간호실무에서 신봉이론(Espoused theories)에 대한 탐색적 연구

서문자,김혜숙,이은희,박영숙,조경숙,강현숙,임난영,김주현,이소우,조복희,이명하,지성애,하양숙,손영희,권성복,김희진,추진아 성인간호학회 2001 성인간호학회지 Vol.13 No.1

As a nursing practice involves nurses' actions in a specific context of health care, this study has focused on exploring the espoused theories in nursing practice within the action science perspectives, Espoused theories are the belief, principles, and rationale expressed by the practitioner as guiding her/his actions in a situation of practice. The data were analysed qualitatively and 25 elements of espoused theories of nursing action were identified and clustered into 6 categories. The 25 elements of espoused theories are as follows: The clinical nurse worked in wholistic and individual nursing, focussed on the patient's needed, comfort and supportive nursing (5 theories of nursing goal) ; excellent skills, knowledge based, assessment and data collection, explaining, educating or a scientific basis(6 theories of nursing intervention): advocacy, value oriented, treatment, account- ability and commitment(4 theories of nursing ethics) ; human respect. partnership, trust(3 theories of patient-nurse relationship) : knowledgable, accumulated clinical experiences and personally lived experiences. positive perspectives(4 theories of nurse), role of intervention. rewarding peer relationship(3 theories of situations) The above mentioned espoused theories are similar to that of nursing textbooks which students learned through basic nursing education and almost the same as the Acts ofa Nurse in Korean. However, we are doubtful whether nurses actually do as they think. Therefore. it is recommended to review the theories-in-use in order to and any discrepancies between the espoused theories and the reality of nursing actions

간호대학생이 지각하는 임상실습지도자의 교수효율성과 임상실습만족도의 관계

황현아,김희진,김예지,이규희,이영롱,박성희,손수빈 이화여자대학교 간호과학대학 2012 이화간호학회지 Vol.- No.46

Purpose: The purpose of this study was to investigate the relationship between teaching effectiveness and clinical practice satisfaction among nursing students. Method: The subjects of this study were 107 junior and senior nursing students in E university. Data were collected using self-reported questionnaire including general and practicum related characteristics, teaching effectiveness of clinical instructors and clinical practice satisfaction from September 12 to September 21, 2011. Collected data were analyzed by SPSS 19 program using t-test, ANOVA with Scheffe test, and Pearson`s correlation coefficients. Result: The mean score of teaching effectiveness was 3.35(±.51), and mean of clinical practice satisfaction was 3.19±.47. There were significant differences of teaching effectiveness of clinical instrutor by satisfaction of overall clinical practicum(F=8.332, p<.001), satisfaction of practice hour(F=3.230, p=.044), and satisfaction of major(F=9.883, p<.001). There were significant differences of clinical practice satisfaction by grade(t=2.274, p=.025), motive of choosing nursing science as a major(F=3.329, p=.007), satisfaction of overall clinical practicum(F=17.437, p<.001), satisfaction of practice hours(F=9.925, p<.001), and satisfaction of nursing major(F=12.748, p<.001). Relationship between teaching effectiveness of clinical instructor and clinical practice satisfaction showed positive correlation(r=.704, p<.001). Conclusion: In this study, teaching effectiveness of clinical instructor was related with clinical practice satisfaction. Therefore, we should consider improving teaching effectiveness of clinical instructor to improve clinical practice satisfaction.

정신분열병에 대한 리스페리돈의 효과 및 안정성

이민수,김용구,김영훈,연병길,오병훈,윤도준,윤진상,이철,정희연,강병조,김광수,김동언,김명정,김상훈,김희철,나철,노승호,민경준,박기창,박두병,백기청,백인호,손봉기,손진욱,양병환,양창국,우행원,이정호,이종범,이홍식,임기영,전태연,정영조,정영철,정인과,정인원,지익성,채정호,한상익,한선호,한진희,서광윤 大韓神經精神醫學會 1998 신경정신의학 Vol.37 No.1

