포커스 그룹 인터뷰를 이용한 환자안전전담자의 환자 및 보호자 대상 환자 안전 교육 경험 분석

김윤숙,김문숙,황지인,김혜란,김현아,김효선,천자혜,곽미정,Kim, Yoon-Sook,Kim, Moon-Sook,Hwang, Jee-In,Kim, Hye-Ran,Kim, Hyun-Ah,Kim, Hyuo-Sun,Chun, Ja-Hae,Kwak, Mi-Jeong 한국의료질향상학회 2019 한국의료질향상학회지 Vol.25 No.2

Purpose: The purpose of this study is to provide basic data for the development of the most appropriate and effective educational materials for patients and their caregivers through the educational experiences of patient safety officer. Methods: This study is a qualitative analysis that involves using the focus group interview to understand the patient safety education experience of the patient safety officer. Results: The patient safety education experience of the patient safety officer is divided into four topics: (1) patient safety education content (2) patient safety education method (3) patient safety education status (4) activation and improvement of patient safety education. Additionally, the study incorporated twelve subtopics: (a) falls (b) speak up (c) patient safety campaign (d) patient safety rounding and a one on one training (e) education through medical staff (f) education using broadcast, video, post, among others (g) a lot of education in patient (h) patients not interested in patient safety education (i) patient safety education is less effective (j) human and medical expenses support (k) provision of standardized educational materials (l) patient safety culture for patient participation. Conclusions: This study indicate that education for patients and the caregivers should be inclusive and protective of stakeholders from the risks involved in patient safety events. The experience of patient safety officer is necessary for patient safety education for both patients and the caregivers since it is the source of basic data for the future development of patient safety education.

국외 환자대상의 환자안전 교육 사례

김윤숙,곽미정,김문숙,김현아,김효선,천자혜,황지인,Kim, Yoon-Sook,Kwak, Mi-Jeong,Kim, Moon-Sook,Kim, Hyun-Ah,Kim, Hyuo-Sun,Chun, Ja-Hae,Hwang, Jee-In 한국의료질향상학회 2019 한국의료질향상학회지 Vol.25 No.1

Purpose: The purpose of this study was to share program and/or resource on patient safety education for patients and families conducted overseas agency. This study will help the patient safety officer establish and implement an educational plan for patients and families. Methods: We searched the Internet for patient safety related organizations. We chose an institution that provided education for patients and families. Results: Most of the program and/or resource was about patient and family involvement; Taking Care of Myself, My Questions for This Visit, Patient Prep Card, 20 Tips to Help Prevent Medical Errors, Ask Me 3(R), Health and Safety Passport, My Medication log etc. Conclusions: It is necessary to distribute educational materials for patients and families in the country through the results of this study. For patient safety, education and publicity are needed so that developed educational materials can be actively used.

넙치 치어 배합사료의 어분 대체 단백질원으로서 탈지 대두박 이용성

김윤숙,김봉석,문태석,이상민,KIM Yoon-Sook,KIM Bong-Seok,MOON Tae-Seok,LEE Sang-Min 한국수산과학회 2000 한국수산과학회지 Vol.33 No.5

This study was conducted to investigate the utilization of defatted soybean meal as a substitute for fish meal in the diet for juvenile flounder (Paralichthys olivaceus). Duplicate groups of average weighing 35 g were fed one of four isonitrogenous ($54{\%}$) and isocaloric (575 kcal/100 g diet) diets containing $0{\%}, 10{\%}, 20{\%} and 30{\%}$ soybean meal for 45 days. Survival rates of all groups were $100{\%}$, Weight gain of fish decreased with increasing dietary soybean meal levels, However, this value was not significantly different between fish fed the control and $10{\%}$ soybean meal diet (P > 0.05). Feed efficiency and protein efficiency ratio decreased with increasing dietary soybean meal levels, but no significant differences were found among fish fed the control, $10{\%}\;and\;20{\%}$ soybean meal diets (P > 0.05). Daily feed and protein intake increased with increasing dietary soybean meal level. Crude protein and moisture content of liver tended to decrease and crude lipid content tended to increase with decreasing of dietary soybean meal levels. Plasma total cholesterol levels of fish fed the diets containing $20{\%}\;and\;30{\%}$ soybean meal were significantly lower than that of fish fed control diet (P < 0.05), Plasma GOT level significantly increased with increasing dietary soybean meal level (P < 0.05). It is concluded that soybean meal can be used as a partial substitute for fish meal up to $10{\%}$ in this dietary formulation for growth of juvenile flounder. 넙치 배합사료의 어분 대체 단백질원으로서 대두박의 이용성을 조사하기 위하여 평균체중 359인 넙치를 각 수조마다 20마리씩 2반복 수용하여 대두박 함량을 $0{\%}, 10{\%}, 20{\%}$ 및 $30{\%}$로 조절한 사료로 45일간 사육실험하였다. 그 결과, 모든 실험구에서 $100{\%}$의 생존율을 나타내었으며, 증중량은 대조구와 대두박 $10{\%}$ 첨가구간에는 차이가 없었지만, 대두박 $20{\%}$ 및 $30{\%}$ 첨가구는 대조구보다 유의하게 낮았다 (P < 0.05). 사료효율과 단백질효율은 사료의 대두박 첨가수준이 높을수록 감소하는 경향을 보였으나, 대조구와 대두박 $10{\%}$ 및 $20{\%}$ 첨가구간에 유의한 차이를 보이지 않았다(P > 0.05). 이와 반대로, 일일사료섭취율과 일일단백질섭취율은 사료의 대두박 첨가수준이 높을수록 증가하는 경향을 보였다. 어체간의 일반성분은 각 실험구간에 유의차가 없었으나 (P > 0.05), 사료의 대두박 첨가수준이 높을수록 단백질과 수분함량은 증가하고, 지질함량은 감소하였다. 혈장 총 콜레스테롤 농도는 사료의 대두박 첨가수준이 높을수록 감소하는 경향을 나타내었으나, 대조구와 대두박 $10{\%}$ 첨가구간에 유의차가 없었다 (P > 0.05) 혈장 GOT는 사료의 대두박 첨가수준이 높을수록 증가하는 경향을 보였다. 이상의 결과로부터, 본 실험 사료 조성으로 넙치 치어를 사육하였을 때, 어분 대체단백질원으로서 대두박을 사료의 $10{\%}$까지 첨가할 수 있을 것으로 판단된다.

