인터넷상에서 멀티미디어를 이용한 간호사 보수교육 프로그램 개발

박현애,조인숙,김정은 대한의료정보학회 1998 Healthcare Informatics Research Vol.4 No.2

일개 병원 간호사의 암환자 통증관리에 대한 지식과 태도 : A Survey from Korean Cancer Pain Management Project

박현애,고명자,이현숙,김영미,김문숙 성인간호학회 2003 성인간호학회지 Vol.15 No.2

This study was conducted to examine the nurses’ knowledge about and attitude toward cancer pain management. Method: Study subjects of this retrospective cross-sectional survey study were 343 nurses sampled conveniently in a tertiary teaching hospital in Seoul. Seven measurement tools were used to collect data on demographic data, knowledge about and attitude toward cancer pain management, barrier to cancer pain management, knowledge about and concerns for the opioid use, and professional education of cancer pain management. Result: Nurses showed knowledge deficient when their knowledge on the cancer pain management and the opiod use was evaluated using two case scenarios and the 15-item questionnaire respectively. Ninety-five percent of the nurses believe that cancer pain management it a major problem. However, inadequate staff knowledge of pain management was rated as the single most important barrier to adequate pain management by 20.4% of nurses. Only 10.9% and 23.2% of the nurses replied that nursing school’s education and professional education in cancer pain management respectively, were adequate. Conclusion: This study confirms the existence of knowledge deficits and attitudinal barriers among Korean nurses that can impede cancer pain management. This study suggests a need for professional education for nurses on cancer pain management.

만성이환과 의료이용에 관한 시뮬레이션

박현애 서울대학교 간호대학 간호과학연구소 1995 간호학 논문집 Vol.9 No.1

Computer modelling techniques have been employed to simulate prevalence of chronic diseases and health services utilization. Logistic regression models are used to describe the relationship between types of outcomes and multiple risk factors. The process of estimation of the parameters for risk factors and types of outcomes is described for a sample of national health survey data. A SPSS procedure was used to estimate risk factor coefficients. Among the estimated coefficients for prevalence of chronic disease, age, subjective health status, and use of health aid were found to be statistically significant. In the model of health services utilization, region of residence, sex, and subjective health status were found to be statistically significant. The model performance was evaluated by comparing the observed outcomes with the simulated outcomes. Two different tests of goodness of fits were used. Satisfactory fits were obtained both for prevalence of chronic disease and utilization of health services among the non-prevalent. This indicates that the model is suitable for simulation of the effect of intervention strategies.

일개 종합병원중심 가정간호 간호진단분류를 위한 NANDA와 HHCC의 적용 비교

이진경,박현애 성인간호학회 2000 성인간호학회지 Vol.12 No.4

Application of NANDA and HHCC to Classification of Nursing Diagnosis in a Hospital-Based Home Health Care This study examines that Noith American Nursing Diagnosis Association(NANDA) and Home Health Care Classification(HHCC) is appropriate to classify home health care client's nursing problems and suggests a modified nursing diagnosis classifcation system. Two hundred and forty-nine clients' records at a general hospital were reviewed and nursing problems were diagnosed according to each classification system. Results of this study are as follows. The major client's medical diagnosis are pregnancy, childbirth and puerperium. malignant neoplasm, and benign neoplasm. Of four hundred and sixty-three nursing problems, all nursing problems made a diagnos according to HHCC, while three hundred and eighty-five made a diagnosis according to NANDA. The HHCC diagnosis included 78 more nursing problems than NANDA The discrepancy in the results may indicate a significant advantage to HHCC diagnosis because HHCC nomenclature was created empirically from hard data. However, this may be due to limitations in the data collection method so determination of which classification system is more useful is difficult to judge. However, nursing components of the HHCC are more concrete and clearer than human response patterns of the NANDA. Also the HHCC facilitates the documentation of Patient care by computer, while using a conceptual framework consisting of 20 Care Components based on the nursing process: assessment, diagnosis, outcome identification, planning, implementation and evaluation. Accordingly, the practical application of HHCC is more useful than NANDA. Limitations of this study include a retrospective data collecting method and universality of samples. Further research for various samples that use prospective data collection method is recommended.

