신경계 전문간호사 역할 정립에 관한 연구 : 일개 종합병원의 간호활동 분류를 중심으로

임경춘,박광옥 서울대학교 간호대학 간호과학연구소 1997 간호학 논문집 Vol.11 No.1

The purpose of this study was to explore the role of neurology Clinical Nurse Specialist (NR CNS) in a tertiary hospital. To identify the role of neurology CNS, data were collected about the major diseases and their nursing cares of neurology and the 5 times panel discussions of neurology health persommels. And then to confirm the role of neurology CNS, dta were collected by 30 times observations per 1 disease(except for AVM) about the nursing activity of RNs and we survey of the knowledge level of RNs who were worked at 2 neurological wards of A tertiary -affiliated hospital in Seoul from August, 1995 to June, 1996. For data analysis, SPSS/ PC?? program was used: 1. The educational needs of neurology CNS in the care of neurology patient: 1) Provides direct patient care and RN education items-Monitoring respiratory function and urinary/bowel function, Carrying out frequent assessment of neurological signs, preventing thrombus and embolus formation in the legs, Speech therapy(adjust communications to those appropriated for the patient's deficits), Observing complications, Providing emotional care, Providing informations of individual treatment plan, Maintaining a quiet therapeutic environment for patient, Administering passive range-of-motion exercise, Giving skin care, Providing informations of complications and risk factor, Reinforcing individual and family coping. 2) Provides patient or family education items-Monitoring urinary/bowel function, Carrying out frequent assessment of muscle power, neurological signs, dysphagia and trial of oral intake, Preventing thrombus and embolus formation in the legs, Speech therapy(adjust communications to those appropriate for the patient's deficits), Observing complications, Providing informations of individual treatment plan, Maintaining a quiet therapeutic environment for patient, Administering passive range-of-motion exercise, Giving skin care, Providing information on complications and risk factors, Reinforcing family coping. 2. The other role of neurology CNS in the care of neurological patient: Education of the disease itself, Autonomical activity without doctor's prescription, Developing programs for patients and their family, Providing information on drug therapy, Developing assessment tools about headache. After this study, I consider that HN will lead RN to complete nursing care through reinforcement of work, or a person in charge of education will educate the RN except for the role of NR CNS.

본태성 혈소판 증다증 2예

주기산,임현성,김미자,양태영,허경,김완중,박유환,정춘해 朝鮮大學校 附設 醫學硏究所 1993 The Medical Journal of Chosun University Vol.18 No.1

Essential thrombocythemia is a chronic myeloproliferative disorder of unknown origin, charcterized by excessive number of morphologically and functionally abnormal platelet in peripheral blood and abnormal proliferation of megakaryocytes in bone marrow. Its main clinical manifestations are hemorrhages and thromboses. The aim of therapy is suppression of the excessive bone marrow activity, which can be achieved by radioactive phosphorus, alkylating agent, hydroxyurea and interferon. Two cases were diagnosed at our hospital which had laboratory and clinical features compatible with this disease. We have successfully treated patient with hydroxyurea and platelet antiaggregating agent.

터널과 도로 및 교량에 대한 VE/LCC 분석에 관한 연구

안종필,박경호,임재춘 朝鮮大學校 建設技術硏究所 2006 建設技術硏究 Vol.26 No.1

It is actual state in our country that the number of tunnels on the road increases consistently but there is no study or computer program on life cycle cost Ihereinafter "LCC") of tunnel. This research is for the purpose of calculating the LCC for tunnel on the road and applying it to the systematic maintenance & management and analysis of economical efficiency. Further the developed computer program calculating the LCC for tunnel on the road increases the efficiency in tunnel design and in decision of investment considering the maintenance & management and the economical efficiency and it will be a useful tool with relation to VE/LCC technique. VE analysis is constituted of performance represented by P. life cycle cost represented by C and value represented by V. P is calculated under considering weight and degree of estimation which explain the importance of each facilities to the estimation item. C is determined from getting sum of the present prices of initial construction cost, maintenance & management cost during service life, break-up & disposal cost. V is obtained from dividing the P by C, that is V=P/C. The estimation list of the maintenance & management on tunnel has been set up as items whose maintenance & management cost was appeared to be relatively larger than the others and there were decision of the variables of effect such as frequency of maintenance & repair, unit cost, repairing rate, etc.. And also, all the cost were converted into present prices considering the economic variables for example discount rate, etc. Excel base LCC analysis system of tunnel on road was developed and tested on a sample tunnel.

