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      • SCOPUSKCI등재

        한국 가정간호사업의 유형별 비교분석

        김성실,Kim, Sung-Sil 한국지역사회간호학회 1998 지역사회간호학회지 Vol.9 No.1

        This study was designed to examine Home Nursing Care in Hospital-based and Community-based programs. This study investigates actual conditions of nursing needs and demands of clients and their family and the state of home nursing services. We hope that this study will improve upon the current home nursing care system. In Korea Home-Nursing Care programs are still developing and only now becoming a part of the health care delivery system. The data was collected by a questionaire the clients developed and modified through literature review by this writer and through 10 nurses who are members of 4 hospital and 3 community- based agencies. In this study 173 clients were selected. The study lasted from Oct. 1997 to March of 1998. The results show that the average age was 64.3, years older than most women clients (63.0%), the average age of a caregiver was 50.9 years old and most were female(77%). Two types of agency clients with a significant difference between social conditions [25.7%] used some form of insurance; 54.3% had the spouse pay expenses; pay 58.5% son and daughters of Hospital-based agencies: patients of social workers were 24.0%, the highest in the community agency. The condition of patients was 63.2% of the foley and nelaton catheter insertion at hospital based agencies. The range of nursing services offered is one of the highest among the 34 kinds of servies including nasogastric tube management basic nursing, ROM exercise, bladder irrigation, wound and sore dressing. For an effective care service factors that disturb each program such as a non-cooperatative family as well as patients themselves need to be lessened. Further more, the following must be emphasized, supportive counsel 27.0%, steady care for patient, 13.3%maintain a sense of security(11.7%), dressing sores and nutrition(10.0%). Although there were a large number of home nursing care services in the community, policy changes have gathered momentum. Fortunately, the scope and level at legal support will be increased in the future. The program should intergrate and link the district or community together. A project to develop a community based home nursing system as soon as possible should be developed. In conclusion, home nursing care nurses training curriculum should be strengthened.

      • SCOPUSKCI등재
      • KCI등재

        퍼스널컴퓨터 도입(導入)의 경제성(經濟性) 평가(評價)

        김성실,Kim, Seong-Sil 한국품질경영학회 1986 품질경영학회지 Vol.14 No.2

        The primary purpose of this paper is to make the management of small business aware of the potential and further, to assist their decision on purchasing and applying the personal computers to their business problems. With emphasis on the step by step expansion various computer hardware systems are reviewed, compared and evaluated in its price, micro-processor, memory size, software availability, etc. Using the concept of incremental costs, a method to evaluate software packages is developed. By this method the optimal system can be determined.

      • SCOPUSKCI등재

        지역 사회 자원 봉사 실태 연구-강원지역-

        김성실,Kim, Sung-Sil 한국지역사회간호학회 2000 지역사회간호학회지 Vol.11 No.2

        The purpose of this study was to investigate the activities of woman volunteers. The sample consisted of 626 woman volunteers working in 18 districts in Kangwon province. The questionnaires consists of three parts: The first part of the questionnaire addresses demographic information. The second part of the questionnaire asks the feelings of subjects concerning volunteer activities (15 items). The third part of the questionnaire was to explore their perspectives of volunteer activities. An SAS was used for frequency. F-test, and a Pearson Correlation. The results of this study were as follows: 1. Most of the subjects were in their 40's(37.7%) and 10.7% were under age 20. About two thirds(69.8%) were housewives, the Buddhists were the highest religious groups (34.9%). Most of the subjects(36.7%) worked at Red-Cross. 2. Most of the subjects(56.8%) have nuclear families. 3. The subjects worked most frequently was at the Social Welfare Center, followed by homes, and welfare centers. 4. The most frequently used direct service was conversation(38.2%) followed by assistance with the eating process. 5. About thirty-nine percent of the subjects had less than one year of experience, and the majority of subjects had volunteer service once per week. 6. There was a significant relationship among age, number of family, duration of volunteer service, and experience. Integrated service will be needed to connect home health nursing with welfare service.