눈질환자의 퇴원 후 증상관리를 위한 전화상담 알고리즘 개발

이현정,박현애 한국간호과학회 간호행정학회 2011 간호행정학회지 Vol.17 No.3

Purpose: This methodological study was done to develop a telephone consultation algorithms and practice guidelines for patient discharged with ophthalmic diseases. Methods: The ophthalmic problems of the patients were identified and expert knowledge on managing the problems was acquired. Algorithms and practice guidelines were developed based on the expert knowledge. The content validity of algorithms and practice guidelines was evaluated by the experts. Results: The preliminary algorithms and practice guidelines were developed from 60 detailed signs and symptoms and 45 nursing interventions. The experts agreed that 57 detailed signs and symptoms linked with nursing interventions were valid, with the content validity index over 80%. Meeting with nurse experts and ophthalmologists was convened to review the rest of the 3 detailed signs and symptoms linked with nursing interventions. Finally, 60 detailed signs and symptoms and 46 nursing interventions were confirmed. Conclusion: This study suggests that the algorithms and practice guidelines are effective decision-making tools and utilization of these algorithms and practice guidelines is expected to improve the quality of clinical nursing and patient satisfaction.

결과지표로서의 환자 만족도에 관한 연구

황지인,박현애 성인간호학회 2001 성인간호학회지 Vol.13 No.1

The Purpose of this study was to identify factors influencing patient satisfaction and to evaluate the utility of patient satisfaction as an outcome indicator. The study was conducted by mailed questionnaire. The subjects were 900 patients discharged from adult nursing units in a tertiary teaching hospital. On the discharge date, questionnaires were distributed by two trained research assistants The questionnaire developed by the researchers was based on Larson(1996)'s study, and consisted of 71 items with the following components: overall satisfaction domain-specific satisfaction(administration process. hospital facility and environment, nurses, and doctors). patients' loyalty(intention to use the health care service of the hospital in the future). recommendation to others. health benefits, and demographic characteristics. Each item was rated using a five point Likert scale ranging from' 1=strongly disagree' to 5= strongly agree'. The response rate was 43%(387/900). The satisfaction level with the health care service was generally high. Perceived health status was the only significant factor influencing satis- faction level. Satisfaction with doctors contri-buted the most to explaining overall satisfaction. Overall satisfaction was significantly correlated with patient loyalty, recommendation, to other and perceived health benefit. It was found that the score of satisfaction was positively correlated with the score of loyalty, recommendation, and health benefit. Therefore. patient satisfaction seems to be a good outcome indicator

Effect of Dietary Monascus Pigment on the Liver Damage Induced with CCI₄in Rats

윤종국,--,--,--,-- THE KOREAN SOCIETY FOR BIOMEDICAL LABORATORY SCIEN 2003 Journal of biomedical laboratory sciences Vol.9 No.3

In the biological world, there are a number of ecological fights for survival between each organism such as plants, animals and microorganism. In such events, an organism can use its natural bioactive products as defence agent against other organism. Furthermore, natural bioactive products can be utilized for medicine or functional food. Recently, we investigate the effect of Monascus pigment extracted from a fungus, Monascus anke, on the alcohol metabolism and blood lipid profile. In the present study, it is observed that Monascus pigment supplemented dietary may have a hepatoprotective effect on rat's liver damage induced with CCl₄. By treatment with CCl₄(3 times, I.P), liver damage was reduced more in the rats fed 2% Monascus pigment extract supplemented diet than those fed standard diet, based on the serum levels of alanine aminotransferase, microsomal glucose-6-phosphatse activity and hepaic malondialdehyde content. On the other hand, oxygen free radical generating enzymes, hepatic P-450 dependent aniline hydroxylase, xanthine oxidase, and oxygen free radical scavenging enzymes, hepatic glutathione S-transferase, catalase, superoxide dismutase activities were generally higher both in CCl₄, treated group and control fed 2% Monascus pigment extract supplemented diet than those fed standard diet. In conclusion, the rats fed 2% Monascus pigment extract supplemented diet showed more reduced liver damage than those fed standard diet, which may be due to the acceleration of oxygen free radical metabolism.

