical practice satisfaction made no difference between two groups and within time, while the core nursing competencies of post-practicum in the both groups significantly increased.
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송지호(Song, Jiho),김미원(Kim, Miwon) 한국간호교육학회 2013 한국간호교육학회지 Vol.19 No.1
Purpose: The purpose of this study was to ascertain the current state of clinical nursing education at hospitals. Methods: Questionnaires were sent out to 236 hospitals which have over 300 beds. Out of these, 116 hospitals responded, and the collected data was analyzed by mean, frequency, t-test, and ANOVA test. Results: These hospitals have teaching agreements with 4.2 nursing colleges and clinical education lasts 8 months. Clinical education status regarding hospital characteristics, between a university hospital, non-university hospitals, among advanced general hospitals, general hospitals, and special hospitals showed statistical differences in colleges per hospital and nurses’ degree. 37.9% of cases have no internal regulation for nursing education, and in 68.1% of cases, students practice was limited to simple nursing care. The current primary guide for students practice was head nurse (61.25%), and the course professor took charge of mainly the conference. The difficulties as an educational hospital are increases in work load, difficulties in teaching, excessive number of students, simultaneous practical training, complaints from patients, lack in training manpower, and stress. Conclusion: This study determined that the big hospitals are heavily burdened by nursing education and that it will be necessary to establish standards for educational hospitals to ensure higher quality education.
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사회적 지지 프로그램이 취학 전 장애아동 어머니의 스트레스와 대처에 미치는 효과
조인숙 ( Insook Cho ),김미원 ( Miwon Kim ) 한국모자보건학회 2002 한국모자보건학회지 Vol.6 No.2
Objectives : The present study was aimed to examine the effect of a social support program provided to the mothers with handicapped preschool children on their stress and coping levels. Methods : This study was based on a nonequivalent control group pretest-posttest design. The social support program was provided to a convenient sample of 18 mothers from 2 Institutions for handicapped preschool children in Gwangju. As a control, 17 mothers from the same Institutions were recruited. The program was given for 120-140 minutes once a week and continued for 7 weeks from April 1 to June 30, 2001. The levels of stress, blood pressure, serum cortisol and coping were measured before and after the intervention. Statistical analysis was done using χ²-test, Fisher's exact probability test and Wilcoxon rank sum test by the SAS PC<sup>+</sup> program. Results : The level of stress in the experimental group after the program was significantly less than that in the control(z=2.21, p=0.027). The level of serum cortisol in the experimental group after the program was significantly less than that in the control(z=2.23, p=0.026). No significant difference was noted between the groups in systolic and diastolic blood pressure. The level of coping in the experimental group after the program was significantly higher than that in the control(z=1.96, p=0.049). Conclusions : These results demonstrated that the social support program was helpful for the mothers with handicapped preschool children in lowering stress and serum cortisol levels and increasing coping level. It is suggested that the social support program could be effectively used as a nursing intervention for those with handicapped preschool children.
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