개심술을 받은 심기형 환아모의 교육프로그램 개발을 위한 조사연구

이군자(Lee Kun Ja),조현숙(Jo Hyun Soak) 한국재활간호학회 2001 재활간호학회지 Vol.4 No.1

분만 중 전신마사지가 초산부의 자궁수축, 분만소요시간, 분만형태 및 약물사용에 미치는 효과

이군자 ( Kun Ja Lee ),장춘자 ( Chun Ja Chang ),조현숙 ( Hyun Sook Jo ),김미란 ( Mi Ran Kim ) 여성건강간호학회 2002 여성건강간호학회지 Vol.8 No.4

전문대학 간호과의 임상 실험 효율화를 위한 연구

이군자(Kun Ja Lee),김명순(Myung Soon Kim),양영희(Young Hee Yang) 한국보건간호학회 1989 韓國保健看護學會誌 Vol.3 No.2

간호학생의 임상실무수행능력 평가도구 개발

강의화(Ik Wha Kang),이군자(Kun Ja Lee),장춘자(Chun Ja Chun),이은자(Eun Ja Lee),이여진(Yea Jin Lee) 한국간호행정학회 2005 간호행정학회지 Vol.11 No.3

The purpose of this study was to development and measure validity and reliability of evaluation tool for clinical nursing practice competency of Nursing students, Method: The participants in this study were 568 nurses who had worked for more than three years above in hospitals. A questionnaire of 79 items was administered to the nurses using a convenience sampling method. The data were collected from Sep. 12th, to Oct. 20th, 2004. Result: The derived outcome tool consisted of 6 factors of direct nursing actions and 6 factors of indirect nursing actions on the basis of 79 items. The 6 factors in direct nursing actions accounted for 76.84% of the variance and 6 factors in indirect nursing actions accounted for 79.68% of the variance on total scale. As a result of the item analysis, 79 items were selected and the internal consistency alpha coefficient was .9917. The value of Cronbach` alpha of direct nursing actions was .9640, indirect nursing actions was .9550. Conclusion: The results of this study show that useful application to the evaluation tool of clinical practice competency of Nursing students and further studies need to be done to verify clinical practice educational evaluation.

만성환아의 가족에 관한 국내 연구논문 분석

정연,이군자,백승남,조결자,Jung Yun,Lee Kun Ja,Paik Seung Nam,Cho Kyoul Ja 한국아동간호학회 1996 Child Health Nursing Research Vol.2 No.1

The purpose of study was : 1) to analyze the trend of research on the family with chronically ill children in Korea, 2) to suggest direction for future study on the family with chronically ill children, and contributing to the use of intervention in family nursing practice. Research studies on the family with chronically ill children were selected from the Korean Nusre, the Korean Nurses' Academic Society Journal, and from dissertations, which were conducted between 1975 and 1995. The total numbers of the studies were 35. These studies were analyzed for 1)time of publication or presentation, 2)research design, 3)characteristics of subjects, 4) type of chronic disease, 5)main concepts, 6)measurement tool, 7) the sis for a degree or nondegree, 8) result of correlational studies. The findings of the analysis were as follows : 1) The numbers of studies on the family with chronically ill children have increas rapidly the early 1990's. In research design, the numbers of survey research studies were the highest. Especially, the most frequently research design was the correlational survey. There were 19 correlational studies(25.7%) during the early 1990's. 2) The subjects in 16 studies(45.7%) were mother of chronically ill children and, in 8 studies (22.9% ) were their parents. 3) In most types of chronic diseases, there were 14 hematooncologic disease(32.6%) and 14 hadicapped children (32.6% ). 4) Frequently used research concepts were stress, degree of coping or way of coping, social support, parents' support, family functioning, intensity of family and family adaptation. 5) Acceding to the results of correlational studies, the more family stress was higher the more degree of coping, family functioning, intensity of family and degree of family adaption was lower. The more degree of social support was higher the more stress was lower and degree of coping, family functioning and intensity of family was higher. The more family functioning was higher the more intensity of family and family adaptation was higher. 6) 24 researches on the family with chronically ill children were done for a thesis for a degree and 11 were nondegree research studies. The following suggestions are made based on the above findings : 1) The pattern of these studies related to the family with chronically ill children in domain of Nursing need to be compared with trend in other domains. 2) More replicated research on the family with chronically ill children is needed to develop family nursing intervention and prove the effect of that and more qualitative research on the family with chronically ill children is needed to comprehensive indepth the family with chronically ill children. 3) Further research on the family with chronically ill children is needed to verify subjects and type of chronic disease, develop applicable measurement tools in Korea and identify relation between other concepts. 4) Family nursing researchers should make an effort to apply research result in various clinical settings and community settings, and try to carry out not only team research with clinical nurse but also other multidisciplinary researcher related to the family.

