간호대학생의 환자안전에 대한 지식, 간호전문직관과 환자안전관리활동의 관련성

김철규,유하민,김혜원,남아연,노희성,방다솔,신진의,이아현,이은경,전한용,정세림,정유정,Kim, Chul-Gyu,Yu, Ha-Min,Kim, Hye-Won,Nam, A-Yeon,Roh, Hee-Sung,Bang, Da-Sol,Sin, Jin-Ui,Lee, A-Hyun,Lee, Eun-Gyeong,Jeon, Han-yong,Jeong, Se-Lim,Jung, 한국의료질향상학회 2018 한국의료질향상학회지 Vol.24 No.2

Purpose: The objective of this study was to identify the relationship between knowledge of patient safety, nursing professionalism and patient safety management activities of nursing students with clinical practical experience. Methods: Self-administered questionnaires survey on knowledge of patient safety, nursing professionalism, and patient safety management activities were conducted for the $3^{rd}-year$ and $3^{th}-year$ nursing students. 139 questionnaires were distributed, of which, 131 were used for data analysis. Results: The scores of nursing students' knowledge of patient safety, nursing professionalism and patient safety management activities were $6.76{\pm}1.26$, $65.11{\pm}7.97$ and $67.99{\pm}7.26$, respectively. Knowledge of patient safety differed significantly according to the grade. Nursing professionalism had a difference with major satisfaction, clinical practical satisfaction, and experience of patient safety accident. Patient safety management activities were positively correlated (p<.01) with knowledge of patient safety and nursing professionalism. Patient safety management activities increased significantly with increase in the scores of knowledge of patient safety and nursing professionals. The factors that were related to patient safety management activities of nursing students were knowledge of patient safety and nursing professionalism. Knowledge of patient safety and nursing professionalism were selected as significant variables for explaining the patient safety management activities of nursing students, of which the coefficient of determination was 9.8%. Conclusion: To promote patient safety management activities of nursing students, training programs for patient safety management activities are required. Also, there is the need to increase the knowledge of patient safety and nursing professionalism of nursing students using various educational method.

비누화법에 의한 폐 PET 의 해중합과 Recycling (Ⅰ)

김철규,이수민,윤오섭 ( Chul Gyu Kim,Su Min Lee,Oh Sub Yoon ) 한국폐기물자원순환학회(구 한국폐기물학회) 1993 한국폐기물자원순환학회지 Vol.10 No.3

20대 성인 남성에서 건강행태와 비만지표가 혈압에 미치는 영향

김철규(Chul-Gyu Kim) 한국콘텐츠학회 2011 한국콘텐츠학회논문지 Vol.11 No.8

본 연구는 20대 성인 남성에서 건강행태와 비만지표가 혈압에 미치는 영향을 알아보기 위하여 시도되었다. 연구대상자는 서울시내 일개 상급종합병원에서 2006년 10월부터 2011년 4월까지 임상시험 참여를 위해 스크리닝을 시행한 20~29세의 남성 수진자 총 214명이며 탐색적 후향 연구로 시행하였다. 연구결과 수축기 및 이완기 혈압이 정상인 비율은 28.5%와 50.0%였으며, 총콜레스테롤과 중성지방이 정상치인 집단보다 정상치 이상인 집단에서 수축기 및 이완기 혈압은 더 높았으며 두 집단 간에 유의한 차이가 있었다. 24세 이하보다 25~29세 집단이, 비흡연자에 비해 흡연자가 이완기혈압이 더 높았으며, 두 집단 간에 유의한 차이가 있었다. 수축기 혈압 상승에는 체질량지수와 중성지방이, 이완기혈압 상승에는 총콜레스테롤, 중성지방, 연령, 흡연량이 유의한 요인이었다. 결론적으로 20대 성인 남성에게 고혈압 발생을 예방하기 위해 중성지방 및 총콜레스테롤 감소를 위한 식습관 개선과 정상 BMI 유지 및 금연의 건강행태 개선 활동이 필요하다. This study was conducted to explore the effect of health behavior and obesity indices on blood pressure(BP) in 20s men. This was a retrospective exploratory study and the subjects were 214men who participated in screening test for clinical trial at a tertiary hospital between October 2006 and April 2011. The proportion of normal SBP and DBP was 28.5% and 50.0%, respectively. BP was significantly higher in individuals who were hypertriglyceridemia and hypercholesterolemia than BP in subjects of opposing categories. DBP was significantly higher in individuals who were 25~29 years and smokers than DBP in subjects of opposing categories. The significant factors of increasing SBP were BMI and TG, and those for DBP were TC, TG, age, and smoking amount. In conclusion, these results demonstrate hypertention prevention program to include decreasing intake of TC and TG, maintaining normal BMI and quitting smoking needs to the young men in 20s.

