신규간호사와 프리셉터가 인지하는 프리셉터의 교수효율성 비교

김지양,김영선,김춘실,박현숙,신미영,윤연숙,조유숙,박미미,유문숙 한국간호과학회 간호행정학회 2009 간호행정학회지 Vol.15 No.2

Objective: The purpose of this study was to compare preceptors and new graduate nurses on their perception of preceptor teaching effectiveness. Methods: The participants were 90 new nurses and 90 preceptors who worked in A medical center. The data were collected from July 1 to September 30, 2008. A cross-sectional descriptive survey was done using a structured questionnaire. Results: New nurses' perception (4.07±.44) of the preceptor teaching effectiveness was significantly higher than perception of the preceptors (3.57±.37). Fifty five percent of new graduate nurses reported a lack of coherence in the preceptor's practice guidelines. For 5 causal factors classified on the teaching effectiveness, the factor of 'Professional knowledge and ability' showed the highest score, but 'Interpersonal and communication skill' got lowest score for both group. Preceptors responded that they did not have enough time to teach well because of their heavy workloads. Conclusions: These results suggest that the preceptors need appropriate compensation and education opportunities, and new graduate nurses need consistent education by the teaching professionals. Therefore, it is important to give preceptors full charge of the preceptorship. Also, it will be necessary to develop education programs to enhance interpersonal and communication skill for preceptors and new nurses.

퍼머넌트와 염색 연결시술시 정향트리트먼트 적용시점에 따른 모발보호효과

박미나ㆍ정지영ㆍ고경숙(Mi na ParkㆍJee Young JungㆍKyoung sook Ko) 한국인체미용예술학회 2016 한국인체미용예술학회지 Vol.17 No.1

This study attempted to determine the effects of hair protection by investigating the characteristics and possibilities of hair cosmetics using the hot water extracts of Syzygium aromaticum and then hair-protection effects were confirmed through pre-treatment and post-treatment at consecutive chemical treatments. At the consecutive chemical treatments, the general treatment was divided into pretreatment(N1) and general treatment post-process(N2). Then, the Syzygium aromaticum-based treatment was divided into pre-treatment(J1) and post processing(J2). According to the analysis, tensile strength was the highest in the Syzygium aromaticum extract treatment group. At consecutive treatments, ‘J2’ which processed treatment for Syzygium aromaticum, was the highest. In terms of hair thickness, the Syzygium aromaticum group was greater than the general treatment group. When measured to determine the morphological characteristics of ‘Hair’ at 20,000 magnifications using SEM, the Syzygium aromaticum extract post-treatment group (J2) revealed the highest value (373.98±10.83㎚). Regarding hair composition under the EDS, Syzygium aromaticum extract post-treatment group was the highest with 07.77% interms of sulfur content. The results confirmed that Syzygium aromaticum extract treatment is extremely effective in easing hair damage which is caused by consecutive dyeing after permanent. Therefore, the Syzygium aromaticum extract treatment would be effective in preventing hair damage and keeping hair healthy and glossy.

대학수학능력시험 “중국어Ⅰ”의 문항 분류 기준에 관한 재고

金美順(Kim, Mi-soon?Park),朴良淑(Park, Yang-sook) 중국어문학연구회 2013 중국어문학논집 Vol.0 No.80

암 병동 간호사의 통증관리에 대한 지식과 태도

공성화,방찌야,서민숙,현신숙,김희정,이미애1,이미애2,유현희,허재경,김은애,박경숙 성인간호학회 2004 성인간호학회지 Vol.16 No.1

Purpose: The purpose of this study is to evaluate the knowledge and attitudes of oncology ward nurses toward cancer pain management and to find ways to improve the educational program for nurses. Method: A total of 209 nurses working at the oncology ward of three hospitals in Seoul and a Gyenggi Province. The survey instrument used was the 32-item scale for evaluating nurses knowledge and attitudes originally developed by McCaffery and Ferrell'(1990). that was by Kim'(1997). Result: In terms of the nurses knowledge of pain management. the result showed that the nurses scored an average of 67.8 out of 100 for phamacokinetics of opioids. 84.8 for classification of analgesics, 60.1 for pain assessment, and 70.7 for drug administration. 18.2% of the nurses hesitate to inject the narcotic agent because of concerns regarding the drug's potential side effects. there was significant difference in the knowledge of pain management according to the general characteristics of pain in terms of the nurses age(p=.001), position (p=.016). years of experiences(p=.002), experience of cancer pain education(p= .001). Conclusion: The also showed that nurses working at cancer ward lack knowledge. It is important to provide intensive education to nurses about cancer pain management.