      • SCOPUSKCI등재

        재가 복지 봉사 사업의 가정 간호 사업연계 필요 조사

        김성실,Kim, Sung-Sil 한국지역사회간호학회 1996 지역사회간호학회지 Vol.7 No.2

        This study was designed out to develop a home health care service for nurses working in community care services. This study investigates actual conditions at welfare institutions related to health needs the demands of clients, and the state of home health care services we hope that this study will improve upon the current service system. In Korea home health care services are still developing and only new becoming a part of the health care supply system. The data was collected by recording the client home nursing assessments modified to the situation of UTMB home health agency. In this study 107 clients were selected for home care who needed care for physical and mental deficits. The study lasted from March to November of 1995 at one of the welfare service institutions in Chunchon city. The results show that those who most frequently needed care services were over 50 years old with a health deficit of 80.3%, followed by sex as women who needed care at 59.8%. 50.5% of the clients had very little education. 99.1% of the clients live with their family, and a medical diagnostic analysis reveals that 73.9% of the 5 year period of illnesses were the following : 38.8% - muscular -skeleton system disorder, 24.4% - hypertension and stroke, 25.7% sole disease of arthritis. For behavioral conditions 43.3% of the patients were without care services, 56.6% of the patients were taking treatment that 73.5% of those were taking medication. The most main complaint of patients were 22.4% of pain in the extremities, next were 16.8% of a limitation of body activities, 15.0% was lumbo-sacralgia. According to the investigator who was a senior student nurse, the following suggestions were made: 32.7% for curative medical services, 29.9% for physical exercise, 19.6% for emotional support. Consultation nursing services consisted of 67.2% for physical therapy, 11.2% for the maintaining healing, 9.4% for counseling. The patients at home, required assistance most frequently for muscular-skeleton problems under the category of physical systems (33.3%). But, on the other hand, 49.5% of the patients required care givers at home, 28.2% had a knowledge deficit, 21.0% had malnutrition, 18.4% had bad impaired communication. The character of health problems were devided into chronic disease(67.0%), accidents(I3.1%), and general disease(15.9%). 86% of the disabled client had an impairment of the physical system. Eating (86.9%) , Toileting(77.6%), and personal care showed much the same of ADL condition, the level and range of achievement of mobility, the most frequently self performed was 81.3% only in a room size area, and 40.2% were completely dependent when going out. Although there were a large number of home care services in th community at these welfare institutions, many clients needed a variety of curative services. As policy changes have gathered momentum, responsibility for the development of a more suitable program was demanded by the clients from the community.

      • SCOPUSKCI등재
      • KCI등재후보

        HPLC-PDA을 이용한 이진탕 중 6종 성분의 동시분석

        김성실,김정훈,신현규,서창섭,Kim, Seong-Sil,Kim, Jung-Hoon,Shin, Hyeun-Kyoo,Seo, Chang-Seob 대한한의학방제학회 2013 大韓韓醫學方劑學會誌 Vol.21 No.1

        Objectives : Yijin-tang has been used in the treatment of gastrointestinal diseases such as irritable bowel syndrome, gastritis, and gastric ulcer. In this study, a high-performance liquid chromatography (HPLC) method was established for simultaneous analysis of six compounds, liquiritin, glycyrrhizin, hesperidin, 6-gingerol, homogentisic acid, and 3,4-dihydroxybenzaldehyde in Yijin-tang, a traditional Korean herbal medicinal preparation. Methods : A Gemini C18 column was used for the separation of six constituents at $40^{\circ}C$. The mobile phase using gradient elution consist of two solvent systems, 1.0% acetic acid in water (A) and 1.0% acetic acid in acetonitrile (B). The flow-rate was 1.0 mL/min and injection volume was $10{\mu}g$. The detector was a photodiode array (PDA) detector set at 254 nm and 280 nm. Results : The calibration curves of six compounds showed good linearity in various concentration ranges ($R^2{\geq}0.9997$). The limits of detection (LOD) and limits of quantification (LOQ) were 0.028-$0.192{\mu}g/mL$ and 0.093-$0.540{\mu}g/mL$, respectively. The RSD (%) of the intra and inter day validations were 0.03-0.84% and 0.05 -1.00%, respectively. Recovery was 96.14-01.90% and RSD (%) was less than 1.5%. Conclusions : The established simultaneous analysis methods will help management to improve the quality of Yijin-tang.

