The Predictors of Domains of Sexual Function in Women with Gynecologic Cancer

Nami N. Chun 한국간호과학회 2009 한국간호과학회 학술대회 Vol.2009 No.10

QFD와 FMEA를 통합한 의료서비스 안전관리 프로세스 개선

전나미 ( Chun Nami ) 한국경영공학회 2018 한국경영공학회지 Vol.23 No.3

In order to improve quality of health care services, it requires consistent interactions among management systems, processes and facilities and infrastructure that can meet customer needs by considering individual's physical and psychological characteristics. Customer safety also needs to be ensured in improving the quality of health care services. In this study, an integrated approach of QFD (Quality Function Deployment) and FMEA (Failure Mode and Effect Analysis) were proposed that could satisfy both customer's needs and the safety. The example of integrated QFD/FMEA case describes how to apply QFD and FMEA to health care services through multidisciplinary teamwork. The results of this study will bring the benefit to establish a safety management process to support efficient management of management systems, processes and facilities and infrastructure from the early stages of decision making in the field of healthcare services.

손마사지가 항암화학요법을 받는 부인암 환자의 안위에 미치는 효과

전나미(Chun Nami),김상희(Kim Sang Hee) 대한종양간호학회 2010 Asian Oncology Nursing Vol.10 No.1

Purpose: This study was to identify the effect of hand massage on comfort in women with gynecologic cancer undergoing chemotherapy. Methods: A nonequivalent control group pretest-posttest design was used for this study. Hand massage was provided to the experimental group for 5 min (2.5 min for each side) once on admission day, twice from the second day until the day before discharge, and once in the morning on discharge day. Results: Findings showed no significant differences in pre and post levels of general, physical, psycho-spiritual, social and environmental comfort. However, women’s comfort levels in all domains were increased after the chemotherapy in the experimental group. Conclusion: Although there were some increases in women’s comfort levels on all domains after the treatment, hand massage was not proved as a statistically useful nursing intervention in comforting women with gynecologic cancer. The results suggest that hand massage could be effective if it is applied longer than it was in this study. The future implications of hand massage in patients with various cancers are discussed.

간호대학생의 분만실 임상실습 질 향상 방안

전나미(Nami Chun),노기옥(Gie-Ok Noh) 한국콘텐츠학회 2016 한국콘텐츠학회논문지 Vol.16 No.7

본 연구는 간호대학생의 분만실 실습 중 수행내용을 파악하고 임상실습 환경에 따른 간호대학생의 실습수행도 및 만족도를 분석하여 실습의 질 향상을 위한 개선방안을 제시하고자 하였다. 연구결과 간호대학생의 분만실 임상실습은 대부분 관찰 위주로 진행되고 있었고, 제한된 영역에서만 직접수행과 보조적 수행을 경험하였다. 간호대학생의 임상수행 만족도는 69%정도의 비교적 낮은 수준을 보였다. 임상실습지에 따른 차이를 분석한 결과 여성전문병원의 분만실에서 실습 한 간호대학생은 종합병원에서 보다 더 많은 관찰을 수행 할 수 있었고, 그에 따라 만족도 점수 또한 높았다. 분만실 임상실습에서 관찰 및 보조적 수행이 많을수록 만족도는 상승하였다. 결과에서 확인된 실습 중 부족한 직접수행은 시뮬레이션기반 임상실습 등을 통해 보완할 수 있을 것이다. 또한 병원 실무자와의 긴밀한 의사소통을 기반으로 실습지를 확보하고, 다양한 간호대상자를 경험하고 관찰할 수 있도록 지도하는 것은 간호대학생의 임상실습 만족도와 질 향상을 위한 전략으로서 제시될 수 있겠다. Purpose of this study was to provide strategies to improve quality in clinical practice by identifying the nursing student contents of clinical practice, performance level and satisfaction in the delivery room setting and correlations between the performance level and satisfaction. As the result, Nursing students were mostly rely on observational experiences with very limited experiences of performance and assist. Nursing students clinical practice satisfaction were relatively low with 69 percentile score. The womens health clinic group showed higher score on frequency of clinical observation, clinical practice satisfaction than the tertiary hospital group. Correlations among frequencies of observation, assist and satisfaction were identified. Simulation based clinical practice as alternative ways to enhance students performance level, utilizing community based speciality healthcare facilities for clinical practice, increasing observational experiences in the clinical field were suggested as strategies to improve quality of nursing clinical practice and ultimately to improve quality of healthcare services.

