앙와위에서 직립자세로의 체위변화가 노인의 순환과 체위성 저혈압에 미치는 영향

김영희,홍춘실,심희숙 충남대학교 의과대학 지역사회의학연구소 1996 충남의대잡지 Vol.23 No.2

This study investigated the effects of position change from supine to standing upright on the circulation and postural hypotension of elderly. The subjects of this study were 31 elderly aged over 60. Only those who could stand up from supine position without assistance were included in this subjects. Data were collected from the 1st of March to the 30th of March 1996. Blood pressures and pulses were taken at supine position and at 1 minute, 3 minutes after position change to uprightness. For data analysis, SAS program was utilized for descriptive statistics, paired t- test, X^2-test and discriminant analysis. The results of this study are as followings: 1) The prevalence of postural hypotension was 16.13%(5 patients). 2) The variables which explain the occurrence of postural hypotension was pulse on the supine. Age was not found as a significant variable in explaining the occurrence of postural hypotension in this study. 3) Differences in heart rates and blood pressures between supine and upright position were evaluated. The results are summarized as follows : ① Heart rates increased significantly at 1 minute after standing upright and decreased significantly between 3 minutes and 1 minute after standing upright. ② Diastolic blood pressures increased significantly at 3 minutes after standing upright, between 3 minutes and 1 minute after standint upright. ③ Systolic blood pressures decreased significantly at 1 minute after standing upright and increased significantly between 3 minutes and 1 minure after standing upright.

일종합병원 입원환자의 불안에 관한 연구

오경옥,강문희,박영희,심희숙 충남대학교 간호과학연구소 2003 충남대 간호학술지 Vol.6 No.1

The purpose of this study was to evaluate the anxiety of inpatients in a general hospital in Daejeon. Data were collected through self-reported questionaires from January, 2003 to February, 2003, The anxiety was measured by Zung's Self-Rating Anxiety Scale. Analysis of data was done was descriptive statistics, t-test ANOVA and factor analysis. The results of the study were as follows : (1) The average score for the level of anxiety was 37.75±8.44 point (2) The anxiety items, such as sweating. apprehension, dyspnea, insomnia and restlessness showed the high score in inpatient. (3) Anxiety showed significant difference by education level(p<0.01), duration of hospitasization (p<0.01), prognosis(p(0.05), ward(medical/surgical) (p{0.05), experienc of admission (p<0.05). (4) According to the factor analysis, four factors of sweating, apprehension, dyspnea and restlessness showed high score in inpatient. Inpatient's anxiety characteristically showed more somatic symptoms than affective symptoms.

HPLC를 이용한 고추의 품종별 Capsaicin 및 Dihydrocapsaicin 성분의 함량 분석

맹주양;이용구;이숙재;정진아;나성희;김창원;심혜진 순천향대학교 기초과학연구소 2010 순천향자연과학연구 논문집 Vol.16 No.2

Five kinds of Korean red pepper-pinkish, perfect, cucumber, blue, and ground cherry-were used, respectively, to analyze the contents of Capsaicin and Dihydrocapsaicin. The comparative analysis was performed separately in the seed removed red pepper and the seed included red pepper by HPLC. Among the seed removed pepper, the results for the content of Capsaicin were shown as follows: ground cherry(2204.0ppm) > pinkish(1324.9ppm) > blue(906.7ppm) > cucumber (77.2ppm) > perfect(12.9ppm), and the results for the content of Dihydrocapsaicin were shown as follows: ground cherry (1004.8ppm) > pinkish(248.3ppm) > blue(165.7ppm) > cucumber(13.9ppm) > perfect(0.0ppm). Among the seed included red pepper, the results for the content of Capsaicin were shown as follows: ground cherry(2190.lppm) > pinkish(1324.4ppm) > blue (919.9ppm) > cucumber(79.5ppm) > perfect(11.7ppm), and the results for the content of Dihydrocapsaicin were shown as follows: ground cherry(1017.4ppm) > pinkish(270.6ppm) > blue(189.0ppm) > cucumber(39.4ppm) > perfect(0.0ppm). Overall results suggest that in the contents of Capsaicin and Dihydrocapsaicin, the seed removed pepper and the seed included red pepper both were decreased in the order of ground cherry > pinkish > blue > cucumber > perfect, and this order is proportional to the strength of hot taste of red pepper.