21세기의 식품관리기술: 전자 코

김윤숙,Kim, Yoon-Sook 한국식품연구원 2011 食品技術 Vol.24 No.2

노인환자 스크리닝 결과와 낙상위험도 간의 관계

김윤숙,이종민,최재경,신진영,한설희,Kim, Yoon-Sook,Lee, Jong-Min,Choi, Jae-Kyung,Shin, Jin-Yeong,Han, Seol-Heui 한국의료질향상학회 2017 한국의료질향상학회지 Vol.23 No.2

Background: The purpose of this study was to examine associations between classification of the Geriatric Screening for Care-10 (GSC-10) and the Morse Fall Scale (MFS) among elderly inpatients. Methods: Among elderly inpatients aged over 65 admitted to hospital (from November 1, 2016 to July 31, 2017), the data for 5,780 patients (who were evaluated using the Morse Fall Scale and the Geriatric Screening for Care-10) were analyzed using x2-tests and t-tests to examine differences between the GSC-10 and MFS, according to general characteristics of elderly inpatients (i.e., gender) using IBM SPSS Statistics 24. Results: : Scores for the GSC-10 were significantly higher in women than men for depression (p<.001), delirium (p=.048), functional decline (p<.001), incontinence (p<.001), and pain (p<.001). Statistically significant differences in all domains of the GSC-10 for elderly hospitalized patients were found for the classification of fall risk. Conclusion: The findings of this study, as supported by the GSC-10, indicate that the most common problems experienced by the elderly are related to the risk of falling. In order to reduce the incidence of falls in elderly inpatients, customized fall prevention based on the GSC-10 results is necessary.