국가 암 등록통계 자료의 암 상대생존율을 기반으로 한 의료서비스 품질 수준 분석

전나미 ( Chun Nami ) 한국경영공학회 2017 한국경영공학회지 Vol.22 No.2

Population-based relative cancer survival rate is an important outcome indicator to measure the overall effectiveness of cancer management in a population. Data for female breast cancer patients in Korea between 1994 and 2014 were analyzed to project the incidence rate and relative survival rate by using Minitab. Projected number of new female breast cancer patients in year 2022 were 25,287 per 100,000 general population. Projected five year relative survival rate of female breast cancer patients were 94.8 in year 2022. Results indicates trends of the quality improvement in health care services. This statistical model could be utilized to measure a quantitative outcome of the quality improvement in the various area of health care services.

아로마목걸이를 병용한 수면증진 프로그램이 재가 노인여성의 수면, 우울, 불안 및 혈압에 미치는 효과

전나미(Chun, Nami),김명숙(Kim, Myoungsuk),노기옥(Noh, Gie ok) 한국간호과학회 2017 Journal of Korean Academy of Nursing Vol.47 No.5

Purpose: The purpose of this study was to evaluate the effectiveness of a sleep improvement program combined with an aroma-necklace on sleep, depression, anxiety, and blood pressure in elderly women living at home. Methods: A program consisting of a four-week (one hour per week) sleep improvement intervention plus use of an aroma-necklace, was developed based on Cox’s Interaction Model of Client Health Behavior. 70 elderly women were assigned to the experimental (n=35) or control group with no intervention (n=35). Data from 62 participants (32 in the experimental and 30 in the control) were analyzed using the SPSS 21.0 program. Women in the experimental group were instructed to constantly wear the aroma necklace filled with marjoram and orange oil until the program was completed. Sleep quality, sleep duration, sleep satisfaction, depression, anxiety, and blood pressure were measured to identify the effectiveness of the program. Results: Significant group differences were found in sleep quality (t=-5.10, p<.001), sleep duration (z=-3.10, p=.002), sleep satisfaction (z=-4.13, p=<.001), depression (t=2.53, p=.015), and anxiety (z=-2.47, p=.014). No differences were found in the systolic or diastolic blood pressure. Conclusion: The results indicate that a sleep improvement program combined with an aroma-necklace was effective in improving sleep disturbances in elderly women living at home. Nurses may contribute to improving sleep among elderly women by applying this program to aged women living in various environments.

근치적자궁절제술을 받은 자궁경부암 여성의 배뇨장애 빈도, 강도 및 일상생활 불편감

전나미(Chun, Nami),노기옥(Noh, Gie Ok),송현주(Song, Hyun Ju),김상희(Kim, Sang Hee) 한국간호과학회 2016 Journal of Korean Academy of Nursing Vol.46 No.3

Purpose: This study was done to identify frequency, intensity of urinary dysfunction and daily life distress in women after a radical hysterectomy for cervical cancer. Methods: One hundred and fifty seven women who had undergone a radical hysterectomy and one hundred and sixty five women as healthy controls completed questionnaires on intensity of urinary dysfunction and daily life distress caused by urinary dysfunction. Results: Women with cervical cancer showed higher frequency of urinary dysfunction than healthy controls. Major urinary dysfunction for women with cervical cancer in order of frequency were night-time incontinence (odds ratio=10.39, p <.001), difficulty in starting urination, weak urine stream and sense of incomplete emptying of bladder. The highest score on intensity was difficulty in starting urination, followed by urgency, weak urine stream, daytime frequency and sense of incomplete emptying. Night-time incontinence was the urinary symptom causing the most daily life distress for cervical cancer women followed by difficulty in starting urination, urgency, sense of incomplete emptying, and night-time frequency. Conclusion: Results suggest that nurses should address the potential postoperative urinary complications and develop long term interventions to decrease urinary dysfunction and daily life distress for women who have had a radical hysterectomy for cervical cancer.