간호 지식관리시스템 개발

민효숙,문원희,김미자,김선미,황윤신,황관옥,심희숙 충남대학교 간호과학연구소 2006 충남대 간호학술지 Vol.9 No.1

The purpose of this study were to develop Knowledge Management System for the nurse and to identify its effectiveness. The program was developed in development of the contents and programing. And the system was operated to 85 nurse for three weeks. Data collection were performed during the period of May 1, 2005 to December 30, 2005. The data was collected from 85 nurses using questionnaires. In order to ascertain the validity of clinical application of the system, Prior experience of the computer mediated communication, user satisfaction and utilization were analyzed. The instruments for the study were satisfaction(Kim, 2000), utilization(Kim, 2002). The collected data were analysed by descriptive statistics, using SPSS WIN 11.0 program. The results showed average score which is the satisfaction(6.09) showed middle satisfaction scores. It is concluded that if Nursing Knowledge Management System is operated considering all the above factors, It wound be one of the best qualified continuing clinical method for nurses.

병원가정간호사업 운영 현황 및 서비스 만족도에 관한 연구

홍춘실,오경옥,박미영,심희숙,차영남,Hong, Chun-Sil,Oh, Kyong-Ok,Park, Mi-Young,Sim, Hee-Sook,Cha, Young-Nam 한국가정간호학회 2001 가정간호학회지 Vol.8 No.2

The purpose of this study were to analyze the home care services and to evaluate the client's satisfaction with the home care services provided by home care service center in the C hospital. The data were collected by reviewing charts of 128 home care clients who were receiving home care services at C hospital from October 1997 to September 2000. The subjects for satisfaction of home care service were 20 clients from July 10 to September 30, 2000. The tool for measurement of present condition of home care service was developed by the researchers. The satisfactions of the home care services were measured by using the instrument developed by Im(997). The data were analyzed by using the SPSS/PC+. The results of this study were as followings : 1. Majority of the subjects was female(61.7%). The average of age was 63.5 years. The service has been used mostly by the elderly 60 years of age or older(71.1%). The economic level of most of subjects was in middle class(94.5%). 2. Majority of the subject had a cancer(55.4%), following stroke(25.0%). The average duration of disease for the subjects was 31 months. The average time of hospitalization for the subjects was 3.3 times. The duration of hospitalization was 10$\sim$30 days(26.6%), 30$\sim$60 days(23.4%) and above of the 210 days(9.4%). 3. Most of the subjects used his/her doctor (47.7%), as a consultant, following his/her nurse (28.1%), other patients or their family (21.9%). Most of reasons for a consultation were supportive management(Infusion or medication, 60.94%), following tube management(L-tube or T-tube, 25%), Foley catheter management (15.63%) etc. 4. 28 types of nursing diagnoses were used by the home care service. The nursing diagnosis altered nutrition: less than body requirement were used mostly by the home care service, following risk for infection, impaired skin integrity, impaired swallowing, ineffective airway clearance altered comfort: pain, impaired physical mobility. By the human-response pattern, exchanging(63.2%), moving(7.5%), feeling(10.4%), knowing(5.2%), communicating (2.6%), relating(0.5%) perceiving(0.4%) and choosing(0.3%). There were 42 nursing intervention types were performed by the home care service. By the NIC(nursing intervention classification. McCloskey. Bulech. 1996). physiologic: complex (30.3%) was the most, safety(28.3%), behavioral(20.0%), physiologic: basic(10.8%) and health system(1.7%). Observation or assessment was the most nursing intervention performed by the home care service. following IV infusion. vital sign observation. infusion management and fluid-electrolyte balance management. 5. The level of client's satisfaction with provided home care services showed considerably high(2.67/ 3).