연구목적 : 본 시험의 목적은 임상시험 시작전에 연구자들을 대상으로 PANSS Workshop을 통하여 PANSS, ESRS에 대한 국내에서의 표준화 작업을 구축하고 새로운 정신병 치료제인 리스페리돈의 효과와 안정성을 재확인하여 리스페리돈 사용에 대한 적정화를 이루는데 있다. 연구방법 : 1996년 4월부터 1996년 9월까지 국내 39개 대학병원 정신과에 입원중인 혹은 증상이 악화되어 입원하는 정신분열병 환자 377명을 대상으로 다시설 개방 연구를 시행하였다. 1주일간의 약물 배설기간을 가진후, 리스페리돈을 8주간 투여하였고, 기준점, 1주, 2주, 4주, 그리고 8주후에 평가되었다. 용량은 제1일에는 리스페리돈 1mg씩 1일 2회, 제2일에는 2mg씩 1일 2회, 제3∼7일에는 3mg씩 1일 2회 투여하였다. 이후 환자의 임상상태에 따라 임의로 증량할 수 있으며, 최대 일일 16mg을 초과하지 않도록 하였다. 추체외로 증상을 조절하기 위한 투약을 허용하였다. 임상증상 및 부작용의 평가는 PANSS(Positive and Negative Syndrome Scale), CGI(Clinical Global Impression) 그리고 ESRS(Extrapyramidal Symptom Rating Scale)을 사용하였다. 연구결과 : 377명중 343명(91%)이 8주간의 연구를 완결하였다. 치료 종결시점인 8주후 PANSS 총점수가 20% 이상 호전된 경우를 약물 반응군으로 정의할때, 약물반응군은 81.3%였다. 리스페리돈에 반응하는 예측인자로는 발병연령, 이전의 입원 횟수, 유병기간이 관련 있었다. 리스페리돈은 1주후부터 PANSS양성, 음성, 및 일반정신병리 점수상에 유의한 호전을 보여 효과가 빨랐다. CGI의 경우도 기준점에 비해 1주후부터 유의한 감소를 나타내었다. ESRS의 경우, 파킨슨 평가점수는 기준점과 비교해 투여 1주, 2주, 4주후 유의하게 증가되었다가 8주후 기준점과 차이가 없었다. Dystonia 평가점수는 1주후만 유의한 증가를 보였으며, dyskinesia 평가점수는 유의한 차이가 없었다. 혈압, 맥박수의 생명징후 및 일반 혈액학 검사, 생화학적 검사, 심전도 검사에서 유의한 변화는 없었다. 결 론 : 이상의 다시설 개방 임상 연구를 통해 리스페리돈은 정신분열병 환자에서 양성증상뿐만 아니라 음성증상 및 전반적인 증상에도 효과적인 것으로 사료된다. 보다 명확한 평가를 위해서는 다른 항정신병약물과의 이중맹검 연구가 필요할 것으로 생각되며, 또한 장기적 치료에 대한 평가도 함께 이루어져야 하겠다. Objective : The purpose of this study was to investigate the efficacy and safety of risperidone in the treatment of Korean schizophrenic patients. Method : This multicenter open study included 377 schizophrenic patients drawn from 39 university hospitals. After a wash-out period of 1 week, the schizophrenic patients were treated with risperidone for 8 weeks and evaluated at 5 points ; at baseline, and 1, 2, 4 and 8 weeks of treatment. The dose was increased from 2mg/day(1mg twice daily) to 6mg/day(3mg twice daily) during the first week and adjusted to a maximum of 16mg/day over the next 7 weeks according to the patient's clinical response. Medication to control extrapyramidal symptoms was permitted. The psychiatric and neurological status of the patients was assessed by PANSS, CGI, and ESRS scales. Results : 343(91%) of 377 patients completed the 8-week trial period. Clinical improvement, as defined by a 20% or more reduction in total PANSS score at end point, was shown by 81.3% of patients. The predictors of response to risperidone were associated older age, shorter duration of illness, fewer previous hospitalization. Risperidone had rapid onset of action ; a significant decrease of the total PANSS and three PANSS factor(positive, negative, general), and CGI was already noticed at the end of first week. For the ESRS, parkinsonism rating scores were significantly increased until week 4 comparing with baseline. Dystonia rating scores were significantly increased until week 1, and dyskinesia rating scores were not significantly changed during the study. Laboratory parameters including vital sign, EKG, hematological, and biochemical values showed no significant changes during the trial. Conclusions : This study suggests that risperidone is generally safe and effective against both the positive and negative symptoms in our group of patients.

쌍태아에서 제 1태아의 분만 후 제 2태아의 지연분만 : 중례보고

김주환,서민정,유희정,노권일,조대현,박정규,이정헌,조성남,손영수 朝鮮大學校 附設 醫學硏究所 2005 The Medical Journal of Chosun University Vol.30 No.3

With the widespread use of fertility medications and techniques of in vitro fertilization, multiple gestation has become epidemic in modern obstetric practice. Delivery of the initial fetus in a multiple gestation usually is followed by delivery of the subsequent fetus or fetuses shortly thereafter. However in rare circumstances, the delivery is delayed for days due to disappearance of uterine contraction after delivery of the first fetus. When uterine activity ceases after the delivery of the first neonate, a policy of nonintervention may be considered in case of an immature or very premature delivery, in order to achieve a gestational age for the remaining fetus(es) more compatible with neonatal survival. We report a case of twin gestation with prolongation of the delivery interval between the twins for 46 days.

