임상간호원의 간호업무 분담에 관한 조사 연구

홍춘실,김종임 충남대학교 의과대학 지역사회의학연구소 1984 충남의대잡지 Vol.11 No.1

This study was carried out for the purpose of investigating the nurse's idea toward job sharing clinical activities of 65 nurses in Chungnam National University Hospital from March to February 1984. The result are as follows; 1. In physical care category, the most nurses responded to job sharing for bed making, mouth care back rubbing, bed bath, patient transportation, position change, passive exercise were "nurse and nurses' aid". 2. In observaion and treatment assistance category, the largest number of nurses responded to job sharing for oral medication, vital sign check, parenteral medication, intake and output check, observe effect of treatment and nuring care, observe patient's conditional change were "nurse and nurses' aid" and collecting and delivering specimen was nurses' aid. " 3. In psychological care category, the most nurse responded to job sharing for explain disese process, explain diain diagnostic test ahead of time, health teaching and counselling, explain patient's symptoms were "nurse" and provide privacy was "nurse and nurses' aid". 4. In unit management category, the most nurses responded to job sharing for unit clean and tidy guide patient on admission and teaching, deliver and transport papers were "nurse and nurses' aid" and drug, equipment care, guide patient on discharge and teaching were "nurse".

입원환자 교육활동에 관한 조사 연구 : 임상간호원을 중심으로

홍춘실,소희영,김태숙 충남대학교 의과대학 지역사회의학연구소 1987 충남의대잡지 Vol.14 No.1

This study was made on Nurses working at the medical and surgical department at the hospitals of local National university and General hospital in Chungnam province from 1st August 1986 to 15th September 1986. We researched for knowledge and attention of the patient teaching to the variables such as level of education, length of service, level of position, working place, educational experience of the patient teaching. Results 1. Questions about knowledge of nurses' concepts for patient teaching was given in four items. The results is very significant to the variables such as level of education, level of position and working place in three items (p<0.01, Table 2-1). 2. Questions about attention of nurses' concepts for patient teaching was given in three items. The results is very significant to the level of education in three items (p<O.01, Table 2-2). 3. Questions about knowledge of nurses' concepts of plans for patient teaching was given in three items. The results is very significant to the length of service and level of position in each. two items (p<0.01) and significant in one item (p<0.05, Table 3-1). 4. Questions about attention of nurses' concepts of plans for patient teaching was given in two items. The results is very significant to the level of position (p<0.01, Table 3-2). 5. Nurses' knowledge of proper time for patient teaching is very significant to the level of education and educational experience of the patient teaching in each two items (p<0.01, Table 4-1). 6. Questions about attention of proper time for patient teaching was given in two items. The results is very significant to the level of education and length of service (p<0.01, Table 4-2). 7. Questions about knowledge of the methods for the patient teaching was given in four items. The result is very significant to the length of service and educational experience of the patient teaching in three items (p<0.01, Table 5-1). 8. Questions about attention of the methods for the patient teaching was given in two items. The results is very significant to the :length of service and working place (p<0.01, Table 5-2). 9. Questions about knowledge of content for the patient teaching was given in three items. The results is very significant to the level of education in all items (p<0. 01, Table 6-1). 10. Questions about attention of content for the patient teaching was given in three items. The results is very significant to the level of education and level of position in all items (p<0. 01, Table 6-2). 11. Questions about knowledge of the evaluation of patient response after performing patient teaching was given in three items. The results is very significant to the level of position (p<0.01, Table 7-1). 12. Questions about knowledge of the evaluation of nurses' feeling after performing patient teaching was given in three items. The results is very significant to the level of education and working place (p<0.01, Table 7-2). 13. Questions about attention of the evaluation of patient response after performing patient teaching was given in three items. The results is very significant to the level of position and level of education in two items (p<0.01), and is significant in one item (p<0. 05, Table 7-3). 14. Questions about attention of the evaluation of nurses' feeling after performing patient teaching was given in three items. The results is very significant to the level of education and level of position in two items (p<,0.01, Table 7-4).

