결핵 환자의 치료 순응도 향상을 위한 자기 간호교육의 효과

오영주,전진호,손혜숙,이종태 인제대학교 백병원 2002 仁濟醫學 Vol.23 No.2

Objectives : Good compliance to standard guideline might be the most important factor for success of tuberculosis treatment. This study was performed to propose the way to promote the compliance through evaluating the effect of self-care education in pulmonary tuberculosis treatment. Methods : The subjects were 100 patients(male 82, female 18) admitted in the national tuberculosis hospital, and study period was from December 1, 2000 to March 31, 2001. Study method was a direct interview survey with questionnaire that consisted of knowledges, attitudes, compliances about tuberculosis treatment, and some characteristics of subjects. The pre- and post-educational data were compared by chi-square test and paired t-test using SPSS(ver 10.0) with α-error=0.05. Results : The mean age of the subjects was 41.8±12.8years, and most of them was male. Half of them was still drinking and smoking, and the tuberculosis treatment categories of WHO was categoryⅢ 42%, categoryⅣ 22%, categoryⅡ 21%, categoryⅠ 15% when admitted. Average prevalent period was 56.8 months, and 68% of them showed positive sputum smear test. The average knowledge level was increased from 6.88±1.85 when admitted, and 8.02±1.57 when two months after(p〈0.001), that means, the effect of education was recognized. In contrast, recognition and attitudes showed no difference. And, the frequency of subjective aggravation was higher in the group of low compliance: voluntary medication stop(p=0.022). Conclusions : This study had some limitations; lack of representativeness because the subjects were limited to the patients in one tuberculosis hospital, and, not sufficient sample size etc. Nevertheless, because the effect of the education was partly recognized, to enhance the effect of tuberculosis treatment, the contents of self-care education would be changed toward the practice with a close monitoring of the patients' compliance.

중·고등학교 아랍어 교재 집필 및 교재 내용에 관한 연구 보고서

오명근,송경숙,전완경,사희만,이규철,조희선,정규영,최진영 한국아랍어아랍문학회 1999 아랍어와 아랍문학 Vol.3 No.1

자폐적 행동 양상을 보이는 아동과 어머니간의 애착 발달에 관한 분석적 연구

임숙빈,주세진,오민자,권미경,곽은영 대한간호학회정신간호학회 1994 정신간호학회지 Vol.3 No.1

This study was conducted to examine the feature of attachment and the main factors of attachment development between autistic child and his or her mother. Data was collected at Day Care Center for Children with Developmental Disorder in S National University Hospital through nurses's in S National University Hospital through nurses's participating observation, interview with the mothers, and review of nursing records, from April 2 to June 30, 1994. The subjects were all 6 children, one was a girl, the others were boys, and their mothers who participate at the sensory-integrative play for attachment promotion served at this center. Content analysis was done for data analysis. First, all data were categorized by main concepts, reciprocity and affect. Then these wee analyzd and discussed on the aspects of specificity, proximity, synchrony, joint attention, strong affect, emotional availability which were chosen as the components of attachment through literature review. The results of this study were summarized as follows : all subjects were underdeveloped, unstable and showed different level of mother-child attachment. But during the program their attachment behaviors improved little by little. The behaviors which represented specificity, proximity, and strong affect were increased considerably, on the other hand the behaviors which represented joint attention and emotional availability were scarce. The more mother and child had contact and interacted merrily, the more their attachment behaviors developed. Another important factors of attachment development in these cases were mother and child's each characteristics. Especially the child's autistic peculiarity, such as indifference, severe resistance, distracterbility, stereotype tendency, physical condition were major barriers of maintatining the mother-child interaction. Also mother's attitude to her child, raring skill and physical condition were influencing factors. A few mothers who were anxious and stubborn had much more difficulty to adjust to their children. The mother who had experienced happiness with her child, especially if the mother experienced more fun at the play by herself became more positive, active and flexible, and that mother-child interaction maintained much longer and improved. It was more critical to help them enjoy their interaction. Thus nurses had to plan and intervene more joyful and various play, and consider mother's need in addition to child's need. And The program should be strengthened to support the mother emotionally to maximize the therapeutic effect.