Clinical effects of conservatively used dienogest in patients with ovarian endometrioma instead of surgical treatment

( Chae Hee Sim ),( De Hee Kim ),( Hyo Sook Bae ),( Mi Kyoung Kim ),( Yong Wook Jung ),( Bo Seong Yun ),( Seok Ju Seong ),( Mi La Kim ) 대한산부인과학회 2015 대한산부인과학회 학술대회 Vol.101 No.-

소집단 과학실험활동에서의 의사소통이 유아의 언어능력에 미치는 영향

오영희(Yong-Hee Oh),정현주(Hyun-Ju Jeong),김희선(Hee-Sun Kim),신명숙(Myeong-Sook Sin),심지은(Ji-En Sim),이상란(Sang-Lan Lee),최선희(Sun-Hee Chio),홍연홍(Youn-Hong Hong),황혜정(Hea-Jing Hwang) 중앙대학교 한국교육문제연구소 2010 한국교육문제연구 Vol.28 No.2

본 연구는 소집단 과학실험활동에서의 또래들 간 의사소통 과정이 유아의 언어능력에 미치는 영향을 분석하는데 목적이 있다. 본 연구대상은 유치원에 재원중인 실험집단 14명, 비교집단 14명의 총 28명이었으며 평균 월령은 61.37개월이었다. 실험집단은 7명씩 2개의 소집단으로 구성되어 10주 동안 1주에 1회씩 총 10회에 걸쳐 과학실험활동을 처치하였으며, 비교집단은 생활중심 대집단 과학활동을 실시하였다. 유아의 언어능력은 ‘언어능력 검사’ 도구를 사용하여 연구자료를 수집하였으며, 수집된 자료는 ANCOVA를 통해 소집단 과학실험활동에서의 의사소통의 효과를 분석하였다. 연구결과, 실험집단 유아들의 언어표현력 중 단어 수, 문장 수, 내용일치 점수가 비교집단 유아들의 점수보다 유의미하게 높은 것으로 나타났다. 또한 언어이해력의 이야기 듣고 질문에 답하기(Ⅰ-Ⅱ), 이야기 듣고 적절한 그림그리기, 이야기 듣고 그림 순서대로 놓기에서도 실험집단 유아들의 점수가 비교집단 유아들의 점수보다 유의미하게 높은 것으로 밝혀졌다. 결론적으로 본 연구를 통해 소집단 과학실험활동에서의 의사소통은 유아의 언어 표현력과 이해력 발달 즉 언어능력을 증진시켜 줄 수 있는 교수학습 방법임이 밝혀졌다. The purpose of this study is to examine the effect of Social Communication in Small Group Scientific Experiment activity on Young Children's Linguistic Ability. The participants of this study were 28 of five-year-old young children(experimental group 14, control group 14) on kindergarten located in D City in two groups of six each. This study was conducted once a week for 10 weeks. While the experimental group was engaged in 10 Scientific Experiment activity, the control group was engaged in Scientific activity around life. The Young children's Linguistic Ability test(Jang,1961) consists of vocabulary, linguistic understanding and linguistic expressiveness, but we used linguistic expressiveness and linguistic understanding except vocabulary. The results of this study are as follows. First, Social Communication in Small Group Scientific have a positive effect on linguistic expressiveness development of Young Children's Linguistic Ability. Second, Social Communication in Small Group Scientific Experiment activity have a positive effect on linguistic understanding development. In conclusion, Social Communication in Small Group Scientific Experiment activity have a positive effect on Young Children's Linguistic Ability.

