여고생의 건강증진생활양식 수행정도에 관한 연구

홍춘실,오경옥,이선영,차규정,김선애 충남대학교 간호과학연구소 2002 충남대 간호학술지 Vol.5 No.1

The purpose of the study was to examine the performance level of and the cognitive factors of health-promoting lifestyle in high school girls. This study was designed to provide basic data for development of nursing plan and effective intervention program for health promotion. The results were; (1) The mean score of health-promoting lifestyle profile was 2.61 (possible range 1-4) (2) Performance level of each subscale was scored as follows, interpersonal support(3.01), nutrition(2.74), self-actua!ization(2.68), stress management(2.55), health responsibility(2.35), and exercise(2.11). (3) The mean scores of the study variables (possible range 1-5) were relatively high in this sample, the mean of self-efficacy was 3.24; health locus of control was 2.97; perceived health status was 3.03. (4) The health-promoting lifestyle profile had a significant positive correlation with self-efficacy (r=.521, p<.001), health locus of control (r=.236, p<001), and perceived health status(r=.156, p<.01). The study showed the needs to intervene to improve the performance of health-promoting lifestyle of high school girls. Further study is recommended to develop and apply health improvement program especially for less performed dimensions such as exercise and health responsibility. Also, it is recommended to examine other cognitive-perceptual factors influencing health-promoting lifestyle.

제2형 당뇨병 환자에게 적용한 표준진료지침이 혈당, 당화혈색소, 당뇨지식 및 재원일수에 미치는 효과

김희승,윤건호,유양숙,오정아,송민선,신미옥,김경희,송복례 대한당뇨병학회 2002 임상당뇨병 Vol.3 No.1

연구배경 : 당뇨병 환자의 평균 재원기간을 단축시키고, 제한된 입원기간 내에서 질적인 면과 비용효과성을 고려한 총체적인 건강관리체계의 필요성이 요구됨으로써 생겨난 것이 당뇨병 표준진료지침(Critical Pathway: CP)이다. 현재 개발된 당뇨병 CP를 통한 진료가 환자의 당뇨병에 관한 지식을 개선시키고 이에 따라 장기적으로 당뇨병 환자의 혈당조절이 개선되었다는 과학적인 검증은 당뇨병 CP를 여러 병원에 정착시키기이전에 반드시 선행되어야 할 과제이다. 이에 본 연구는 2000년 3월부터 1년간 강남성모병원에 입원하는 당뇨병 환자를 대상으로 현재 개발된 1주일 CP를 적용한 실험군의 혈당, 당뇨병 관련 지식 및 재원일수가 대조군에 비하여 차이가 있는지를 조사하였다. 방법 : 1주일 CP를 적용한 실험군은 내과병동에 입원한 당뇨병 환자 89명이었고, 대조군은 기타병동에 입원한 당뇨병 환자 22명이었으며 CP를 적용하지 않았다. CP를 적용하기 전인 입원시에 실험군과 대조군의 공복혈당, 식후 2시간혈당, 당화혈색소 및 당뇨관련 지식을 측정하였고, 퇴원 시에 실험군과 대조군에게 공복혈당과 당뇨관련 지식을 재측정하고 재원일수를 파악하였다. 그리고 두 군에게 퇴원 3개월 후의 공복혈당, 식후 2시간 혈당 및 당화혈색소를 조사하였다. 결과 : 1) 실험군의 공복혈당은 입원 시 238.7: 1) 실험군의 공복혈당은 입원 시 238.7mg/dL에서 퇴원 시 139.4mg/dL로 감소하는 경향이었으나 퇴원 3개월 후에는 150.6mg/dL로 약간상승하는 경향을 보였다. 대조군은 입원 시 251.5mg/dL에서 퇴원 시 136.2mg/dL로 감소하는 경향이었으나, 퇴원 3개월 후에는 219.3mg/dL로 현저히 증가하는 경향이었다. 2) 실험군의 입원 시 식후 2시간 혈당은 312.5mg/dL에서 퇴원 3개월 후 248.5mg/dL로 감소하는 경향이었다. 대조군도 입원 시 식후 2시간 혈당이 300.1mg/dL에서 퇴원 3개월 후 262.5mg/dL로 감소하는 경향이었으나 실험군보다 감소의 폭이 적은 경향이었다. 3) 실험군과 대조군의 입원 시 당화혈색소는 각각 10.3%와 9.7%로 유의한 차이가 없었으나,퇴원 3개월 후 실험군은 7.5%로 대조군의 9.1% 보다 유의하게 감소하였다. 4) 실험군의 입원 시 당뇨지식 점수는 실험군이 12.1점 대조군은 12.0점으로 유의한 차이가 없었으나 퇴원 시는 실험군이 15.5점으로 대조군의 14.6점 보다 높은 경향이었다. 5) 재원일수는 실험군이 8.4일로 대조군의11.0일 보다 유의하게 적었다. 결론 : 따라서 당뇨병 환자를 위한 CP는 재원일수의 감소뿐만 아니라 환자의 자가관리에 대한 체계적인 교육과 개선의 기회를 가짐으로써 장기적인 혈당 조절의 향상을 도모할 수 있는 효과적인 방법이라고 생각한다. Background: The aim of this study was to examine the effects of the critical pathway for the admitted patients with type 2 dia betes me llitus on glycemic control, the knowledge on the disease, and the length of hospital stay. Methods: 89 diabetic in-patients were applied with the 1 week critical pathwa which was consisted of intensive education program for self-management of diabetes me llitus such as glucose monitoring, excercise prescription, diet control, self-a djustment of the drugs and so on. The results were compared with 22 diabetic inpatients who were treated with conventional way. We assessed the effects of critical pathway on the degree of glycemic control, the knowledge on the disease, and the length of hospital stay. Results: Although fasting and postprandial 2 hours blood g lucose levels did not showed sta tistically significantd ifference between critical pathway group and conventional group on discharge , HbA1c was significantly decreased in critical pathwa group compared with the conventional group (7.5±1.8% vs 9.1±2.6%) on 3 months after discharge . Knowledge on the disease tended to increase in critical pathway group compared with the conventional group on discharge. The Length of hospital stay was significantly decreased in critical pathway group compared with the conventional group (8.4±2.8day vs 11.0±3.9da ) Conclusion: These results showed that critical pathway for the patients with diabetes mellitus might be a usefulway for improving the long term glycemic control through motivation, enhancing the knowledge on the disase as well as reducing the length of hospital stay.