‘임상간호연구’ 학술지 게재논문(1995-2008년)의 연구동향 분석

최명애,정재심,임경춘,김주현,김금순,권정순,김성재,김경희,곽찬영,박광옥,이경은,김을순,이경숙 병원간호사회 2010 임상간호연구 Vol.16 No.2

Purpose: The purpose of this study was to identify the research trend of 341 studies published in Journal of Korean Clinical Nursing Research from 1995 to 2008. Methods: This study was conducted from May to November, 2009. The tool for analysis developed through literature reviews and discussions of researchers consisted of 7 categories such as characteristics of researchers, research designs, subjects, data collection methods, ethical consideration, nursing interventions, and dependent variables. Data were analyzed by frequency and percentage. Results: The mean number of author per study was 4.7, and clinical nurses were the most frequent as the first author (79.7%) and as a corresponding author (67.1%). Quantitative study was 97.6% and nonexperimental study was 51.7%. The most frequently used research designs were quasi-experimental study (73.9%) among experimental studies and survey study (79.1%) among nonexperimental studies. Patients were the most frequent subjects for studies (55.8%). 46.1% of studies gathered data with questionnaire, 57.7% of studies had consent from patients, and 44.3% of studies used nursing skills for nursing interventions, and 60.0% of studies used clinical end points for dependent variables. Conclusion: The research trend of clinical nursing studies shows that clinical nurses mostly perform quasi-experimental researches to solve patients' problem and frequently use nursing skills for nursing intervention and explore the effect of nursing interventions on clinical end points.

편도선 절제술 중 Epinephrine 국소침윤에 의한 심정지와 급성 폐부종 1예

안익순,최준석,박천희,이철승,김원태,임경준 朝鮮大學校 附設 醫學硏究所 2006 The Medical Journal of Chosun University Vol.31 No.3

Hemostasis and a clear surgical field are obtained by the local infiltration of a local anesthetic mixed with epinephrine during tonsillectomy. However, epinephrine may in itself, due to its cardiovascular effect, cause arrhythmia, heart failure, Pulmonary edema, and even cardiac arrest. We describe a 22-year-old patient who developed cardiac arrest due to epinephrine infiltration during tonsillectomy. The patient was resuscitated and recovered without any sequele after intensive treatment.

중이온 빔 조사에 의한 담배의 돌연변이 유도와 내염성 식물의 선발

배창휴,Abe, Tomoko,민경수,김동철,정재성,이춘환,임용표,이효연 충남대학교 생물공학연구소 1999 생물공학연구지 Vol.7 No.-

중이온 빔을 이용한 방사선 돌연변이의 기초자료를 얻고자 담배의 수분·수정 직후의 원배에 100 Gy의 중이온빔을 조사하여 M_1세대의 종자를 얻었다. NaCI 2.0과 2.5%를 포함된 MS배지에 M_1 세대의 종자를 파종하여 17개통의 NaCI 저항성 식물체를 선발하였다. 저항성 식물체는 BY-4품종에 ^14N빔을 조사한 처리구에서만 관찰되었다. M_1 세대의 저항성 식물체의 경우 영양생장기간 중에는 외형적 변이가 관찰되지 않았으나 생식생장기의 화기에 있어서는 다양한 변이가 관찰되었다. 특히 암술 수술의 길이의 변화, 꽃잎의 변화, 불완전 화분립, 줄기당 꽃의 착생수 감소 등의 변이가 발생하였다. M_1 세대에서 17개의 NaCI저항성 계통 중에서 8계통은 M_2 세대에도 저항성형질이 발현되었고, 또한 M_2 세대의 3계통은 Mannitol이 포함된 배지에서 저항성을 보여주었다. Tobacco proembryos were irradiated with 100 Gy of heavy-ion beams (^14N, ^20Ne : 135 Mev/u) after 24 to 96 hours of pollination as a mutagen and screened M_1 generation for morphological mutants and salt-tolerant plants. Morphological and physilolgical characteristics of the salt-tolerant plants derived from the irradiated proembryo are discussed in this report. Mutants irradiated porembryos with the beams after pollination produced various kinds of morphological variation. A total of 17 salt-tolerant plants were selected from tobacco cultivar (BY-4) by treatment with ^14N beam. Shapes of filament and pollen grain of most salt-tolerant plants were abnormal compared with non-irradiated wild type, and seeds weight and fertility obviously decreased. The germination rates of the several M_2 lines on the saline and the mannitol condition were higher than that of wild type.

