만성질환 자가간호 중범위이론 검증

길은하(Gil, Eunha),오희영(Oh, Heeyoung) 한국간호과학회 2018 Journal of Korean Academy of Nursing Vol.48 No.5

Purpose: The aims of this study are to provide a theoretical framework for improving the self-care of adults with severe hypertension and to examine the practical suitability of a middle-range theory of self-care for chronic illness by validating the structural model. Methods: Data were collected at a university hospital in D metropolitan city from July 1 to August 14, 2015. A total of 224 Korean adult patients with severe hypertension were recruited. Data were analyzed using SPSS 22.0 and AMOS 22.0. Results: The results show that the fit index of the hypothetical model meets the recommended level; 7 out of 8 hypothetical model paths were statistically significant. Motivation, self-efficacy, support from others, and accessibility to care showed statistical significance and explained 67.3% of the self-care process. The self-care process explained 45.3%, 63.6%, and 26.5% of quality of life, health, and illness stability, respectively. Conclusion: This model can be used as a theoretical framework for improving self-care among adult Korean patients with severe hypertension. Moreover, the practical suitability and validity of the middle-range theory of self-care for chronic illness is secured.

간호학생의 객관구조화 임상시험(OSCE) 후 피드백 유형에 따른 임상수행 자신감과 피드백 만족도 효과 비교

길은하(Gil, Eunha),오희영(Oh, Heeyoung),신선경(Shin, Seonkyoung),박연희(Park, Yeonhee),이예은(Lee, Yeeun),박정아(Park, Jeong Ah) 기본간호학회 2015 기본간호학회지 Vol.22 No.3

Purpose: The purposes of this study were to compare confidence in practice of intermittent gavage tube feeding and participants’ satisfaction by three types of feedback; professor verbal feedback, professor feedback with smartphone video, and peer feedback with smartphone video. In addition, frequently failed items in the intermittent gavage tube feeding procedure were analyzed. Methods: Data were collected from a convenience sample of 78 nursing college students in November 2014. Students were randomly assigned to the control group, experimental group I (smartphone video with professor feedback) or group II (smartphone video with peer feedback). Data were analyzed using descriptive statistics including chi-square test, ANOVA, and Scheffe test with SPSS 21.0. Results: Confidence in practice of intermittent gavage tube feeding and satisfaction with feedback were highest in experimental group I that had professor feedback with smartphone video. For the procedure, the most frequently failed item was giving an explanation to patients about the purpose and the procedure of tube feeding. Conclusion: The results indicate that professor verbal feedback with smartphone video is the most benefit to the nursing students in acquiring core nursing practice skills.

성인과 노인의 응급의료서비스 만족도 영향요인

길은하(Gil, Eunha),오희영(Oh, Heeyoung) 한국성인간호학회 2017 성인간호학회지 Vol.29 No.1

사티어의 의사소통 유형에 따른 생활 스트레스와 전공 만족도 -일개 대학 간호대학생을 중심으로 -

길은하 ( Gil Eunha ) 대한의료커뮤니케이션학회 2016 의료커뮤니케이션 Vol.11 No.2

Background: The purpose of this study is to compare the life stress and major satisfaction according to satir`s communication styles among nursing students. Methods: Descriptive cross sectional study design was used. Data were collected from 239 nursing students using self administered surveys at a university located in a D metropolitan city in Chungcheong area. Data were managed using SPSS 20.0. Results: The life stress and major satisfaction differed by Satir`s communication styles. The life stress were lower among the nursing students who functional communication than dysfunctional communication. Also, the major satisfaction were higher among the nurse students who functional communication style than dysfunctional communication style. Conclusions: It was confirmed that nursing students` life stress can be decreased and major satisfaction can be improved by increasing communication ability and modifying communication style.

한국인 고혈압 환자의 의료접근성 및 미 충족 의료실태와 위험요인 분석

오희영(Oh, Heeyoung),길은하(Gil, Eunha) 한국성인간호학회 2017 성인간호학회지 Vol.29 No.1

Determining the etiology of small bowel obstruction in patients without intraabdominal operative history: a retrospective study

Jang Youngjin,정성민,Heo Tae Gil,Choi Pyong Wha,Kim Jae Il,정성원,Jun Heungman,신용찬,Um Eunhae 대한대장항문학회 2022 Annals of Coloproctolgy Vol.38 No.6