성인기의 생애주기별 사회적지지망 연구

정추자(Jeong, Chu-Ja),이선옥(Lee, Sun-Ock),강정희(Kang, Jung-Hee),김정아(Kim, Jeong Ah),김혜령(Kim, Hye-Ryoung),오경옥(Oh, Kyong-Ok),이숙자(Lee, Sook-Ja),전화연(Jun, Hoa-Yun),홍성경(Hong, Sung Kyung) 한국간호교육학회 2012 한국간호교육학회지 Vol.18 No.3

Purpose: The purpose of this study was to identify social support networks for each life-cycle stage of adults. Method: A total of 1,047 subjects included 454 young adults, 262 middle-aged adults and 331 senior adults. Data were collected using Oh’s Korean Version Norbeck’s Social Support Questionnaire (NSSQ), and analyzed using descriptive statistics, t-test, and ANOVA. Result: For the young adults, parents were the top and second priority as important social support resources, the third was siblings, and then friends. For the middle-aged, spouse was the first priority as an important social support resource, while the second and the third were children. For the senior adults, children ranked from the top to the seventh priority. The mean number of social support resources was 13.23 for the young adult, 12.93 for the middle-aged and 5.30 for the senior adults. Social support networks of the young adults significantly differed according to gender and marital status. That of the middle-aged significantly differed according to family size. In addition, that of the senior adults was significantly different according to marital status, economic status, religion and family size. Conclusion: It is essential to consider social support networks for each life-cycle stage of adults when making a social support intervention program.

THE QUOTIENT OF PRODUCT BCI-ALGEBRA VIA A FUZZY q-IDEAL

YOUNG HEE KIM, KYONG AH OH 충북대학교 금융수학연구소 2005 금융수학연구소학술지 Vol.1 No.-

-본문참고-

A NOTE ON A SEMIGROUP WITH IDEMPOTENT PRINCIPAL IDEALS

TAE EN JEONG, YOUNG HEE KIM, KYONG AH OH 충북대학교 금융수학연구소 2008 금융수학연구소학술지 Vol.4 No.-