Human Chorionic Gonadotropin(HCG)에 의한 넙치, Paralichthys olivaceus의 배정효과

손진기,최희정,이영돈,김형배,박인석 濟州大學校海洋硏究所 1992 해양과환경연구소 연구논문집 Vol.16 No.-

넙치(Paralichthys olivaceus)에서 호르몬 처리에 의한 효과적인 인공산란 연구의 일환으로 human chorionic gonadotropin(HCG)에 의한 성숙 넙치에서의 spermatocrit법에 의한 배정(spermiation)효과를 연구하였다. 안정된 spermatocrit치를 위한 정액의 분획조건은 12,000rpm, 30분간의 원심분리가 적절하였으며 spermatocrit(Y)는 정자밀도(X)와는 Y=1.14X-10.04(r=0.91, P<0.0001, n=50)의 관계식을 나타내었다. 정자밀도는 21.5∼98.4×10??정자/㎕정액으로 12∼95%의 spermatocrit치에 해당하였다. 성숙넙치의 정액생산은 1,000IUHCG/㎏BW의 주사시 24시간후에 가장 높았고(7.46㎖/㎏BW), 낮은spermatocrit치(63%)와 낮은 정자밀도(67.4×10??정자/㎕정액)수준과 일치하여 정액점도는 매우 낮게 나타났다. 이와같은 낮은 정액점도는 HEG처리에 의한 정소의 수화(hydration)에 기인된 것으로 여타 lobular형 정소에서의 호르몬 처리시 결과와 일치하였다. 48시간후의 HCG처리군과 대조군간의 정액생산, spermatocrit치 및 정자밀도에서는 유의한 차이를 보이지 않았다. 본 연구결과 성숙넙치의 배정은 spermatocrit법에 의해 명확히 판별될 수 있으며 HCG는 본 종에서 배정을 효과적으로 촉진시킬 수 있음이 나타났다. For the evaluation of hormonal control of sperm in cultured fish a method to quantify the spermiation response of mature flatfish to hormonal therapy is described. Spermatocrit was determined after 30 min. in centrifuge condition of 12,000rpm. Sperm density was estimated by a standard hemacytometer method. However, sperm density can be predicted from spermatocrit since their relationship is linear as described by the regression equation, Y=1.14X-0.04(r=0.91, P<0.0001, n=50), where Y is spermatocrit and X is sperm density. Sperm density levels ranged from 21.5 to 98.4×10?? spermatozoa per ㎕ milt corresponding to spermatocrit values of 12 to 95%. Milt production by mature flatfish was highest(7.4ml per ㎏ body weight) at 24h after injection of 1,000IU of human chorionic gonadotropin(HCG) per ㎏ body weight and coincided with low spermatocrit(63%) and sperm density(67.4×10?? spermatozoa per ㎕ milt) levels. No significant differences was appeared in milt production, spermatocrit and sperm density between control and HCG-treated fish at 48h after HCG injection. These results demonstrate that spermiation in mature flatfish can be reliably evaluated by a spermatocrit method and that HCG is effctive in stimulating of spermiation in this species.

고감도 에어백용 실리콘 가속도센서의 설계

손미정,김경기,서희돈,최세곤 嶺南大學校 工業技術硏究所 1997 工業技術硏究所論文集 Vol.25 No.1

This paper presents the high sensitivity silicon piezoresitive accelerometer for possible use in an automotive airbag system. Two basic types of silicon piezoresitive accelerometers(bridge-type and cantilever-type)have some problems in the sensitivity and resonance frequency. The bridge-type has high resonance frequency and low sensitivity, but the cantilever-type has everse property. in order to improve the properties of the silicon piezoresistive accelerometer, we propose a new type of silicon accelerometer that have three beams. The proposed structure is that two beams are located at the each comer of the right side, and the other is at center of the left side. The optimized overallsize of the new type accelerometer is more smaller than two basic types of accelerometer. In the simulated reselts using analytical formelae and finite-element modeling(FEM), It's maximum stress is 26MPa and resonance frequency is 3250Hz for 50 G acceleration, respectively. The proposed structure is expected to be applied to much wider use automotive airbag application than the other structures.