비누화법에 의한 폐 PET의 해중합과 Recycling(2) -가수분해속도 및 온도 의존성-

김철규 ( Chul Gyu Kim ),강호 ( Ho Kang ),윤오섭 ( Oh Sub Yoon ) 한국폐기물자원순환학회(구 한국폐기물학회) 1994 한국폐기물자원순환학회지 Vol.11 No.4

한국 성인 남성에서 안정 시 심박수, QTc 간격 및 혈액검사 지표와 대사증후군 위험요인과의 관계

김철규 ( Chul-gyu Kim ),차선경 ( Sun Kyung Cha ) 한국보건정보통계학회(구 한국보건통계학회) 2017 보건정보통계학회지 Vol.42 No.4

Objectives: Each of resting heart rate, QTc interval, blood uric acid, leukocyte count, erythrocyte count, and calcium and other laboratory variables were reported to be related to metabolic syndrome. Thus, more variables including the above are extensively examined together to verify the effect on metabolic syndrome in Korean adult male. Methods: A total of 889 male subjects who have undergone healthy volunteer screening from June 2011 to January 2016 for phase 1 clinical trial were analyzed. The criteria for metabolic syndrome included blood pressure, fasting plasma glucose, triglyceride, high-density lipoprotein (HDL) by American Heart Association/National Heart Lung and Blood Institute (AHA/NHLBI, 2005), and body mass index (BMI) by American Association of Clinical Endocrinologists (AACE, 2003). Heart rate, QTc interval, complete blood cell count, serum creatinine, uric acid, calcium, AST, ALT, and alkaline phosphatase were included as risk factors for metabolic syndrome. The data were analyzed by t-test, ANOVA, Pearson correlation coefficient, and multiple linear regression analysis using SAS 9.4. Results: About 4.4% of subjects had at least 3 of 5 criteria for metabolic syndrome. Age, leukocyte count, erythrocyte count, AST, ALT, uric acid, and calcium were positive correlated (p<0.05) with the count of satisfied metabolic syndrome criteria among age, resting heart rate, QTc interval, laboratory variables. Six variables-Age, erythrocyte count, uric acid, ALT, calcium, and leukocyte-were selected as significant variables for explaining the count of satisfied criteria for metabolic syndrome by multiple regression analysis, of which the coefficient of determination was 11%. Conclusions: The count of satisfied criteria for metabolic syndrome increased as the age becomes older, which signifies the importance of management in the old age. Other variables such as erythrocyte, uric acid, ALT, calcium, leukocyte should be managed or monitored more carefully to reduce metabolic syndrome.