-본문참고-

HIV 항원 및 항체 동시 검출시약인 Vironostika^� HIV Uni-Form II Ag/Ab 효소면역검사 키트의 평가

윤경아,오흥범,오선영,황병갑 大韓輸血學會 2000 大韓輸血學會誌 Vol.11 No.1

정보제공과 단기이완술이 위내시경 검사대상자의 불안 및 생리적 변화에 미치는 효과

오경아,안청자 성인간호학회 1997 성인간호학회지 Vol.9 No.3

This study was designed to test the effects of nursing intervention on anxiety level, on the change of physiologic data of the patients undergoing endoscopy. The subjects for the study consisted of 50 hospitalized patients oninternal medicin unit in Chobuk University Hospital during the period between August 1. 1996 and October 3. 1996. Samples were selected according to preestabilished criteria. 25 patients were enrolled in experimental group and the other 25 patients were enrolled in the control group. Experimental group was given nursing information and short-term relaxation technique used visual imagination and control group did not given. State anxiety level was measured, using the tool developed by Spielberger(1972) and modified by Kim and Shin(1978), and physiologic datas were monitored by blood pressure, pulse rate, serum cortisol level. Data analysis was done by X2-test, t-test, paired t-test, repeated measures of ANOVA using the SAS program. The results were as follows : 1. The first hypothesis that 'The experimental group given nursing information and short-term relaxation technique will be less change of state anxiety level before and after endoscopy than the control group without nursing intervention' was accepted (Experimental group t=-3.65, p=.831; Control group t=-6.34, p=0.02). 2. The second hypothesis that 'The experimental group given nursing information and short-term relaxation technique will be less change of systolic blood pressure before and after endoscopy than the control group without nursing intervention' was accepted(Experimental group F=1.346, p=12 ; Control group F=4.590 p=.02). 3. The third hypothesis that 'The experimental group given nursing information and short-term relaxation technique will be less change of diastolic blood pressure before and after endoscopy than the control group without nursing intervention' was rejected(Experimental group F=.210, p=.76 ; Control group F=.180 p=.89). 4. The fourth hypothesis that 'The experimental group given nursing information and short-term relaxation technique will be less change of pulse rate before and after endoscopy than the control group without nursing intervention' was accepted (Experimental group F=.952, p=.17 ; Control group f=3.997, p=.04). 5. The fifth hypothesis that 'The experimental group given nursing information and short-term relaxation technique will be less change of serum cortisol level before and after endoscopy than the control group without nursing intervention' was accepted (Experimental group t=1.184, p=.124 ; Control group t=2.042, p=.034). As seen above, it was concluded that the nursing information and short-term relaxation Technique were effective to reduce anxiety level, physiologic and serum cortisol change in patients undergoing endoscopy. So furthermore, we should continue the Experimental study for testing effectiveness of nursing intervention of anxiety every setting and the results of the study is sure to be useful in clinical field.

증례 : 신장 ; 이뇨제 복용 중 소량의 감초 복용 후 발생한 저칼륨혈증성 횡문근 융해증 1예

박경아 ( Kyong Ah Park ),석수진 ( Soo Jin Seok ),김수지 ( Su Ji Kim ),길효욱 ( Hyo Wook Gil ),양종오 ( Jong Oh Yang ),이은영 ( Eun Young Lee ),홍세용 ( Sae Yong Hong ) 대한내과학회 2011 대한내과학회지 Vol.80 No.2S

감초는 국내에서 한약의 성분으로 널리 쓰인다. 민감한 사람은 하루 100 mg 이상을 복용하였을 때 저칼륨혈증 등의 부작용이 발생하여 하루 10 mg이 안전한 용량으로 생각된다. 하지만 간부전, 설사, 이뇨제 복용, 신장병, 임신, 그리고 심혈관계 질환이 있는 환자에게서는 좀 더 민감할 것으로 생각된다. 저자들은 이뇨제 복용 중 단 136 mg (하루 8 mg, 17일간)의 감초 복용 후 저칼륨혈증 및 횡문근 융해증이 발생한 환자가 있었기에 문헌고찰과 함께 보고하는 바이다. Glycyrrhizic acid is a component of licorice. It can cause hypokalemia through the inhibition of 11β-hydroxysteroid dehydrogenase. The severity of symptoms depends on the dose and duration of licorice intake, as well as the individual susceptibility. The safe dose of licorice is 10 mg per day. Even a small amount of licorice can cause side effects, including hypokalemia in patients taking diuretics, with diarrhea, or congestive heart failure. We experienced a 59-year-old male with muscle weakness. He had ingested losartan and indapamide due to hypertension. At presentation, he had ingested 8 mg of licorice daily for the previous 17 days. The patient presented with severe hypokalemia (1.8 mEq/L) and rhabdomyolysis. His renin activity was 0.44 ng/mL/h, and his aldosterone level was 6.0 pg/mL. After cessation of licorice and indapamide, his potassium level recovered. In conclusion, even a small amount of licorice can induce hypokalemia in patients who are taking diuretics. (Korean J Med 2011;80:S258-S262)

한국 사회적지지 측정도구 개발

오가실(Oh, Kasil),오경옥(Oh, Kyong-Ok),이숙자(Lee, Sook-Ja),김정아(Kim, Jeong-Ah),정추자(Jeong, Chu-Ja),김혜령(Kim, Hye-Ryoung),전화연(Jun, Hoa-Yun),강정희(Kang, Jung-Hee) 한국간호과학회 2008 Journal of Korean Academy of Nursing Vol.38 No.6

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김경아(Kyong-Ah Kim),김지심(Ji Sim Kim),안유정(You Jung Ahn),오석(Suk Oh),진명숙(Myung Sook Jin) 한국컴퓨터정보학회 2022 한국컴퓨터정보학회 학술발표논문집 Vol.30 No.2