당뇨병의 유병기간과 아연 및 구리 영양상태와의 관련성

윤진숙,오현미,윤지영 啓明大學校 生活科學硏究所 2003 科學論集 Vol.29 No.-

Literature suggest a relationship between trace elements status and diabetic mellitus. This study was intended to examine the zinc and copper status of diabetic patients. Subjects who participated in this study 79 type H diabetic patients and 77 normal adults. The mean of diabetic duration was 9 years. The mean age of diabetic patients and control group was 57.4 years and 55.2 years, respectively. Zinc and copper intake was measured by food record and food frequency method. Urinary zinc and copper was assessed. There was no significant difference of zinc and copper intake between diabetic patients and control group. Urinary zinc and copper of diabetic patients was significantly higher than control group. It appeared that the longer the diabetic duration, the lower the zinc intake. We concluded that dietary information to increase zinc intake should be included for nutrient education of diabetic patients.

농산물과 가공식품의 선택기준과 품질개선에 관한 대구지역 주부 소비자들의 인식

윤진숙,오현미 啓明大學校 生活科學硏究所 1999 科學論集 Vol.25 No.-

The purpose of this study was to contribute to the establishment of quality improvement program of farm products and processed food, and to provide the direction of consumer education. A survey was conducted to figure out the differences in the consumer perception of farm products and processed foods according to age group and education level. From the citizens in Tague area, 509 housewives were selected as sample subjects by stratified random sampling procedure. It appeared the main criteria for purchasing farm products was significantly different among age group. Most of consumers(84.5%) thought that food safety of farm products did not belong to safe level. The way to distinguish imported farm products was significantly different among education level. While most of consumers(79.4%) check up the place of origin, the tendency was significantly different among education level. Higher educated group utilized labelling system for the place of origin more often than others to distinguish foreign products. Perception on the farm-brand processed food products was significantly different among age group and education level : it appeared that the younger age group and higher educated group tended to purchase more farm-brand processed food products than other groups.

2003년 국내 중증급성호흡기증후군 진료 현황 및 문제점 분석

이진수,김은실,정문현,백제중,정선화,안주희,최영화,이선희,고철우,김성범,김민자,박승철,기현균,송재훈,최상호,김양수,이상오,조용균,박영훈,정숙인,김연숙,이흥범,손창희,장성희,정희진,김우주 대한감염학회 2004 감염과 화학요법 Vol.36 No.3