신생아 돌보기 교육이 어머니의 자신감과 양육태도에 미치는 효과

조결자,이군자,이옥자,Cho Kyoul-Ja,Lee Kun Ja,Lee Ohk Jaa 한국아동간호학회 1999 Child Health Nursing Research Vol.5 No.1

The purpose of this study was to find whether the educational program contributed to the increase of caring confidence and rearing attitude of the newborn mothers. The subjects for this study were 40 newborn mothers-20 control group and 20 experimental group-who delivered a normal neonate and were gotten general informations from the nurses at the K medical center in Seoul. Especially, the experimental group was educated for 30-40 minutes in maternal educational program through lectures, demonstrations, discussion with textbooks and visual materials by a researcher at 2-3 days after delivery. The data were collected two times-at 2-3 days after delivery and at 4 weeks after discharge-from October, 1998 to January, 1999 by investigators interviewing with a structured questionnaire. Pharis(1978)'s self confidence scale was used after some modification to measure caring confidence and Cohler's maternal attitude scale to check mother's rearing attitude. Analysis of data was done by using of frequency, %, x²-test, Independent sample t-test. The results of this study were as follows ; 1. The Confidence of the experimental group was significant higher than the control group (t=2.519, p=.016) and the rearing attitude changed more positively(t=5.545, p=.000). 2. In the confidence scale, the statements having a significant change were holding a baby, changing diapers, feeding, and caring umblicus. 3. In the rearing attitude scale, the statements having a significant change were 12 of 20 statements.

저출생체중아 어머니와 정상신생아 어머니의 간호교육요구도 조사

조결자,정연,이군자,Cho Kyoul Ja,Yun Jung,Lee Kun Ja 한국아동간호학회 1997 Child Health Nursing Research Vol.3 No.1

This study was designed to compare the educational needs of the mothers of LBW infant and normal neonate for development of the educational program. The subjects for this study were 37 mothers of LBW and 60 mothers of normal neonate at 3 general hospitals in Seoul and Inchon. The data were collected during the period from July to November, 1996. The Educational Need for Infant Care was measuerd by questionnaire that has developed by researchers. The data were analized by descriptive statistics, non-paired t-test, ANOVA, ANCOVA using SPSS PC/sup +/. The results were as fellow : 1) The educational needs of the mothers of LBW infant were higher than the mothers of normal neonate(F=14.50, P=.000). 2) There were significant associations between the educational needs of the mothers of LBW infant and delivery history(nullipara. or multipara. ) and caregiver of postpartum(t:-2.08, P=.045 ; F=3.94, P=.0282). 3) There were significant associations between the educational needs of the mothers of normal neonate and numbers of children and caregiver of postpartum(F=5.53, P=.0064 ; F=3.22, P=.0480) .4) The educational need by content was signs, symptomes and management of disorders (i. g. cyanosis, seizure, fever, vomiting etc.) were higher than general care of baby(i. g. feeding, diaper change etc.) at two groups. In conclusion, when the nurses teaching the method of infant care to mother, there sholud be in consideration of delivery history and caregiver of postpartum. Also, its educational contents must be Included of signs, symptomes and management of disorders.

인구학적, 흡연 및 금연관련 요인이 청소년 흡연자의 금연성공에 미치는 영향

이여진(Yeo-Jin Yi),이군자(Kun-Ja Lee),김영숙(Young-Sook Kim) 한국콘텐츠학회 2011 한국콘텐츠학회논문지 Vol.11 No.4