한국인 직무 스트레스 측정도구의 개발 및 표준화

장세진,고상백,강동묵,김성아,강명근,이철갑,정진주,조정진,손미아,채창호,김정원,김정일,김형수,노상철,박재범,우종민,김수영,김정연,하미나,박정선,이경용,김형렬,공정옥,김인아,김정수,박준호,현숙정,손동국 大韓産業醫學會 2005 대한직업환경의학회지 Vol.17 No.4

Background and Purposes: Over the past three decades, numerous studies performed in Korea have reported that job stress is a determinant risk factor for chronic diseases and work disability. Every society has its own culture and occupational climate particular to their organizations, and hence experiences different occupational stress. An occupational stress measurement tool therefore needs to be developed to estimate it objectively. The purpose of this study is to develop and standardize the Korean Occupational Stress Scale (KOSS) which is considered to be unique and specific occupational stressors in Korean employees. Subjects and Methods: Data were obtained from the National Study for Development and Standardization of Occupational Stress (NSDSOS Project: 2002-2004). A total of 12,631 employees from a nationwide sample proportional to the Korean Standard Industrial Classification and the Korean Standard Occupational Classification were administered. The KOSS was developed for 2 years (2002-2004). In the first year, we collected 255 items from the most popular job stress measurement tools such as JCQ, ERI, NIOSH and OSI, and 44 items derived from the a qualitative study (depth interview). Forty-three items of KOSS, in the second year, were retained for use in the final version of the KOSS by using Delphi and factor analysis. Items were scored using conventional 1-2-3-4 Likert scores for the response categories. Results: We developed eight subscales by using factor analysis and validation process: physical environment (3 items), job demand (8 items), insufficient job control (5 items), interpersonal conflict (4 items), job insecurity (6 items), organizational system (7 items), lack of reward (6 items), and occupational climate (4 items). Together they explained 50.0% of total variance. Internal consistency alpha scores were ranged from 0.51 to 0.82. Twenty-four items of the short form of the KOSS (KOSS-SF) were also developed to estimate job stress in the work setting. Because the levels of the subscales of occupational stress were gender dependent, gender-specific standard norms for both the 43-item full version and the 24-item short form using a quartile for the subscales of KOSS were presented. Conclusion: The results of this study suggest that KOSS might be an appropriate measurement scale to estimate occupational stress of Korean employees. Further and more detailed study needs to be conducted to improve the validity of this scale.

