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      • 간호대학생의 영적 안녕과 스트레스 지각에 관한 연구

        김경혜;김경덕;변혜선 김천과학대학 2010 김천과학대학 논문집 Vol.36 No.-

        Purpose: The purpose of this study was to investigate the relationship between spiritual well-being and stress perceive in nursing students. Method: The subjects of this study consisted of 155 college students. The data was collected through interview with structured questionnaire from September 28 to October 5, 2009. The data was analyzed through the frequency, percentage, means, T-test, ANOVA and the pearson correlation coefficient with the SPSS computer program. Result' The result of this study were as follows. The mean score on spiritual well-being was 50.21 (SD=8.24). The mean score on stress perceive was 35.28(SD=12.82). There was a significant negative correlation between spiritual well-being and stress perceive. Conclusion: Based on the above findings, programs are needed for the improvement of spiritual well-being. And it is suggested that nursing students need to undergo stress management.

      • 입원 노인의 변비실태에 관한 연구

        김경혜,김경덕 김천과학대학 2007 김천과학대학 논문집 Vol.33 No.-

        Purpose : This study attempts to develop the basic data of constipation reduction program for admission elderly by surveying th constipation of them. Method : The subjects were 62 admission elderly, the data are collected through interview with structured questionnaires from August 1 to August 10, 2007. Analysis of data was done through the frequency, percentage, means, t-test and ANOVA with the SPSS program. Result : The result of this study were as follows. The mean score of degree of constipation was 4.87, the constipation rate was found to be 62.9%. The 74.2% of the study sample was treated with laxatives and a 59.7%of the sample was practicing enema. Conclusion : The Admission Elderly tended to have a high rate of constipation. The elderly having constipation was almost dependent on Laxatives and enema for relaxing constipation.

      • 간호대학생의 신체상 만족도, 스트레스지각, 및 자아존중감과의 관계

        김경혜;김경덕 김천과학대학 2008 김천과학대학 논문집 Vol.34 No.-

        Purpose: The purpose of this study was to investigate the relationships among variables of body image satisfaction, stress perceive, and self esteem in nursing students. Method: The subjects of this study consisted of 195 college students. The data was collected through interview with structured questionnaire from September 27 to October 5, 2007. The data was analysed through the frequency, percentage, means, and the pearson correlation coefficient with the SPSS computer program. Result: The result of this study were as follows. The mean score on body image satisfaction was 50.04, stress perceive was 32.67, and self esteem was 29.86. There was a significant negative correlation between body image satisfaction and stress perceive, positive correlation between body image satisfaction and self esteem, and negative correlation between stress perceive and self esteem. Conclusion: Based on the above findings, programs are needed for the improvement of body image satisfaction and self esteem. And it is suggested that nursing students need to under go stress management.

      • 장기입원환자 관리 방해요인

        이경석,윤석만,권희,이호,김혜경,조미자,한규남,김명성 순천향의학연구소 2003 Journal of Soonchunhyang Medical Science Vol.9 No.1

        Background: Recently the health insurance review agency tried to cut off the cost of unnecessary hospital stay. It is important to reduce the prolonged occupation of the hospital beds. However, there are some obstacles of the management for the prolonged bed occupation. We report our experiences and the problems of bed-control. Methods: To increase the rate of effective bed-usage, a task force was made. This team was consisted of 4 dctors, 2 nurses and 2 personnel of the administrative department. From December 20th 2001 to May 17th 2002, the task force analysed the rate, number and causes of the prolonged (more than 60 days, regardless of the disease entities) bed occupation. We announced and explained the necessity of bed-control and actively pressed to reduce the prolonged bed occupation. Results: The number of the prolonged bed occupation was 71 at the beginning of the management. It was reduced to 46 at best, then turned back to 65 at the end. It seems to be impossible to reduce the prolonged bed occupation until there are sufficient numbers of long-term care facilities. Aggressive bed control makes the sick patients to move every two or three months, it is never desirable. Conclusion: We cannot expect any Quality Improvements without improvement of the wrong system. Prior to the management for the prolonged bed occupation, it is necessary to build a sufficient number of long-term care facilities.