본 연구는 청소년의 6개월간의 금연성공률을 미치는 영향요인을 확인하기 위하여 시도되었다. 연구대상자는 인천광역시 보건소 금연클리닉에 등록한 925명의 청소년이었다. 수집한 자료는 로지스탁회귀분석을 이용하여 영향요인을 분석하였다. 청소년의 6개월 금연성공의 주요요인은 금연시도를 한 적이 있는 것 보다 금연시도를 한 적이 없는 것이었고(OR=9.48), 음주를 안 하는 것보다 음주(OR=4.61)를 하는 것이, 가족이나 친구의 권유(OR=3.93), 금연방법(인지 행동요법과 니코틴 대체요법의 병행(OR=2.45), 여학생보다는 남학생(OR=1.78)이, 중학생 보다는 고등학생(OR=1.65)이, 호기 CO농도가 낮을수록(OR=0.95), 니코틴 의존도가 낮을수록(OR=0.76)이었다. 청소년을 위한 금연정책은 금연 뿐 아니라 청소년기 이전부터 흡연예방을 강조해야 한다. 가족, 금연상담사 및 건강관리자들은 금연을 시도하는 청소년이 첫 시도에 금연에 성공하도록 도와주어야 하며, 특히 여학생과 중학생의 경우에는 금연을 위한 동기를 부여하고 금연상담을 더 많이 해야 한다. 청소년 흡연자의 호기 CO 농도가 높거나 니코틴 의존도가 높다면, 이들에게는 인지-행동 요법과 함께 니코틴 대체요법도 효과적이라고 생각한다. This study aimed to identify success factors of smoking cessation for 6 months in Adolescent smokers. Data were collected from January to December, 2008. The 925 adolescent smokers were registered smoking cessation clinic at public health center in Incheon. Data (demographic, smoking, smoking cessation) were analyzed by logistic regression. Major factors are attempting to quit smoking(no trial, OR=9.48), alcohol drinking (yes, OR=4.61), information source for registration(family, friends's ask, OR=3.94), cessation methods(cognitive+behavior+ nicotine alternative therapy, OR=2.45), gender(male, OR=1.78), grade in school(high schooler, OR=1.65), expiration CO concentration (OR=0.95), and nicotine dependency(OR=0.76). Therefore, smoking cessation policy for adolescence should be emphasized on smoking prevention as well as smoking cessation. We have to help the adolescent to succeed in smoking cessation when they attempt to quit smoking at first time. Female student smokers and middle school smokers should be given advice for smoking cessation motives and more times of counselling for smoking cessation. If adolescent smokers have high expiration CO concentration and high nicotine dependency, they should not only take cognitive-behavior therapy but also nicotine alternative therapy.

신생아 집중치료실에서 퇴원한 환아 부모에게 전화상담한 내용과 간호중재에 대한 조사연구

이군자 京畿專門大學 2000 京畿專門大學 論文集 Vol.- No.28

The purpose of this study was to identity the current status of nursing intervention by telephone. A head nurse of the intensive care unit wrote down the content of interview with parents of newborn discharged from hospital from 7 a. m. to 3 p. m. during the period of February through December in 1999. The content of 150 telephone calls except incomplete record among 460 calls were analyzed into frequency of general characteristics, content and nursing intervention by 11 categories. The findings of this study were as follows; 1. The proportion of males to females, male patients(50.0%) female patients(50.0%) by the ratio of 1:1 and the most common age was 1-2 weeks. 2. The most common admission period was within 1 week. 3. The most common diagnosis during admission period was jaundice, premature. 4. The most frequent contents were physical symptoms and vital sign, a jaundice and diarrhea among physical symptoms, fever and respiratory difficulty among vital sign. 5. Nursing intervention through telephone was identified with order to confirmation, direction, education, inducement. 6. The most frequent nursing intervention by telephone was good condition in confirmation, diarrhea in direction, feeding amount in education, follow up care in inducement. These results suggest that telephone call intervention program should be established as afield of extended pediatric nursing role in health care delivery system for the newborn.