한국인 팔오금 부위 피부정맥의 변이에 대하여

홍해숙,박미숙,Hong, Hae-Sook 慶北大學校 醫科大學 1995 慶北醫大誌 Vol.36 No.3

목적 : 본 연구는 변이가 심한 팔오금 부위에 있어서 피부정맥의 유형을 조사하여 정맥의 변이양상에 대한 기초지식을 제공하여 의료인이나 간호사들이 정맥주사와 관련된 업무 수행시 학문적 고려하에 활동할 수 있도록 하기 위해서 본 연구를 시도하였다. 대상 및 방법 : 건강한 성인 남녀(20세∼40세) 각 100명을 대상으로 팔꿈치 윗 부분을 고무줄로 묶은 뒤 주먹을 쥐고 팔을 굽혔다 폈다 하고 근육을 주물러 정맥을 튀어나오게 하였으며, 팔의 아래 부분과 팔 앞쪽의 정맥의 형태를 관찰하기 위해 형광펜으로 표시한 후 정맥의 양상을 백지에 그려 Halim과 Abdi의 분류법을 토대로 형태를 분류하였고 유형들 간의 유의성 검증은 X^2-test를 비교 분석하였다. 결과 : 팔오금 부위에 있어서 피부정맥의 유형별 변이양상은 남녀 전체에서 팔꿈치 부위에서 요골쪽 피부정맥과 적골쪽 피부정맥이 팔오금 중간정맥에 의해 연결되는 Ⅰ형(67.8%)이 가장 높은 빈도를 보였고(P<.005) 남녀 차이는 없었으며 오른쪽, 왼쪽 유형별 차이는 남녀 모두 없었다. 결과 및 결론 : 이상의 연구 결과에 의하면 팔오금 부위의 변이 양상은 다양하므로, 의료인과간호사들은 정맥주사시 정맥변이의 기초지식을 알고 시행하면 안전하고 효율적인 주사를 놓을 것으로 사료된다. Knowledge of the superficial veins in the cubital region with variations is directly needed for the safety in venipuncture and intravenous injection. This study was undertaken to supply clinial benefit for medical team and nurses and to find out variations of the superficial veins in the cubital region in 200 living Korean subjects. The results were summarized as follows; Type I had a median cubital vein joining the cephalic and the basilic vein in the elbow region and was the most common type.(P < .005) In venous types in the cubital region, there was no significant differences between males and females. In bilateral symmertrical and asymmetrical venous type in same individual, bilateral asymmetry was showed more frequently than bilateral symmetry in males and females,(P < .005) but there was no significant differences between males and females.

영상의학과적 중재술에서 예방적 항생제 사용의 실태 및 인식도 조사

박경화,정숙인,장미옥,장남규,김재규 대한감염학회 2008 감염과 화학요법 Vol.40 No.5

Every interventional procedure can result in infectious complication even though its incidence is very low. Increases in both indication of procedures and number of immunocompromised patients are likely to result in increase of infectious complications. However, no randomized controlled trials to evaluate the effectiveness of prophylactic antibiotics in interventional procedures have ever been performed. This study was performed to investigate the actual pattern of practice and awareness of medical providers concerning the antibiotic prophylaxis following vascular and nonvascular interventional procedures. A questionnaire regarding prophylactic antibiotic usage was sent to the interventional radiologists in 40 hospitals. A total of 12.2-30.3% responders used prophylactic antibiotics for vascular procedure. More than 80-90% of responders answered that vascular procedures except catheter insertion, are not clear indications of prophylactic antibiotics, In contrast, 31.3% and 51.5% of responders used prophylactic antibiotics for genitourinary and biliary drainage respectively. About 60-70% of responders considered both genitourinary and biliary drainage as clear indications of antibiotic prophylaxis. Further study assessing the appropriate antibiotic usage in interventional procedures is warranted.