Physical Activity, Depression, Internet Use, Playing Patterns of Computer Gamers among Older Adults

Kyung-Choon Lim 한국간호과학회 2009 한국간호과학회 학술대회 Vol.2009 No.10

Self-efficacy and Physical Activity Behavior among Older Korean-Americans

Lim Kyung Choon 한국성인간호학회 2006 성인간호학회지 Vol.18 No.5

Factors influencing on perceived health status in community-dwelling older adults

( Kyung-choon Lim ),( Jiyoun Kim ),( Myoungsuk Kim ) 한국장기요양학회 2018 한국장기요양학회 추계학술대회자료집 Vol.2018 No.-

Purpose: This study was to analyze the factors influencing on perceived health status (PHS) in community-dwelling older adults. Methods: This was a cross-sectional study. A total of 182 older adults (≥= 65 years) at five senior welfare centers participated in this study. Data were collected with questionnaires including sociodemographic variables, depression, disability, health behaviors, and perceived health status (PHS). PHS were recorded within a quintile scale ranging from excellent to poor. In line with previous studies, we converted the scale into a dichotomous measure: not bad ("excellent", "very good", or "average") or bad ("poor" or "very poor"). Bivariate analysis assessing the relationship between self-rated economic status, depression, disability, health behaviors, and PHS was completed using SPSS. Results: 90.1% of subjects have enrolled in more than one program at five senior welfare centers. 34.6% of subjects rated their health "poor". There were significant effects on the interaction between poor PHS and poor self-rated economic status (OR=1.64, 95% CI=2.31-11.51), depression (OR=1.29, 95% CI=1.65-8.09), having disability (OR=1.15, 95% CI=1.37-17.22), and non-regular exercise (OR=1.45, 95% CI=0.94-19.10). These factors explained 30-42% of variance in PHS in our data. Conclusion: The findings of this study indicate that poor PHS is associated not only with health problems such as depression and disability but also with subjective low economic status to even elderly enrolling in senior welfare centers. Therefore, we suggest that policy initiatives are necessary in order to mitigate the negative impact on health.

Historical Perspectives for the Roles of Gerontological Nurse Practitioners

Lim, Kyung-Choon 노인간호학회 2005 노인간호학회지 Vol.7 No.2

미래의 보다 나은 간호는 초창기 선각자들이 오늘날의 상급 실무 간호사들을 위한 공헌도에 대하여 이해와 감사를 바탕으로 이루어져야만 한다. 이 논문의 목적은 미국에서의 노인전문간호사가 어떻게 과거에 도입되었고 현재 하는 역할이 무엇인지에 대해 역사적으로 고찰하여 한국에서의 노인 전문간호사의 역할 개발에 도움이 되고자 함이다. 문헌 고찰을 통하여 미국에서의 전문간호사의 변천, 노인 전문 간호사의 발전 과정 및 현재의 역할에 대해 서술하였다. 이를 바탕으로 한국 사회에서의 노인전문간호사가 역할을 개발하고 성공적으로 자리매김하기 위한 전략들을 제언하였다. 결론적으로 미래의 상급 실무 간호사들이 나아가야 할 역할의 방향은 환자들에게 수준 높은 질적 간호 제공으로 만족도를 높이면서 리더쉽을 발휘하여 현재의 보건 전달 체계 내에서 자리매김해 나가는 것이다.