목적 : 2002년 말 중국에서 SARS가 발생한 이후 국내에서도 2003년 10월까지 총 3명의 추정환자, 17명의 의심환자가 보고되었다. 향후 추가적인 SARS의 유행이 우려되는 상황에서, 그간의 SARS 환자 진료에 있어서의 실질적인 준비사항, 진료 현황 등에 대한 조사를 통해 문제점을 파악하여, 향후 더 나은 대비가 될 수 있도록 개선점을 제시하고자 하였다. 재료 및 방법 : SARS로 의심되는 환자를 진료 경험이 있는 병원의료진을 대상으로 2003년 10월에 설문조사를 실시하였다. 설문에는 SARS 환자 진료 시의 실질적인 조치, 진료 현황, 병실, 응급실 및 외래에서의 격리 시설과 준비사항, 보건당국의 관리와 지원에 관한 사항을 포함하였다. 결과 : 대상이 되는 22개 병원 중 17개(17/22, 77.2%) 병원이 설문에 응하였다. SARS 환자를 위한 격리실은 응급실, 외래, 일반병실 및 중환자실에서 각각 9개(9/17, 52.9%), 5개(5/17, 29.4%), 15개(15/16, 93.7%), 4개(4/16, 25%) 병원에서 음압처리가 되어있지 않은 일인실 혹은 다인실이 사용되었고, 1개(1/16, 6.3%) 병원에서만 일반병실에서 음압격리실이 운영되었다. 입원환자의 진찰 시 개인보호구의 착용은 거의 모든 의료기관에서 이루어졌다. 보건당국에서 SARS지정병원의 시설 등을 사전에 확인한 곳은 1곳(1/12, 8.3%)이였고, 14개 병원(14/15, 93.3%)에서는 보건당국에 의뢰한 검사결과를 통하 받지 못하였다. 결론 : 의료기관에서 SARS 환자용 격리실뿐만 아니라 기존의 격리실 설비 등이 미흡하였으며, 특히 중환자실 및 외래의 준비가 더욱 부족하였다. 보건당국의 의료기관에 대한 종합적인 지원이 부족하였고, 병원과의 원활한 연계가 잘 이루어지지 않았다. SARS 만이 아닌 격리를 필요로 하는 질환의 적절한 진료를 위해 향후 병원 시설의 정비와 정부차원에서의 보다 구체적이고 실질적인 대책마련이 필요하다. Background : There was an worldwide outbreak of the Severe Acute Respiratory Syndrome (SARS) originated from China in late 2002. During that period three cases of suspected SARS and 17 cases of probable SARS were reported in Korea. With the concerns about the reemergence of SARS-coV transmission, it is important to be prepared for any possibility. So, this study is aimed to analysis the past measures in managing SARS and propose the amendatory plans to improve the preparedness. Materials & Methods : Questionnaires were collected among clinicians with any experience in managing the probable or suspected SARS cases in Oct. 2003. 17 out of 22 hospitals responded to the questionnaire. The contents in the questionnaire were practical activities, personal equipments, response plans, isolation facilities in emergency centers, outpatient clinics, general wards and intensive care units, and relationship with the public health department. Results : The dedicated isolation rooms in emergency centers, outpatient clinics, general wards, and intensive care units were prepared in 9 (9/17, 52.9%), 5 (5/17, 29.4%), 15 (15/16, 93.7%), and 4 (4/16, 25.0%) hospitals, respectively. Except for one hospital that newly made negative pressure room for SARS, single or multi-bed rooms without airborne infection control were used in all the other hospitals. The personal precaution principles were kept quite well in general wards. Before the designation of SARS hospital by the public health department prior evalution to see if the hospital was suitable for managing SARS was conducted in only 1 (1/12, 8.3%) hospital. The results of laboratory diagnosis were reported back in 1 (1/15, 6.6%) hospital. Conclusions : The isolation facilities which can control airborne infection were almost deficient not only for SARS but also for other respiratory transmissible diseases. For the infection control of transmissible diseases including SARS, more investment is needed on medical facilities and comprehensive support from the public health department required.

Dry Pituitary Powder에 對하여

朴勝淑,吳淑子,郭賢玉,裵炯珍,李仙浩 梨花女子大學校 藥學硏究所 1960 梨花藥學硏究 Vol.- No.2

식품분석에 의한 아연 섭취량과 소변 배설량의 비교연구

윤진숙,오현미 啓明大學校 生活科學硏究所 1997 科學論集 Vol.23 No.-

Abstract This study was intended to investigate the relationship of zinc intake and urinary excretion in adult women. Information on the dietary zinc intake for the consecutive 5 days was collected using weighing method for nine healthy women. Urinary zinc excretion during the same period was also measured. In order to figure out the difference of zinc intake due to dietary assessment methodology, dietary intake was measured by weighing method for three days. At the same time, the meals subjects consumed each day were collected to analyze daily zinc intake of each subject. Average zinc intake for 5 consecutive days was 5.9±0.6mg, which was equivalent to 49% of Korean Recommended Dietary Allowances(RDA). Average urinary zinc excretion during the same period was 0.31±0.18mg, When mean dietary zinc intake was assessed by using weighing method for 3 consecutive days, it was 5.7±1.2mg which was equivalent to 48% of Korean RDA. However, average dietary zinc intake from collected food sample was 6.3±1.8mg by chemical analysis. Based on dietary zinc intake and urinary zinc, we concluded zinc status of adult female participated in this study was marginally deficient.

1983 學年度 新入生의 特性

朱榮淑,吳眞美 덕성여자대학교 학생생활연구소 1984 學生生活硏究 Vol.4 No.-

혈액 및 비장조직에서 일산화탄소 헤모글로빈 농도에 관한 연구 : A Comparison of CO-Hb in Blood and Spleen Specimens

이진훈,오세진,김유나,이진숙,유재훈,장성길 內務部 國立科學搜査硏究所 2001 國立 科學 搜査 硏究所 年報 Vol.33 No.-