디지털 카메라를 이용한 2D 인체계측법 연구

손희정,김효숙,최창석,손희순,김창우 服飾文化學會 2003 服飾文化硏究 Vol.11 No.1

This study suggests the new 2D anthropometric method using digital camera. It is used MK2001 program that can convert 2D measurements to 3D measurements. To improve that it is measured 100 college student with direct and indirect anthropometric method. The measurements were processed by the SPSS ver10 Statistical Package. The average, standard deviation, and t-test were calculated for each category. Most measurements by 2D measurements are higher than direct measurements but degree. The difference between direct and indirect measurements is less than 2cm. In the results of t-test, height measurements including other 16 measurements which is easy to measure have no meaningful difference within 1cm. The depth measurements are most high difference. The result of each measurement proves that MK2001 program (2D anthropometry method using digital camera) is available for measuring the human body.

정석탈인공정에서 폐굴껍질의 정석재 특성에 관한 기초연구

김은호,손희정,박진식,성낙창,장성호 동아대학교 건설기술연구소 1997 硏究報告 Vol.21 No.1

In this study, waste oyster shells which can be easily obtained from the ocean, were used as a Seed Crystal, and effects of several physical/chemical factors on the phosphorous removal efficiencies were examined by batch tests. Ca^(2+) and pH affected phosphorous crystallization process using waste oyster shells were enough to leach phosphorous removal. As alkalinity of wastewater increased, phosphorous removal efficiencies gradually decreased. Also, because specific area and contact efficiency per unit area were increased in case of the small particle size of waste oyster shells, phosphorous removal efficiencies increased.

혈전탄성묘사도를 이용한 만성 신부전 환자의 수술 전 혈액 응고 기능 평가

김소영,이상귀,손지선,한영진,송희선 대한마취과학회 2002 Korean Journal of Anesthesiology Vol.43 No.4

Background: Patients with chronic renal failure traditionally have been recognized as being at risk for perioperative bleeding diathesis. However, there has been a few reports that chronic renal failure patients showed a hypercoagulability. The purpose of this study was to assess blood coagulation profiles in patients with chronic renal failure using a thromboelastography. Methods: Thirty patients (ASA physical status, 2 and 3) with chronic renal failure (experimental group), were scheduled to get presenting for an arteriovenous fistula formation, and 30 patients with normal renal function (control group) were randomly selected. Blood sampling for a thromboelastography was performed prior to induction of anesthesia. A thromboelastography was analyzed by measuring R time, K time, maximum amplitude (MA), α degree, and TEG index. Laboratory tests including serum blood urea nitrogen, creatinine, hematologic data (hemoglobin, hematocrit, platelet count), and coagulation data (PT, PT-INR, aPTT, BT) were also measured in all patients preoperatively. Results: In the thromboelastographic indices, K time was significantly decreased and MA, α angle, and TEG index were significantly increased in patients with chronic renal failure (experimental group) compared with the control group (P < 0.05). However, there were no significant differences of PT, PT-INR, aPTT, BT between the groups. Conclusions: Thromboelastographic data demonstrates a hypercoagulable state in patients with chronic renal failure. This finding suggests that traditional concern for bleeding diathesis in patients with chronic renal failure may require reassessment. (Korean J Anesthesiol 2002; 43: 407~412)

인터넷 패션 쇼핑몰을 위한 의복 치수 적용에 대한 연구 : 연령과 체형집단에 따른 신체치수 추정을 중심으로 focus on the Presumption of the Body Measurements according to the Age and the Figure groups

김선희 한국의류학회 2004 한국의류학회지 Vol.28 No.5

This study is aimed at the application of the apparel size system to be applied for the Internet shopping mall in Korea. Especially this is focused on the presumption of the body measurement according to the age groups and the figure groups. In this regard, a sizing system is to be developed that could be used to approach consumers more easily and provide more fitness and accuracy in terms of size. The target study was on a group of women nineteen to forty-nine years of age. The 4th National Anthropometry Survey data were used in the examination. The results in the study are as follows ; (1) On the Internet apparel shopping malls in relation with this study, no matter what size in the ready-to-wear enterprises was selected by the consumers who once put their information in the member registration, the most appropriate sizes for them are automatically given and transferred to the order forms of chosen enterprises with aid of internal programs of the internee webpage. In addition, when consumers enter their body sizes in the units that are familiar to them, such as inches or centimeters, the units are automatically programed so that they can be converted for the sake of convenience. ; (2) To extract an estimation equation of body size through Multiple Regression Analysis, the circumferences of chest and hip could be presumed by stature, weight, and waist circumference of which most consumers were well aware. For more accurate regression equations, groupings were made in the three categories of age(19~29/30~39/40~49) and in the three body types(Type N, A and H). Then, the regression equations were established for three sectors, ① 'chest circumference not filled up', ② 'hip circumference not filled up' and ③ 'neither filled up for chest nor for hip circumference'. The final results of regression were presented in <table 10>.