      • KCI등재

        췌장암 환자의 증상 클러스터

        Kim. Gyung Duck,Kim. Kyung Hae 위기관리 이론과 실천 2015 Crisisonomy Vol.11 No.11

        본 연구는 췌장암 환자가 질병과 치료과정에서 경험하는 여러 증상의 정도를 확인하고 증상 간의 상호 연관성으로 나타나는 증상 클러스터를 규명하는 서술적 연구로서 췌장암 환자의 삶의 질 향상을 위한 간호중재의 개발에 기초자료를 제공하고자 시도되었다. 연구 대상자는 S시와 D시에 소재하는 217명으로 하였으며, 자료 수집은 구조화된 설문지로 2012년 9월 1일부터 2013년 2월 28일까지 실시하였다. 자료 분석은 PASW 18.0 WIN로 분석하였다. 연구결과 제 1요인은 통증-피로 클러스터(pain-fatigue cluster), 제 2요인은 췌장장애 관련 클러스터(pancreas dysfunction related cluster), 제 3요인은 수면장애-체중감소-정서적 디스트레스-삶의 만족도 저하클러스터(sleep disturbance-weight loss-deterioration in QOL satisfaction cluster), 제 4요인은 위장관 장애-활동장애 클러스터(gastrointestinal-disable activity cluster)로 확인되었다. 모든 증상 클러스터 간의 상관관계가 매우 높은 것을 확인하였다. 따라서 췌장암 환자의 삶의 질 향상을 위해 4개의 증상 클러스터에 대한 중재의 개발이 필요하다. Purpose: The purpose of the study was to identify symptom cluster in pancreatic cancer patients and to determine correlation between them. A convenience sample of 217 patients recruited from the four hospitals in Korea were surveyed by the NCCN-FACT FHSL-18 and the FACT-H questionnaires. Factor analysis confirmed four symptom clusters which were named as follows: pain-fatigue cluster (Factor 1), pancreas dysfunction related cluster (Factor 2), sleep disturbance-weight loss-deterioration in QOL satisfaction cluster (Factor 3), and gastrointestinal-disable activity cluster (Factor 4). The inter-correlations among these four symptom clusters were high (r=.4-.81, p<.001). The results supported that pancreatic cancer patients were experiencing four symptom clusters which were interrelated to each other.

      • KCI등재

        Serotype Distribution and Antimicrobial Resistance of Salmonella Isolates in Korea between 2016 and 2017

        Kim Si Hyun,Sung Gyung-Hye,Park Eun Hee,Hwang In Yeong,Kim Gyu Ri,송새암,Lee Hae Kyung,Uh Young,Kim Young Ah,Jeong Seok Hoon,Shin Jong Hee,Shin Kyeong Seob,Lee Jaehyeon,Jeong Joseph,Kim Young Ree,Yong Do 대한진단검사의학회 2022 Annals of Laboratory Medicine Vol.42 No.2

        Salmonella is one of the major causes of food-borne infections. We investigated the serotype distribution and antimicrobial resistance of Salmonella isolates collected in Korea between January 2016 and December 2017. In total, 669 Salmonella isolates were collected from clinical specimens at 19 university hospitals. Serotyping was performed according to the Kauffmann–White scheme, and antimicrobial susceptibility was tested using Sensititre EUVSEC plates or disk diffusion. Among the strains, C (39.8%) and B (36.6%) were the most prevalent serogroups. In total, 51 serotypes were identified, and common serotypes were S. enterica serovar I 4,[5],12:i:- (16.7%), S. Enteritidis (16.1%), S. Bareilly (14.6%), S. Typhimurium (9.9%), and S. Infantis (6.9%). The resistance rates to ampicillin, chloramphenicol, and trimethoprim-sulfamethoxazole were 32.6%, 12.1%, and 8.4%, respectively. The resistance rates to cefotaxime and ciprofloxacin were 8.1% and 3.0%, respectively, while 5.4% were multidrug-resistant. S. enterica serovar I 4,[5],12:i:- and S. Enteritidis were highly prevalent, and there was an increase in rare serotypes. Multidrug resistance and ciprofloxacin resistance were highly prevalent. Periodic investigations of Salmonella serotypes and antimicrobial resistance are needed.