釜山圈 大氣汚染이 土壤環境에 미치는 影響

鄭大守,정규관,金賢勍 동아대학교 환경문제연구소 1994 硏究報告 Vol.17 No.2

It is reported as follows that atmosphere environment of the outskirts of Pusan was investigated both by artificial establishment soil and sampling treatment of rainfall and from data of investigation of Nak-dong river department of environmental management. 1. The acidity of each area and monthly rainfall are normally acidrain with acidity. 2. The acid rainfalls effects of soil treatment is, at early stage, of litter variation. 3. The air pollution of NO, of the central part of a Pusan is more intensive that of the outskirts of Pusan city.

ICNP (International Classification for Nursing Practice ) 의 한글 명명화에 대한 타당성 연구

이향련,최영희,김정은,박현애,김혜숙,박현경,조인숙 성인간호학회 1999 성인간호학회지 Vol.11 No.4

The purpose of this study was to develop and test the validity of standardized Korean nomenclature of the International Classification for Nursing Practice (ICNP), developed by the International Council of Nursing (ICN). The four phases of the study were : (1) Two professors and 15 graduate students translated who were taking a nursing intervention course, translated nursing phenomena and nursing action of the ICNP into Korean ; (2) 12 nurses with various clinical backgrounds reviewed the nomenclature taking into consideration of the definition, and contents for each Korean nursing terminology, and the Delphi method was used to determine the best appropriate nomenclature for each terminology ; (3) 20 academic and clinical experts in nursing were given a questionnaire to rate the validity of each Korean nomenclature using a 5 point Likert scale ranging from very inappropriate to very appropriate ; (4) five members of the Korean Nursing Association Research Committee reviewed the survey results and determined the most appropriate Korean nomenclature for each nursing phenomena and activity of the ICNP. Most nomenclature of the ICNP had a score of more than 4.0, but four nursing phenomena had a score between 3.5 and 4.0 : Unilateral neglect(3.86), Care Given strain(3.86), Health denial(3.86), Health Adjustment(3.86) and draining(2.63). In nursing activity 726 items, except for twelve items, had a score of over 4.0 : Drainage(2.63) Weaning(3.13), Caring(3.75), Cold Wrapping(3.63), distraction Technique(3.57), drawing(3.88), Establishing Report with(3.5), Heating Wrapping(3.5), Manipulating(3.75), Performing(3.88), Reading material(3.75) and Restricting(3.75)

Home Health Care Classification(가정간호 분류체계)의 한글 명명화에 대한 타당성 연구

조인숙,황지인,박현경,최영희,이향련,박현애 성인간호학회 1999 성인간호학회지 Vol.11 No.2

The purpose of this study was to develop and test the validity of standardized Korean nomenclature of the Home Health Care Classification(HHCC), developed by Saba at the University of Georgetown. The four phases of the study were : (1) Two professors and 15 graduate students, who were taking a nursing intervention course, translated the HHCC into Korean. (2) 12 nurses with various clinical backgrounds reviewed each nomenclature taking into consideration of the definition and activities, and the Delphi method was used to determine the best appropriate nomenclature for each term; (3) 20 academic and clinical experts in nursing were given a questionnaire to rate the validity of each Korean nomenclature using a 5 point Likert scale ranging from very inappropriate to very appropriate : (4) Five members of the Korean Nurses Association Research Committee reviewed the survey results and determined the most appropriate Korean nomenclature for each term of the HHCC. Most of the nomenclatures had a score of more than 4.0, but several terms had a score lower than 4.0. They are Ambulation therapy(3.11), Anticipatory grieving(3.11), Sexual pattern alteration(3.17), Nursing care coordination(3.22), Physical therapist service(3.22), Regular diet(3.33), and Instrumental activities of daily living(3.44). These research results will be included in the nursing vocabulary dictionary to be published by the Korean Nurses Association.