고용량 방사성요오드(I<SUP>131</SUP>)치료를 받는 갑상선암 환자의 우울, 불안이 증상에 미치는 영향

전나미(Chun, Nami) 대한종양간호학회 2012 Asian Oncology Nursing Vol.12 No.4

Purpose: This study was to identify the symptom severity, interference and their psychological predictors in thyroid cancer patients hospitalized for radioactive iodine administration. Methods: One hundred seventy-seven thyroid cancer patients admitted to the isolation room for Iodine (I<SUP>131</SUP>) therapy were recruited. Subjects were asked to complete the questionnaire on core symptoms, thyroid cancer symptoms, interference, depression and state anxiety in the evening after receiving radioactive iodine therapy. Data was analyzed using frequency, percentage, mean, Pearson’s correlation, and multiple regression with SPSS vs. 19. Results: Lack of appetite, drowsiness, sleep disturbance, fatigue, and nausea were the 5 most core symptoms. More than 20% of patients experienced moderate to severe thyroid cancer symptoms including feeling cold, hoarseness, swallowing difficulty, and feeling hot. More than 30% of subjects experienced moderate to severe interferences in mood, general activity, and 22% in walking. Depression and state anxiety were identified as predictors of core symptoms, thyroid symptom severity and interference. Conclusion: Nursing interventions to reduce the symptom severity and interference need to be developed by considering thyroid cancer patients’ depression and anxiety when hospitalized in the isolation room for radioactive iodine administration.

대장암 환자와 일반 성인의 건강증진행위 비교

황선희(Hwang, Sunhee),전나미(Chun, Nami) 대한종양간호학회 2016 Asian Oncology Nursing Vol.16 No.2

Purpose: This study was designed to identify the differences of individual disease related characteristics, behavior-specific cognitions and affect, health promoting behavior between colorectal cancer patients and the general public. Methods: Seventy newly diagnosed colorectal cancer patients and 72 healthy adults from the general population were recruited and asked to complete a questionnaire on their disease related characteristics, behavior specific cognitions and affect, health promoting behavior from April to September 2011. Independent two sample t-test analysis was used to compare the two groups. Results: There were significant differences in family history of colon polyps or colorectal cancer, history of colon polyps lifetime tobacco usage, amount of daily smoking, frequencies of alcohol consumption over a year, constipation, interval of bowel movements, perceived benefits, perceived barriers, self-efficacy, self-esteem, perceived health status, health locus of control, and health promotion behaviors between the two groups. Conclusion: This study suggests that nursing professionals need to consider family history of colon polyp or colorectal cancer, history of colon polyps, tobacco usage, alcohol consumption, constipation and frequency of bowel movements in developing a colorectal cancer prevention program. Strategies to increase health promotion behavior and behavior-specific cognitions and affect factors including perceived benefit, perceived barriers, self-efficacy, self-esteem, perceived health status, health locus of control should be included in colorectal cancer prevention programs.

Comparison of students’ foodservice satisfaction between Korea and US

Eunkyung Jeong,Youngah Chun,Nami Joo,Ji-young Yoon 한국영양학회 2013 Nutrition Research and Practice Vol.7 No.1

This study analyzes important factors of foodservice in school through comparison of students’ satisfaction of using foodservice in Korea and US in order to meet students’ expectations. The survey was composed of 4 categories including menu, service, hygiene, and facility and it was carried out in both countries to evaluate satisfaction. First, comparison of satisfaction between two countries was made using t-test. Secondly, multiple regression was performed to identify factors affecting satisfaction. As a result Korean students were more satisfied than American students in all aspects. However, regardless of nationality, the top three factors affecting the students’ satisfaction were the same. The predictors were food taste (Korean 0.375 and American 0.350), menu variety (Korean 0.305 and American 0.278), and service line (Korean 0.226 and American 0.192). Despite the similarity of the predicators, it can be concluded that the difference in satisfaction level between the two nationscan be explained by the approaches to create comfortable and acceptable changes in schools’ foodservice. Korea has been increasing the foodservice quality based on their objectives to provide students comfortable and positive environment when eating nutritious meals. However, US have made their main objectives on making changes to decrease youth obesity. Foodservice improvements according to continuous evaluations and surveys are necessary in order to increase students’ satisfaction.