      • KCI등재

        Urological Problems in Patients with Menkes Disease

        Kim, Mi Young,Kim, Ji Hyun,Cho, Myung Hyun,Choi, Young Hun,Kim, Seong Heon,Im, Young Jae,Park, Kwanjin,Kang, Hee Gyung,Chae, Jong-Hee,Cheong, Hae Il The Korean Academy of Medical Sciences 2019 JOURNAL OF KOREAN MEDICAL SCIENCE Vol.34 No.1

        <P><B>Background</B></P><P>Menkes disease (MD) is a rare X-linked hereditary multisystemic disorder that is caused by dysfunction of copper metabolism. Patients with MD typically present with progressive neurodegeneration, some connective tissue abnormalities, and characteristic “kinky” hair. In addition, various types of urological complications are frequent in MD because of underlying connective tissue abnormalities. In this study, we studied the clinical features and outcomes of MD, focusing on urological complications.</P><P><B>Methods</B></P><P>A total of 14 unrelated Korean pediatric patients (13 boys and 1 girl) with MD were recruited, and their phenotypes and genotypes were analyzed by retrospective review of their medical records.</P><P><B>Results</B></P><P>All the patients had early-onset neurological deficit, including developmental delay, seizures, and hypotonia. The girl patient showed normal serum copper and ceruloplasmin levels as well as milder symptoms. Mutational analysis of the <I>ATP7A</I> gene revealed 11 different mutations in 12 patients. Bladder diverticula was the most frequent urological complication: 8 (57.1%) in the 14 patients or 8 (72.7%) in the 11 patients who underwent urological evaluation. Urological imaging studies were performed essentially for the evaluation of accompanying urinary tract infections. Four patients had stage II chronic kidney disease at the last follow-up.</P><P><B>Conclusion</B></P><P>Urologic problems occurred frequently in MD, with bladder diverticula being the most common. Therefore, urological imaging studies and appropriate management of urological complications, which may prevent or reduce the development of urinary tract infections and renal parenchymal damage, are required in all patients with MD.</P>

      • SCOPUSKCI등재

        무증상 한국인에서 근위부 대장용종의 예측 인자로서 원위부 대장용종의 의미

        김진호,최재원,주광로,민영일,김해경,김영민,박의련,홍원선,김도하,정성애,명승재,김석균,양석균,정훈용,조문경,심기남,김기락 대한소화기학회 2000 대한소화기학회지 Vol.36 No.5

        Background/Aims: The aim of this study was to examine whether rectosigmoid polyps could be a marker for proximal lesions. Methods: A total of 367 asymptomatic patients with distal colonic polyps (314 adenomatous; 53 hyperplastic) noted on sigmoidoscopy and 134 asymptomatic controls without distal colonic polyps were evaluated with total colonoscopy. No one had risk factors of colorectal cancers or polyps. Results: Incidence of synchronous proximal adenomas was higher in the patients with distal adenomas than in the patients with distal hyperplastic polyps and the controls (30.3% vs 17.0% and 15.7%, p$lt;0.05). It was also higher in the patients with multiple distal adenomas than in the patients with single distal adenoma. Patients with distal adenomas bigger than 5 mm in diameter had a higher risk of synchronous proximal adenomas (42.4% vs 25.8%, p$lt;0.005). Patients with advanced distal adenomas had a higher prevalence of advanced adenomas in the proximal colon than those with non-advanced distal adenomas (9.1% vs 2.1%, p$lt;0.05). Conclusion: Rectosigmoid polyps detected on flexible sigmoidoscopy can be a predictor of proximal neoplasia according to their morphologic characteristics and pathology.

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