Purpose: Most of the causes of small bowel obstruction (SBO) in patients without a history of abdominal surgery are unclear at initial assessment. This study was conducted to identify the etiology and clinical characteristics of SBO in virgin abdomens and discuss the proper management. Methods: A retrospective review involving operative cases of SBO from a single institute, which had no history of abdominal surgery, was conducted between January 2010 and December 2020. Clinical information, including radiological, operative, and pathologic findings, was investigated to determine the etiology of SBO. Results: A total of 55 patients were included in this study, with a median age of 57 years and male sex (63.6%) constituting the majority. The most frequently reported symptoms were abdominal pain and nausea or vomiting. Neoplasm as an underlying cause accounted for 34.5% of the cases, of which 25.5% were malignant cases. In patients aged ≥60 years (n=23), small bowel neoplasms were the underlying cause in 12 (52.2%), of whom 9 (39.1%) were malignant cases. Adhesions and Crohn disease were more frequent in patients aged <60 years. Coherence between preoperative computed tomography scans and intraoperative findings was found in 63.6% of the cases. Conclusion: There were various causes of surgical cases of SBO in virgin abdomens. In older patients, hidden malignancy should be considered as a possible cause of SBO in a virgin abdomen. Patients with symptoms of recurrent bowel obstruction who have no history of prior abdominal surgery require thorough medical history and close follow-up.

메르스 확산 초기 인터넷 포털 사이트에 보도된 메르스 예방식품 기사의 내용 분석 및 질 평가

Heeyoung Oh,Ahra Jo,Jeongah Park,Eunha Gil 위기관리 이론과 실천 2015 Crisisonomy Vol.11 No.11

본 연구는 한국에서의 메르스 확산 초기 6주 동안 인터넷 포털 사이트를 통해 보도된 메르스 예방식품 언론기사에 대한 내용과 정보의 질을 평가하기 위한 횡단적 서술적 조사 연구이다. 인터넷 검색 점유율이 가장 높은 네이버 포털 사이트에 보도된 메르스 예방식품 관련 기사 65건을 대상으로 분석한 결과 출처가 불분명한 하거나, 신뢰도가 낮은 출처를 인용한 경우, 광고성 기사가 많았다. 기사화된 식품의 종류나 성분은 메르스 예방에 특별한 효능이 있는 것이 아닌 일반적으로 면역력 강화식품 이었다. 인터넷을 통한 건강정보 이용자들이 정보의 질을 평가할 수 있는 능력을 갖출 수 있도록 하고 광고성 기사일 가능성에 대해 대하여 인식하도록 하여야 한다. 또한 인터넷 검색을 통하여 정보를 찾거나 서비스를 제공하는 자 모두에게 정보의 정확성, 신뢰성, 유용성의 중요함을 강조하고 개선을 위한 교육을 제공하는 것이 필요하다 The purpose of this study is to analyze the contents and quality of online news articles on preventive food for MERS (Middle East Respiratory Syndrome) reported on the online news portal website. The news articles containing relevant information reported between May 20 and July 1, 2015 were retrieved from NAVER, the most popular online news portal website. Of a total of 469 news articles retrieved, only 65 met the inclusion criteria. The DISCERN tool was used to evaluate the quality of the information and quantitative data analyses were performed. 47.7% of them were determined as a reliable source of the information, while approximately 40% were just for advertising. Overall, the quality of the information was far from satisfactory. and the contents and quality of the information were found to vary significantly. The education programs emphasizing scientific soundness, accuracy and reliability of the health-related information would be needed to provide for those seeking and reporting the health information

Differentiation of gallbladder adenomyomatosis from early-stage gallbladder cancer before surgery

Jisum Moon,Yong Chan Shin,Tae-Gil Heo,Pyong Wha Choi,Jae Il Kim,Sung Won Jung,Heungman Jun,Sung Min Jung,Eunhae Um 한국간담췌외과학회 2019 Annals of hepato-biliary-pancreatic surgery Vol.23 No.4

Backgrounds/Aims: This study aimed to compare the perioperative and clinical outcomes in patients undergoing laparoscopic cholecystectomy for gallbladder adenomyomatosis (GBA) or early-stage gallbladder cancer (GBC). Methods: The perioperative and clinical outcomes of 194 patients diagnosed with GBA and 30 patients diagnosed with GBC who underwent laparoscopic cholecystectomy in our institution from January 2011 to December 2017 were retrospectively compared. Results: There were no significant differences between the GBA and GBC groups in sex (male:female ratio 1.0:0.8 vs. 1.0:0.7, p=0.734), BMI (23.9±3.4 vs. 24.0±3.8 kg/㎡, p=0.916), or preoperative liver function tests. Patients in the GBC group were significantly older (50.5±14.1 vs. 65.9±10.6 years, p<0.001) and had a higher ASA grade (40.3 vs. 63.4% grade II or III, p=0.043) than patients in the GBA group. Although there was no significant difference in preoperative diagnostic methods (p=0.442), the GBC group showed a significantly higher rate of misdiagnosis on preoperative imaging compared with postoperative histopathologic findings (30.9% vs. 53.3%, p=0.011). There were significantly more patients with gallstones in the GBA group than in the GBC group (68.6% vs. 40.0%, p=0.004). Conclusions: In older patients hospitalized for biliary colic without gallstones but with a thickened gallbladder wall with inflammation on preoperative diagnostic exam, the possibility of early-stage GBC should be considered.