염화 Cadmium 이 흰쥐 간장에 미치는 영향에 관한 전자현미경적 연구

강신덕,정호삼,이규식,이군자 漢陽大學校 環境科學硏究所 1992 環境科學論文集 Vol.13 No.-

실험동물은 본 실험실에서 순종교배에 의해 육성시킨 Wistar계 흰쥐를 사용하였으며, 순종교배에 의해 출생 제 7일의 신생 흰쥐 (체중 10g내외) 출생 제 40일된 흰쥐 (체중 120g내외)를 사용하였다. 신생 흰쥐와 성숙 흰쥐에 각각 cadmium chloride를 체중Kg당 3.75mg되게 생리적 식염수에 용해하여 0.2ml을 복강내에 투여한 후 3시간, 6시간, 12시간, 24시간 및 36시간 후에 각각 희생하고 개복하여 간장을 절취하였다. 간세포의 미세구조를 관찰하기 위해 조직은 4% glutaraldehyde에 전고정하였으며 10% osmium tetroxide로 후고정 후 초박절편을 제작하여 uranyl acetate 와 lead citrate로 이중 염색을 시행하였으며 전자현미경으로 관찰하여 다음과 같은 결과를 얻었다. 1. cadmium chloride 투여 신생 흰쥐의 간실질세포에서 골지체는 3시간군, 6시간군및 36시간군에서 소조가 위축되었다. 사립체는 3시간군에서 팽대되었고, 24시간군에서는 사립체롱이 소실되었으며 심한 팽대가 관찰되었고, 36시간군에서는 불규칙한 형태를 보이나 사립체롱은 정상적으로 관찰되었다. 조면내형질세망은 3시간 군에서 소조의 팽대와 일부 낭상화가 관찰되었으며 6시간군에서는 낭상화와 막부착 ribosome 과립의 탈락을 볼 수 있었고 24시간군과 36시간군에서는 대부분의 소조가 낭상화되었다. 2. cadmium chloride 투여 성숙 흰쥐의 간실세포에서 골지체는 3시간군에서 소조가 다소 팽대되었고 24시간군에서는 소조의 수가 감소되었다. 사립체는 6시간군에서 팽대되었고, 12시간군에서 불규칙한 형태를 보였으나 36시간군에는 대조군과 유사한 구조로 관찰되었다. 조면내형질세망은 6시간군, 12시간군 및 24시간군에서 소조의 팽대, 낭상화 및 막부착 ribosome과립이 탈락을 관찰할 수 있었고 36시간군에서는 대조군과 유사한 구조로 관찰되었다. Phagosome이 3시간군과 6시간군에서 다수 관찰되었고 12시간군, 24시간군 및 36시간군에서는 자가용해소체와 잔여소체를 볼 수 있었으며 특히 36시간군에서 증가되었다. 이상과 같은 결과로 미루어 cadmium chloride를 신생 흰쥐와 성숙 흰쥐에 투여하였을 때 미세구조상 신생 흰쥐 간세포의 미세구조는 투여후 시간이 지남에 따라 정상구조와 유사한 상태로 회복되는 것으로 사료된다. It is known that cadmium exposure to human results in very harmful adn potenteally toxic to liver and kideny. Therefore, the authors were undertaken to pursue the acute effects of cadmium chloride on the ultrastructures of rat hepatocytes, The 7 days old newborn and adult Wistar rats(40 days old) were used as experimental animals. Both new born and adult rats were injected intraperitoneally with 3.75 mg/kg cadmium chloride, 0.2ml(diluted with 0.9% NaCl solution). The sections of the experimethtal animals were made and observed by electron microscope. The results obtained were as follows. 1. In the hepatocytes of cadmium chloride treated newborn rats, cisternae of Golgi complexes are atrophied in the 3hr, 6hr. and 36hr. groups. The mitochondria are hypertrophied in 3hr. group. Cristae of mitochondria are reduced and swollen in 6hr. group. The cisternae of rough endoplasmic reticulum are dilatated and partly sacculated in 3hr. group and the associated ribosome granules are datached. In the 24hr. and 36hr. group, the most cisternae are sacculated. 2. In the hepatocyte of cadmium chloride treated adult rats, the cisternae of Golgi complexes are slightly dilatated and reduced in 24hr. group. Mitochondria are hypertrophied in 6hr. group and seen irregular shapes in 12hr. group but in 36hr. group, most mitochondria are intact as well as that of control rat groups. Rough endoplasmic reticulum showes dilatation, sacculation and detachment of associated ribosome granules from cisternase in 6hr. 12hr. and 24hr. group. But in 36hr. group. the fine structures of rough endoplasnmic reticulum are intact. The secondary lysosomes, phagosomes, are observed in 3hr. and 6hr. groups and numerous autophagic vacuoles and lipofucin granules are seen in 12hr. and 24hr. gruop. The large lipofucin granules are increased in 36hr. group. Consequently it is suggested that cadmium chloried made several toxic effects to hepatocytes of newborn and adult rat, the damage of hepatocyte increased in adult rats and newborn rat.