백서의 치아이동 시 피질골 천공이 치주조직의 OPG, RANK, RANKL의 발현에 미치는 영향

박우경,김성식,박수병,손우성,김용덕,전은숙,박미화 대한치과교정학회 2008 대한치과교정학회지 Vol.38 No.3

치아이동 시 피질골 천공이 치조골 재형성에 미치는 영향을 알아보기 위해서 생후 15주된 자성백서를 사용하여 피질골 천공 후 치아이동을 실시한 실험군(Tooth movement with cortical punching: TMC group, n = 16)과 교정적 치아이동만 실시한 대조군(Tooth movement only group: TM group, n = 16)의 치아주위조직을 면역조직화학염색을 통하여 관찰하였다. 실험군과 대조군의 실험동물에 20 gm의 힘으로 상악 전치부 사이를 이개시키는 치아이동을 시행하였으며 실험군에서는 상악 전치부 구개부위에 피질골 천공을 실시하였다. 치아이동 후 1, 4, 7, 14일째에 실험군과 대조군의 실험동물을 희생시켰다. 면역조직화학염색법으로 OPG, RANK, RANKL의 발현을 비교한 결과, OPG의 발현은 양 군 모두에서 미처치 대조군에 비하여 감소되었으나, 실험군에서의 발현이 대조군보다 컸으며, RANK, RANKL은 피질골 천공을 시행한 경우에 더 강한 발현을 보이는 것이 관찰되었다. 따라서 피질골 천공이 치주조직의 OPG, RANK, RANKL의 발현에 영향을 미치며 치조골의 재형성을 향상시키는 것을 알 수 있었다. Objective: The purpose of this study was to investigate whether cortical punching could stimulate the expression of OPG, RANK, and RANKL during tooth movement by immunohistochemistry. Methods: 34 sprague-dawley rats (15 weeks old) were allocated into 3 groups: TMC group (experimental group; Tooth Movement with Corticotomy, n = 16), TM group (control group; Tooth Movement only group, n = 16), and non-treatment group (n = 2). 20 gm of orthodontic force was applied to rat incisors by inserting elastic bands. The duration of force application was 1, 4, 7 and 14 days. A microscrew (diameter 1.2 mm) was used for cortical punching of the palatal side of the upper incisors in the TMC group. Results: Distributions of OPG, RANK, and RANKL were evaluated by immunohistochemistry. OPG, RANK and RANKL were observed on experimental and control groups. On the compression side, the degree of the expression of OPG decreased in both groups. The expression of RANK was most prominent in the experimental group of day 4. The expression of RANKL was most intensive and extensive in the experimental group of day 7. However, the expression of OPG was decreased in the experimental and control groups compared to the non treatment group. The expression of OPG, RANK and RANKL after force application were decreased at day 14. Conclusions: These findings suggested that cortical punching might stimulate remodeling of alveolar bone during a 2 week period of tooth movement without any pathologic change.

보건ㆍ복지서비스의 통합 운영방안에 관한 연구

박미숙 全北行政學會 2001 全北行政學報 Vol.15 No.1

복지국가의 핵심적 요소는 인간생존에 있어 절대적인 부문인 건강보장을 통하여 모든 국민이 건강한 생활을 유지하는데 있다. 특히 21세기는 정치·사회·경제적으로 예측할 수 없는 엄청난 변화가 예상되며 국민의 건강권을 보장하기 위해 국가의 역할 비중이 증대되고 있다. 그러나 우리나라는 이러한 환경변화와 보건·복지부문의 다양한 욕구에 대응할 수 있는 통합된 행정체계가 마련되어 있지 않다. 특히 일반행정 민원과 다르게 취약계층의 보건·복지문제는 인간의 생존을 위협하는 복합적이고 급박한 문제들을 안고 있어서 국가의 통합적 접근 노력이 시급한 실정이다. 본 연구에서는 이러한 점에 주목하여 사회안전망 사각지대에 있는 취약계층에게 방문간호사업을 통해 보건·복지 통합서비스가 제공되고 있는 사례를 분석함으로써 실제적인 통합방안을 모색하고자 한다. 즉 보건 ·복지서비스 통합운영 방안을 우리나라의 보건·복지서비스 행정의 현실을 고려하여 일차적으로 양 부문의 서비스 연계체계의 구축이라는 협의의 통합방안을 제시하고자 하였다.

복합트레이닝이 비만청소년의 내장지방과 면역세포에 미치는 영향

박상갑,윤미숙,권유찬 한국스포츠리서치 2004 한국 스포츠 리서치 Vol.15 No.4

The purpose of this study was to investigate the changes of abdominal fat, lymphocyte subunits and NK cell after lBweeks combined training, Subjects were consisted of fourteen obese middle-school students, The training program was separated treadmill running and muscular resistance training. The treadmill running was composed of 60%HRmax(Intensity), 30 minutes per day(Duratiori), 4 days per week(Frequency). The muscular resistance training was composed of 60% of 1RM[(Intensity), 40 minutes per day(Duration), 4 days per week(Frequency). One-way ANOVA was used to evaluate change between groups. We found that VO₂max(0.34ℓ/min) was increased after 16 weeks combined training and %body fat(3.01%), total abdominal fat(158.98㎤), visceral fat(76.69㎤), subcutaneous fat(82.29㎤), visceral at and subcutaneous at ratio(0.10) were significantly decreased after 16 weeks combined training, Furthermore lymphocyte subunits and NK cell number were improved after 16 weeks combined training. In conclusion, combined training was shown to positive influence on body coposition, lymphocyte subunits and NK cell, Therefore, it is maybe thought that combined training was important role for obesity treatment.