소비자 만족 증진을 위한 간호서비스 리포지셔닝 방안

박영희,나후자,정하란,이신숙,박묘윤,이남형,윤미옥,민효숙,신동순,문원희,황관옥,심희숙,오경옥 충남대학교 간호과학연구소 2003 충남대 간호학술지 Vol.6 No.1

The purpose of this study was to evaluate the change of the satisfaction degrees before and after repositioning strategies between the consumers and nurses about nursing services. The subjects of this study were composed of 666 consumers and 215 nurses. Data were collected from December 2002 to August 2003. The tool used for this study was modified SERVQUAL model and the data were analyzed using SPSS/PC ver. 10.0. The result of the study were as follows: 1. The satisfaction degrees of consumers about nursing services were showed statistically significant difference in all items (before repositioning: 73.67±12.27, after 1st repositioning: 74.5±10.62, after 2nd repositioning: 79.76±11.65) The influencing factor of nursing service was marital status according to the result of multiple regression analysis. 2. There was statistically significant difference in all 5 factors which were tangibility, reliability, responsiveness, assurance, empathy (P<0.001), in the satisfaction degrees of consumers about nursing service. 3. There was statistically significant difference in 3 factors which were tangibles, assurance, empathy (P<0.000) in the nurses' satisfaction degrees about nursing service. 4. There was statistically significant difference in all 5 factors in satisfaction degrees about nursing service between the consumers and nurses (P<0.001). In conclusion, We know that this study contribute to consumers' satisfaction improvements, it was shown positive change between the consumers' and nurses' satisfaction degrees about nursing service through the performance of repositioning strategies. If continuous investigation and feed back were accomplished for the consumers' satisfaction improvements, we thought they brought us the goal of improved hospital image as well as rehospitalization, for increasing income.

Development of Natural Drugs against Antibiotics-Resistant Bacteria from Artemisia and Chrysanthemum Species in Korea and Study on Its Active Mechanism(I)

Byun, Youn-Hee,Chung, Ha-Sook,Lee, Yeon-Hee,Sim, Youn,Lim, Sook,Choi, Sung-Hee,Park, Nam-Ho,Moon, Su-Ran,Koo, In-Hye,Lee, Ki-Un,Lee, Min-Young,Hong, Hyun-Jin,Shin, Seungwon 덕성여자대학교 약학연구소 2006 藥學論文誌 Vol.17 No.-

To develop the effective and safe natural antibiotics from the plants in Artemisia and Chrysanthemum species which are wildly distributed or cultivated in Korea, we prepared systematically extracted fractions from each plant and investigated their activities by overlay tests and broth dilution methods. The extracted fractions of A asiatica, A. iwayomogi, C. indicum and C. zawadskiishowed significant activities against many of the tested antibiotic resistant pathogenic bacteria. There were significant deviations in sensitivity between species and strains. One compound is isolated by bioactivity directed isolation of compounds from chloroform fraction of A. iwayomogi Its chemical structure is elucidated by 1H and 13C- NMR and the compound is identified as scopoletin.

헤어스타일링 시술과정에 의한 모발 손상도

정숙희(Jung Sook Hee),심희심(Sim Hee Sim) 한국인체미용예술학회 2001 한국인체미용예술학회지 Vol.2 No.1

  The study was conducted to observe the morphological changes of hair which could be damaged by continuous treatment of permanent wave and coloring. Degree of damage were measured by cuticle changes and swelling level of hair. Hair were sampled from six women who were 20 ~ 23 years old and their hair had never been treated chemically.<BR>  The hair of each person were divided into 4 groups, which of them, 2 groups were treated to permanent wave and the other 2 groups were coloring treatment. Samples in each group were treated in 20℃ for 20 minutes, 40℃ for 20 minutes, 20℃ for 40 minutes and 40℃ for 40 minutes. And then, morphological changes of them were observed with the electron microscope of scanning type.<BR>  The obtained results were as follows:<BR>  1. The cuticles in untreated healthy hair were coarse, elaborate and regular arrangement, which in permanent groups, they were depressed and rubbed, and even crumpled or wrinkled when treated in 40℃.<BR>  2. In coloring treatment groups, there were more total peeling off and falling off than permanent wave groups, and at 40t even cuticles were exposed. In conclusions, the order of permanent wave and coloring treatment did not influence on the morphological changes of hair but when temperature was higher and time was longer, cuticle changes and swelling level of hair were damaged more severely