20~30대 성인 남성에서 체질량지수, 흡연량 및 음주량과 혈액검사치의 관련성

김철규(Kim, Chul-Gyu) 한국산학기술학회 2011 한국산학기술학회논문지 Vol.12 No.10

본 연구는 20~30대 초기 성인기 남성에서 체질량지수, 흡연량 및 음주량과 혈액검사치의 관련성을 알아보 기 위하여 탐색적 후향 연구로 시도되었다. 연구대상자는 서울시내 일개 상급종합병원에서 2006년 10월부터 2011년 6월까지 임상시험 참여를 위해 일반건강검진을 받은 20~30대 남성 총 603명이었다. 연구결과 비만 그룹은 정상체중 그룹에 비해 적혈구수, 혈색소, 적혈구용적률, 중성지방, 요산, ALT가 유의하게 높았다. 흡연자는 비흡연자에 비해 백혈구수와 혈색소는 유의하게 높고 단백질은 유의하게 낮았으며, 10~19개비 흡연하는 사람은 비흡연자 및 10개비 미만 흡연자에 비해 혈소판은 유의하게 높고 알부민은 유의하게 낮았으며, 10~19개비 흡연하는 사람은 비흡연자에 비해 중성지방은 유의하게 높고 혈당은 유의하게 낮았다. 일일 10g 이상 음주자는 10g 미만 음주자 및 비음주자에 비해 AST와 ALT가 유의하게 높았다. 체질량지수는 적혈구수, 혈색소, 적혈구용적률, 총콜레스테롤, 중성지방, 혈당, 요산, AST, ALT 증가에 유의하게 영향을 미쳤으며, 흡연량은 백혈구수치, 혈색소, 적혈구용적률, 중성지방 증가에 유의하게 영향을 미쳤고, 혈당과 칼슘의 감소에 유의한 영향을 미쳤다. 음주량은 총콜레스테롤, AST, ALT 증가에 유의한 영향 요인이었으며, 백혈구수치 감소에 유의한 영향요인이었다. 결론적으로 20~30대 성인 남성의 혈색소, 총 콜레스테롤, 중성지방, ALT 등의 혈액검사결과와 체질량지수, 흡연 및 음주 간에 유의한 관련이 있으므로 생활습관 성 질환을 예방하기 위하여 초기 성인기부터 비만 예방, 금연 및 과음을 방지하는 건강생활 실천 활동을 수행해야 할 것으로 보인다. The purpose of this study was to explore the relation of BMI, smoking and drinking with biomedical parameters in 20s and 30s men. This was a retrospective exploratory study and the subjects were 603 men who participated in health check-up for clinical trial at a tertiary hospital between October 2006 and June 2011. RBC, hemoglobin(Hb), hematocrit(Hct), triglyceride(TG), uric acid(UA), ALT in obese group were significantly higher than those of normal weight group. WBC and Hb in smokers were significantly higher than those of nonsmokers, protein in smokers was significantly lower than that of nonsmokers. Platelet in moderate smokers who smoke 10~19 cigarettes a day was significantly higher than that of nonsmokers and light smokers who smoke below 10 cigarettes a day, albumin in moderate smokers was significantly lower than that of nonsmokers and light smokers. TG in moderate smokers was significantly higher than that of nonsmokers, and blood glucose(BG) in moderate smokers was significantly lower than that of nonsmokers. AST and ALT in drinkers who drink over 10g a day were significantly higher than those of nondrinkers. In regression, BMI was significant factors of increasing RBC, Hb, Hct, total cholesterol(TC), TG, BG, UA, AST and ALT. Smoking amount was significant factors of increasing WBC, Hb, Hct and TG, and was significant factors of decreasing BG and Ca. Smoking amount was significant factors of increasing TC, AST and ALT, and was significant factors of decreasing WBC. In conclusion, there was significant relations of BMI, smoking, and drinking with biomedical parameters such as Hb, TC, TG, and ALT in young-aged men. Therefore, practice of healthy lifestyle activities to include preventing obesity and heavy drinking, and quitting smoking needs to the 20s and 30s men for preventing lifestyle disease.

영유아 어머니의 우울에 영향하는 요인

김철규(Kim, Chul-Gyu),최미영(Choi, Mi-Young) 한국성인간호학회 2016 성인간호학회지 Vol.28 No.3

요통환자에서의 약쑥패드 쑥뜸기의 효과

김철규 ( Cheol Gyu Kim ),차상철 ( Sang Chul Cha ),조성우 ( Sung Woo Cho ),이인선 ( In Seon Lee ) 한방재활의학과학회 2003 한방재활의학과학회지 Vol.13 No.4

Objectives : The purpose of this study is to evaluate effect of The Drug-Pad Moxibustion Cauterizer for low back pain. Methods : 14 patients have low back pain for less than 3 months. All patients were only treated with The Drug-Pad Moxibustion Cauterize with the multiple heating-pad. Moxibustion treatments were operated 3times a week, total 12times. At before treatment, after treatment, we measured Visual Analogue Scale(VAS), Pain Rating Score(PRS). And we assessed body temperature(before treatment, after treatment) by D.I.T.I.. Statistical analysis was performed by using SPSS program. Result : The average score of VAS and PRS was decreased. The decrement of VAS and PRS were statistically different(p<0.05). The comparision of temperature(ΔT) was not significant statistically. Conclusions : In view of the results so far achived, we get the idea that The Drug-Pad Moxibustion Cauterize is useful to reduce low back pain.

대형 사출금형의 성형 시 발생하는 금형 휨에 관한 연구

황시현,김철규,심수길,정영득,Hwang, Si-Hyun,Kim, Chul-Gyu,Shim, Soo-Kil,Jeong, Yeong-Deug 한국금형공학회 2014 한국금형공학회지 Vol.8 No.1

Large injection molds commonly have molding defects such as flashes and variation of product thickness. In this study, we conducted injection molding CAE analysis to find out the cavity pressure and structural analysis to find out mold deflection as input load conditions injection pressure obtained from injection molding analysis. As the results from CAE analysis, we found which element is the most effective on the mold deflection and we suggested a mold design to minimize the mold deflection.

의료의 질 지표 개발 및 활용

김남순,김철규,Kim, Nam Soon,Kim, Chul Gyu 한국의료질향상학회 2007 한국의료질향상학회지 Vol.13 No.1