看護員의 一般的 特性에 따른 스트레스 要因에 關한 分析的 硏究

洪春實,趙敬順 충남대학교 의과대학 지역사회의학연구소 1986 충남의대잡지 Vol.13 No.2

This study was attempted to investigate the relationship of the stress factors, Self-Rating Anxiety Scale and self-Rating depression Scale accordind to the general characteristics of subjects and the correlation among stress factors, Self-Rating Anxiety Scale and Self-Rating Depression Scale. Kim et. al's stress measurement tool, and Zung's Self-rating Anxiety Scale and Self-Rating Depression Scale were used from May 1, 1986. to July 31, 1986. and applied to 285 nurses working at the general hospitals in Taejon City. The analysis was tried by SPSS Batch system using ANOVA and Pearson's correlation. The results of this study were summarised as follows: 1. By the age group, work overload and night duty in the 24-29 age group, and unsatisfactory relationship with subordinate in the 20-24 age group were the significant stress facrors among 3 age groups. 2. By the educational level, low reward in the graduates of department of nursing, and unsatisfactory relationship with subordinate, poor treatment and night duty in the graduates of junior college were significant stress factors. 3. By the working place, work overload in the medical departments, and conflict in nurse-doctor relationship in the surgical departments were the significant stress factors. 4. By the years of service, work overload, low reward and night duty were the significant stress factors in 3-4 years of carrier. 5. By the Length of position, work overload, night duty and low reward were the significant stress factors, and the scores of Self-Rating Anxiety Scale was significantly high in the staff nurses. 6. By the motivations to choose nursing science, night duty was the significant stress factor in the motivation of 'wants to help other ' and 'guarantee of employment after graduate' and Self-Rating Depression Scale was significantly high in the motivation of 'wants to help others' and 'by the recommendation of parents and friends'. 7. Relationships among stress factors and Self-Rating Anxiety Scale were highly significant. This was regarded as the result of the interaction of each factors as stressors.

Cunninghamella elegans에 의한 폐 mucormycosis

박경실,서광수,조무자,김춘식,심상인,김선무 대한임상병리사협회 2001 대한임상병리사회지 Vol.21 No.1

보건교육 내용에 관한 지식 및 흥미에 관한 연구 : 일부 사범대학생을 중심으로 Focusing on the Subjects of Teachers' University Students

홍춘실,박영신 충남대학교 의과대학 지역사회의학연구소 1988 충남의대잡지 Vol.15 No.2

This research was conducted to help select and categorize the suitable health education contents for the health curriculum and health education program. The purpose of this study is to provide a useful information about the health knowledge and health interest of teachers' university students to select a recommendable planning, scope, and contents of health education by a comparative analysis between male and female students, and between departments. The tool for this study was questionaire. The number of items is ninty, 30 of health knowledge and 60 of health interest. And they are subgrouped under eight categories. The items were worked out by me based on the contents of health education subject for general education of many colleges, and were complemented by a preliminary investigation. The subjects for this study were chosen among 548 collegians in K National Teachers' University. Data were collected for thirteen days from November 24 to December 6, 1986 and were analyzed by the SPSS computer program. The results of this study are as follows: 1. The most well-known area of health education contents regardless of sex is "Environments and Health Hazards" and the most ignorant area is "Disease Control". Comparing the degree of health knowledge between male and female students group mean score of females is significantly higher than that of males. (t=8.44, d. f=546, P<0.01) Comparing the departmental degree of health knowledge, there is no significant difference in the mean score between humanities department and natural 'science department. However, the mean score of arts and athletics department is significantly lower than that of humanities department and natural science department. (.P<0.01) 2. The most interested area among health education contents in both males and females is "Health Maintenance and Promotion", and the least interested area is "Community Health". Comparing the degree of health interest between male and females studenst, group mean score of females is significantly higher than that of males. (t=1.99, d. f=546, P<0. 01) The degree of departmental health interest in nearly same in 7 area, but the degree of health interest of arts and athletice department in "Body structure and Function" areais significantly higher than that of humanities and natural science department. (P<0.01) 3. The correlation between health knowledge and health interest is found significant only in the case of female students of natural science department. (r=0.20, P<0.05) The correlation between health knowledge and health interest is also significant in "Health Maintenance and Promotion" area : (r=0.13, P<0.01) 4. There's no significant difference in health knowledge and interest from whichever source they acquire health knowledge. Health knowledge is acquired mostly newspapers and magazines (39%).

재가노인의 일상생활동작수행의 의존성과 생활만족에 관한 연구

홍춘실,김현리,이상화 충남대학교 의과대학 지역사회의학연구소 1997 충남의대잡지 Vol.24 No.1

This study was conducted to analyse the correlation between the ADL dependency and life satisfaction. Data were collected from the 102 home resident eldery who have no dementia by cognition test. The age distribution f subjects were 65 years and over The data were collected from January 16th to February 15th, 1997. The instruments used for this study were a survey of general characteristics(10 items), physical function(15 items), life satisfaction(20 items). The data were analysed by using an SPSS program and included percentage, t-test, ANOVA & Pearson correlation coefficient. The result of the study are summarized as follows: 1. The mean of ADL dependency score was 5..912 in a possible range of 15 to 60 when 15 indicates high dependency and 60 incicates low dependency. 2. The mean of life satisfaction score was 20.363 in a possible range of 0 to 40 when 0 indicates low life satisfaction and 50 indicates high life satisfaction. 3. The relationship between ADL dependency and life satisfaction for old people in home proved to be of statistically highly negative correlation(r=-.2553 P=.01). 5. General characteristics related to life satisfaction was educational status, household status, economic status, personality, perception of health(P<0.05). In conclusion, it was identified that ADL dependency is the important variable influencing the life satisfaction of the elderly. Therefore, more efforts are needed to decreased the ADL dependency of the elderly to enhance life satisfaction of the elderly.