      • KCI등재
      • KCI등재

        퇴계 평화사상에 관한 일고찰

        김성실 ( Kim Sung-sil ) 서울대학교 통일평화연구원 2018 통일과 평화 Vol.10 No.1

        본 논문은 퇴계의 평화사상을 고찰한 논문이다. 그동안 한반도를 둘러싼 북핵위기와 강대국들의 힘대힘의 논리 속에서 평화는 요원하였다. 역사 이래로 정치, 경제, 사회, 문화 다방면으로 평화를 실현하기 위해 노력해왔지만 오히려 냉전시대 이후 전쟁과 무력의 위협이 증가되었다. 어쩌면 우리는 평화라는 개념이 너무 추상적이지 않는가 생각해볼 필요가 있다. 평화를 단순히 전쟁이 일어나지 않는 상태라고 정의내린다면 냉전시대는 과연 평화의 시대였을까 반문해보아야 할 것이다. 오히려 평화를 국가 대 국가 간의 개념으로 추상적으로 이해하지 말고 개인과 개인의 문제로 범위를 축소해 본다면 상호간의 신뢰와 믿음이 중요함을 알 수 있다. 타자에 대한 무관심이나 개인이기주의는 결코 상호간의 신뢰와 믿음이 있는 상태가 아니기 때문이다. 다시 확장해서 본다면 싸움을 하지 않는 개인과 전쟁을 하지 않는 나라가 평화로운 상태라고 볼 수는 없을 것이다. 퇴계는 평화가 남과 남과의 투쟁과 전쟁이 아닌 하늘적 가치를 지닌 인간과 인간이 함께 사는 공동체 속에서 ‘함께 살아감’을 강조하였다. 더 나아가 ‘나’와 다른 ‘너’가 아닌 ‘우리’를 강조하였다. 퇴계는 사화의 시대를 묵묵히 걸어간 철학자이다. 그의 시대 역시 오늘날 못지않게 복잡다난했던 시대였지만 하늘적 가치를 지닌 인간과 그런 인간과 인간이 함께 살아가는 공동체를 꿈꾸었던 퇴계의 평화사상이 오늘날 시대에 어떤 의의가 있는지 퇴계의 천(天)과 인(人), 리기(理氣) 등의 개념과 상소문, 『성학십도』 등을 통해 살펴보고자 한다. This paper is a review of Toegye’s idea of peace. Peace is an agent in the logic of the nuclear crisis surrounding the Korean Peninsula and the power of the great powers. Ever since its history, it has tried to realize peace in various aspects of politics, economy, society and culture, but the threat of war and armed forces has increased since the Cold War. Perhaps we need to think about whether the notion of peace is too abstract. If we define peace as simply a state in which war does not take place, we must ask whether the Cold War era was an era of peace. Rather, do not understand the concept of peace as a nation - state concept abstractly. If you narrow down the scope to individual and individual problems, you can see that mutual trust and faith are important. Indifference or individual selfishness toward others is not a state of mutual trust and faith. If you look again, you will not see a peaceful state that does not fight with individuals who do not fight In this sense, we will examine the concept of peace that Toegye refers to and examine the characteristics of Toegye’s idea of peace through the letter for king and Diagram of the Wesern Inscription. Toegye is a philosopher who walked quietly through the age of socialization. Though his era was as complicated as it is today, I would like to examine what significance is in today’s era through the philosophy of Toegye who dreamed of human beings with heavenly values and a community in which such human beings and humans live together.

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