발사믹 식초 생산기술

김윤숙,Kim, Yoon-Sook 한국식품연구원 2009 食品技術 Vol.22 No.4

자궁경부암 환자의 삶의 질 분석

김윤숙,김분한,Kim, Yoon-Sook,Kim, Boon-Han 한국호스피스완화의료학회 2004 한국호스피스.완화의료학회지 Vol.7 No.1

목적: 본 연구는 자궁경부암 환자의 삶의 질을 파악하고, 질병 진행 단계와 치료 형태에 따른 삶의 질을 분석하는데 있다. 방법: 자료 수집은 3개의 종합병원에서 자궁경부암 환자 67명을 대상으로 하였으며, 자료수집 기간은 3월 15일부터 6월 4일까지 이었다. 연구 도구로는 Ferrell[18]의 삶의 질-암 환자용 도구(Quality of Life-cancer version)를 번역하여, 자궁경부암 환자에게 맞지 않는 4문항을 제외한 총 37문항으로 사용하였다. 자료 분석은 SPSS 통계프로그램을 이용하여, t-test, ANOVA, Scheffe test로 검증하였고 도구의 신뢰도 검증은 Cronbach's Alpha를 산출하였다. 결과: 자궁경부암 환자의 질병 진행 단계에 따른 삶의 질 정도는 유의한 차이가 있었다.(F=5.06, P=.003) 질병 진행 단계에 따른 영역별 삶의 질 정도에서는 신체적 안녕 영역(F=3.97 P=.012), 정신적 안녕 영역(F=3.91, P=.013), 사회적 안녕 영역(F=4.96, P=.004)에는 유의한 차이를 보였으나, 영적 안녕 영역(F=1.36, P=.262)은 유의한 차이를 보이지 않았다. 치료 형태에 따른 삶의 질정도는 유의한 차이를 보이지 않았다.(t=-1.83, P=.073) 치료 형태에 따른 영역별 삶의 질정도에서는 정신적 안녕 영역(t=-2.14, P=.037), 사회적 안녕 영역(t=-2.15, P=.036)에는 유의한 차이를 보였으나, 신체적 안녕 영역(t=-.93, P=.356), 영적 안녕 영역(t=.73, P=.469)에는 유의한 차이가 없었다. 결론: 자궁경부암 환자의 삶의 질은 질병 진행단계와 치료 형태 및 일반적 특성에 따라 차이가 있었다. 그러므로 자궁경부암 환자에게 질병 진행 단계와 치료 형태 및 일반적 특성을 고려한 간호 중재를 적용할 필요가 있다. Purpose: The porpose of this descriptive study was grasp the QOL (Quality of Life) of cervix cancer patient and to analysis QOL (Quality of Life) by stage of disease, type of treatment and de me graphic characteristics Methods: Data were collected from 67 patients with cervical cancer from 3 General Hospitals from March 15 to June 4 using The "QOL (Quality of Life)-Cancer Version" inventory made by Ferrell et al (1995). The data were analysed by using SPSS $PC^+$ program including t-test, ANOVA, and Scheffe test. Results: Progressing stage of disease and QOL, the significant between the progressing stage of disease and QOL was significant (F=5.06, P=.003). The degree of difference between the progresstion of the stage of the disease and each item in the test was physical well-being (F=3.97 P=.012), the items of psychological well-being (F=3.91, P=.013), the items of social well-being (F=4.96, P=.004). It show a significant difference, but the item of spiritual well-being (F=1.36, P=.262) was not significant difference. The significance between the type of treatment and QOL was insignificant. The degree of difference between each area of life was the psychological well-being (t=-2.14, P=.037), the social well-being (t=-2.15, P=.036). But the physical well-being (t=-.93, P=.356), the spiritual well-being (t=.73, P=.469) was insignificant. Conclusion: As a result, The QOL of patients with cervical cancer is differentiated by the stage of disease, the type of treatment, and the demographic data. Therefore, there is a need to apply nursing intervention to patients with cervical cancer by considering the stage of disease, the type of treatment, and the demographic data.

중년 남성의 삶의 변화에 관한 주관성 연구

김윤숙(Kim Yoon-Sook),전혜원(Jeon Hye-Won),정연(Jung Yun),최지은(Choi Jee-Eun),김분한(Kim Boon-Han) 한국성인간호학회 2005 성인간호학회지 Vol.17 No.2

시니어통합진료서비스를 위한 48/6 모델

김윤숙(Yoon Sook Kim),한설희(Seol Heui Han),이종민(Jong Min Lee),최재경(Jae Kyung Choi),박재민(Jae Min Park),이건세(Kun Sei Lee),황정해(Jeong Hae Hwang) 대한임상노인의학회 2016 대한임상노인의학회지 Vol.17 No.1

The 48/6 Model of Care is a senior integrated care system that conducts screening and assessment for inpatients using six key areas, and establishes and mediates individualized multidisciplinary care plans within 48 hours of admission. The six key areas are bowel and bladder management, cognitive functioning, functional mobility, medication management, nutrition and hydration, and pain management, which have interrelated impact on the health of many seniors. These six key areas are not only assessed at the time of admission, but also during hospitalization, at time of discharge, and after discharge. The patients are continuously observed and cared for after their discharge into the community. One possible solution to resolve the social and economic burden of senior health problems is to provide treatment and preventive guidelines for early identification of senior health problems using screening and assessment tools such as the 48/6 Model of Care, which is systematic and easily applicable to the medical institution including the community.

시니어친화병원: 노인의료서비스의 새로운 패러다임

김윤숙(Yoon Sook Kim),한설희(Seol Heui Han),이종민(Jong Min Lee),신정은(Grace Jung Eun Shin),최재경(Jae Kyung Choi),박재민(Jae Min Park) 대한임상노인의학회 2017 대한임상노인의학회지 Vol.18 No.1

Senior friendly hospital, which is a new paradigm of elderly medical service, is a future-oriented elderly medical management system that can improve the quality of life, health and safety by offering a safe medical treatment system to optimize the participation for self-oriented health management and to respect individuals’ decision making, when it comes to therapeutic intervention. Seeing some cases of a few advanced countries which has already implemented senior friendly hospital system, not only is it an evidence-based medical system, which focuses on applying the general system and culture of the acute phase hospital, but also it has experienced the physical environmental change. Its therapeutic excellence for the elderly has been demonstrated by emphasizing the strengthening of ability through education and training of participating employees. Therefore, in order to establish the senior friendly hospital voluntarily, and recognize the significance of elderly medical service in the medical institution in Korea, active consideration of introducing the senior friendly hospital accreditation system under the support of Ministry of Health and Welfare is necessary, as in the case of Taiwan.