대전·충남지역 보건소 간호사의 보건사업 수행에 관한 조사연구

홍춘실,김현리,신창례,한창옥 충남대학교 의과대학 지역사회의학연구소 1994 충남의대잡지 Vol.21 No.1

This study was purposed to find out the health service performance of public health nurses in Taejon and Chungnam area. The study subjects was public health nurses,119 and data collection was performed from 3.Sep.1990 to 30.Nov. 1990. The research scale was made by Community Health Nursing Academic Affairs and revealed to health service dimension in health center. The result were as follows : 1. General characteristics of subjects. We can notice the most largest distributions in each characteristics: 1) Marrital status : the married(72.3) 2) Religion : the protestant(33.6) 3) The career in hospital : 1-4years group(37.8) 4) The possession of licence and qualification : double licenses or qualification possession. Only 2% of subjects had bachelor degree. The distribution of working part was that : family planning(31.1%),infant and child(29.4%), clinic(15.1%), TB management(9.2%), others(9.2%), immunization (4.2%) injection part(1.7%). 2. Work performance according to the dimension of health project was that : planning(2.771),other official affairs(2.501), infant and child care(2.442), others special project(2.424), prenatal care(2.303), postpartum care (2.296), family planning(2.267), disease control(1.933), delivery care(1.904), TB management(1.827), practice education(1.748), other health projects( 1.677), and there was a high performance score in guide and education items and record and report items relatively. . 3.Work performance according to general characteristics There was a statistically significant differences in work performance score of planning dimension according to age, marrital status, working place and working part, and in work performance score of disease control dimension according to religion, and in work performance score of other dimension according to marrital status,and in work performance score of planning,infant & child care, family planning, practice education, other official affairs and other health projects according to working places. There was a statistically significant differences in work performance score of planning, prenatal care, postpartum care, infant & child care, family planning, disease control and others dimension according to working part.

일 지역 재가노인의 일상생활수행능력과 자가간호역량 간의 관계

김춘길,장희정,김성실 성인간호학회 2001 성인간호학회지 Vol.13 No.1

The ratio of the elderly population is rapidly growing due to socio-economic development and better medical services. As the average life-span of the Korean elderly becomes longer, the proportion of the elderly is increasing. Therefore, the elderly need to sustain a high quality of life. However. all these factors, such as sensory loss, decreased endurance, mobility limitation, and a loss of independence, act to diminish the quality of life among the elderly. It is necessary for elders to adapt themselves to acting, to maintain their physical functions and especially, it is important to keep their independence in activity of daily living and self care. Therefore, this study was designed to identify the degree of activity in daily living and exercise of a self-care agency and to investigate the relationship between activity of daily living and self-care agency. Also, this research aimed to contribute to nursing interventions that maintain and promote quality of life of the elderly and to enable themselves to live independently. The subject of this study were 160 elders, over age 65, who were sampled in C city. Data were collected by observation and Questionnaires from May,1999 to December, 1999. The measurement tools were Barthel Index(1979) Lawton & Brody(1969) for activity of daily living and Kearney & Fleischer(1979) for self-care agency. Data were analyzed by SAS PC + package and included descriptive analysis, t-test, ANOVA. Pearson correlation coefficient, and Cronbach's alpha. The conclusions of this study are summarized as follows ; 1.The mean of ADL and IADL was 96.09 and 16.38, respectively. The score described activity of daily living among the elders in C province as moderate. Particularly, in the items of IADL, the item of medication was the highest score. 2.The mean for exercise of self-care agency was 76.48, a moderate degree. 3.The degree of ADL and IADL according to demographic characteristics was significantly different statistically in pocket money, the presence of disease, perceived health status and in occupation, pocket money, family type. the presence of disease, and perceived health status, respectively. 4.The dagree of self-care agency according to demographic characteristics was significantly different statistically in gender. education level, economic status, and pocket money. 5.There was a significant positive correlation between activity in daily living and self-care agency. Based on these results, further research is suggested to discover the variables influencing the activity of daily living and self-care agency to develop nursing strategies for improving self-care and activity of daily living among the elderly.