Could the Injury Severity Score be a new indicator for surgical treatment in patients with traumatic splenic injury?

Jeong HyeJeong,정성원,Heo Tae Gil,Choi Pyong Wha,Kim Jae Il,Jung Sung Min,Jun Heungman,신용찬,Um Eunhae 대한외상학회 2022 大韓外傷學會誌 Vol.35 No.3

Purpose: The purpose of this study was to determine whether a higher Injury Severity Score (ISS) could serve as an indicator of splenectomy in patients with traumatic splenic lacerations. Methods: A total of 256 cases of splenic laceration were collected from January 1, 2005 to December 31, 2018. After the application of exclusion criteria, 105 were eligible for this study. Charts were reviewed for demographic characteristics, initial vital signs upon presentation to the emergency room, Glasgow Coma Scale, computed tomography findings, ISS, and treatment strategies. The cases were then divided into nonsplenectomy and splenectomy groups for analysis.Results: When analyzed with the chi-square test and t-test, splenectomy was associated with a systolic blood pressure lower than 90 mmHg, a Glasgow Coma Scale score lower than 13, active bleeding found on computed tomography, a splenic laceration grade greater than or equal to 4, and an ISS greater than 15 at presentation. However, in multivariate logistic regression analysis, only active bleeding on computed tomography showed a statistically significant relationship (P=0.014).Conclusions: Although ISS failed to show a statistically significant independent relationship with splenectomy, it may still play a supplementary role in traumatic splenic injury management.

Critical Role of AMPK/Fox03A Axis in Globular Adiponectin-induced Cell Cycle Arrest and Apoptosis in Cancer Cells

( Anup Shrestha ),( Saroj Nepal ),( Mijin Kim ),( Jae Hoon Chang ),( Sang Hyun Kim ),( Gil Saeng Jeong ),( Chul Ho Jeong ),( Gyu Hwan Park ),( Sunghee Jung ),( Jaecheong Lim ),( Eunha Cho ),( Soyoung 영남대학교 약품개발연구소 2016 영남대학교 약품개발연구소 연구업적집 Vol.26 No.-

Adiponeectin predominantly secreted from adipose tissue has exhibited potent anti- proliferative properties in cancer cells via modulating cell cycle and apoptosis, FoxO3A. a Forkhead box 0 member of the transcription factor. plays a critical role in modulating expression of genes involved In cell de:uh andlor SUrviV31. In this study. we investigated the role of FoxO3A signaling in and-cancer activities of adiponectin. Herein. we have shown that treaunent with globular adlponectln (gAcrp) Increases p27 but decreases cyclinD I expression In human hepatoma (HepG2) and breasr (MCF-7) cancer cells. Gene ablation of Fox03A prevented gAcrp-induced increase In p27 and decreased in cyelin 0 I expression. and further ameliorated cell cycle arrest by gAcrp.lndicating 3 critical role of FoxO3A in gAcrp-induced cell cycle arrest of cancer cells. Moreover, treatment with gAcrp also induced caspase-Jf7 activation and increased Fas ligand (Fasl) expression ln both HepG2 and MCF-7 cells. Transfecucn with FoxO3A siRNA inhibited gAcrp-induced caspase-3/7 activadon and Fasl expression. suggening that FoxO3A sigltaling also plays an lmportant role In gAcrp.induced apcptosis of cancer cells, We also found that gene silencing of AMPK prevented gAcrp-induced nuclear translocation of Fox03A in HepG2 and MCF-7 cells. In addition. suppression of AMPK also blocked gAcrp-lnduced cell cyele arrest and further attenuated gAcrp-induced caspase-3/7 activation, indICating that AMPK signaling plays a pivotal role in both gAcrp-lnduced cell cycle arrest and apoprosis via acting as an upstream S1gnalirlg of Fox03A Taken together. our firldings demonstrated that AMPK/Fox03A axis plays a cardinal role in anu-protlferanve effect of adiponecun in cancer cells.