일 종합병원의 의료수가에 관한 조사연구 : 분만환자 병원비 총액을 중심으로

홍춘실,김태숙 충남대학교 의과대학 지역사회의학연구소 1986 충남의대잡지 Vol.13 No.2

The purpose of this study is to find out the nursing coasts in accordance with Nursing Services with the total patient fee in hospital. Two disease of diagnosed group, Normal Delivery and Cesarean Section have been chosen for this study they require relatively symple treatment and also less complications rather than other diseases. Total 120 cases of patient's records were selected among the number of discharged patients during the period of Jan. -Dec. in 1985 at a C National University Hospital. the followings are the results of the obtained data. 1. There were marked differences in an average patient fee for the same disease category according to the medical insurance scheme. In Normal Delivery case, the total expense of patient fee were 161, 939 Won in an average non-insurance cases, while 101,931 Won in medical insurance ones. In Cesarean case, total expense of patient fee were 622,588 Won in an average non-insurance cases, while 418,923 Won in medical insurance ones. 2. The cost fluctuation rate of insurance case was 62.9% in Normal Delivery and 67.3% in Cesarean Section compare to the non-insurance coast were based on 100. 3. An Average hospital days of non-insurance case were 3.1 days, while insurance case were 2.9 days in normal delivery. In Cesarean Section, it were 8.2 days in non-insurancecase, while 8.4 days in insurance case. 4. Fee for drug and medication were 35.0-35.5% of the total charges of patient's fee. One kind of antibiotics utilized for a case was 66.7% of the total in Normal Delivery cases. But, in Cesarean Section, three kinds of used antibiotics was 86.8-96.7% for a case. 5. Fee for doctor's activities was 49.2%-61.6% of the total charges of patient's fee in Normal Delivery cases and 55.0-82.9% in Cesarean Section. Fee for Nursing Services were 5.7-15.2% in Normal Delivery cases and 1.7-8.4% in Cesearean Section. The injection fee was separated as an item of charge in insurance cases as of 7.0%-11.3% of total patient fee, But in non-insurance case, the injection fee included in the item of fee for the drug and medication.

대전·충남지역 학교보건실태 및 양호교사의 업무자신감에 관한 조사연구

홍춘실,김현리 충남대학교 의과대학 지역사회의학연구소 1994 충남의대잡지 Vol.21 No.1

The purpose of this study was to find out the status of school health, school health teacher' s performance for school health works and school health teacher's self-confidence to performance for school works for the 147 school health teachers in Taejon city and chungnam province. Data collection was conducted by means of questionairs made by Community Health Nursing Academis Affairs from July 10 1991 to July 25 1991. The results of this study were as follows; 1. In research subject school, The distribution of pupils was that the below 2.000group was above 85%, the distribution of teachers was that the below 60 group was about 75%, the distribution of classes was that the below 60 group was about 95%. the school health budget showed the most highest score in the below three hundreds of thousands won group (48.5%). Only 18.5% all subject schools had organization for school health. Above 70% of health clinics was located in 1st floor and the size of health clinics was less than 33m about 73.9%. The monthly average of clinic visitors was distributed that the 101-200 group was 46 school(31.7%), most high. The average of literal message was 9 times for 1 year. 2. The school health teacher's performance of schoolhealth nursing activities was that ; 1) The dimension of program planning aand evaluation was highly scored in plan ning(.0952). 2) The dimension of management of health clinic was highly scored in clinic management (.973) 3) The dimension of health education was highly scored in content assessing (.898). 4) The dimension of management of school environment was highly scored in management of water supply system(.878). 5) The dimension of operating of school health organization was highly scored in operating of community welfare organization(.286). 6) The dimension of health care services was highly scored in headache (.966), emergency management(.966),and most lowest scored in wound suturing(.012). 3. There was statistically significant difference in the comparison of performance of school health works according to major variables only the performance of environment manage ment(T=5.0366, P-0.263, Table 6). 4. The school health teacher's self-confidence of performance for school health works was that ; 1) The dimension of program planning and evaluation sshowed high scores in plan ning(2.865). 2) The dimension of health clinic management showed high score in clinic management(3.132), and the lowest score in participation of budget planning (2.340). 3) The dimension of health education showed the most highest score in education performance(2.912)). 4) The dimension of management of school environment showed the most highest score in toilet management(2.766), and the most lowest score in sewage management (2.528). 5) The dimension of operating of school health organization showed relatively low level, average 2.141. 6) The dimension of health care services showed the most highest score in immunization (3.000), the most lowest score in wound suturing (2.032). 5. As the school health teacher's self-confidence, there were no statistically significant difference according to number of pupils, school health budget, school health organization. Thus researcher suggested that for development of school health nursing was supported through arrangement of work conditions,the school health teachers must develop the performing ability of school health work for themselves, and also search variables for self-confidence.