항암화학요법을 받는 폐암환자의 불확실성 영향요인

모문희(Moon-Hee Mo),정복례(Bok-Yae Chung) 한국산학기술학회 2017 한국산학기술학회논문지 Vol.18 No.4

본 연구는 항암화학요법을 받는 폐암환자의 불확실성과 불확실성 영향요인을 파악하기 위한 서술적 상관관계 연구이다. 연구 대상자는 일 대학병원에서 항암화학요법을 받고 있는 폐암환자 111명을 대상으로 하였다. 자료는 2014년 7월 25일부터 12월 31일까지 수집하였다. 수집된 자료는 SPSS Window 18.0 Program을 이용하였고, 빈도와 백분율, 평균과 표준편차, t-test, ANOVA, Scheffe test, median, standard deviations, Pearson’s product moment correlation coefficient와 multiple regression analysis로 분석하였다. 연구 결과 항암화학요법을 받는 폐암환자의 불확실성은 평균 평점 2.61(±0.46)점으로 다른 질병을 가진 환자의 불확실성 정도보다 높았다. 항암화학요법을 받는 폐암환자의 불확실성과 질병의 심각성, 증상의 일관성, 사건의 친숙성, 의료인에 대한 신뢰, 일상 활동 능력, 자기 효능감, 사회적 지지와의 관계를 분석한 결과 불확실성과 질병의 심각성간의 상관계수는 .74(<.01), 불확실성과 증상의 일관성 간의 상관관계는 .27(<.01)이었다. 질병에 대한 심각성이 불확실성에 가장 영향을 미치는 변수로 나타났으며, 전체 설명력은 54%이었다. 이상에서 항암화학요법을 받는 폐암환자의 불확실성을 감소시키기 위한 간호중재가 필요할 뿐만 아니라 폐암 환자의 간호중재에는 질병의 심각성을 고려한 간호중재가 이루어져야 할 것이다. This descriptive correlational study was conducted to identify the factors influencing the uncertainty of patients undergoing chemotherapy for lung neoplasms. One hundred and eleven patients were recruited from the chemotherapy clinic of a university hospital. Data were collected from July 25 to December 31, 2014, and analyzed by descriptive statistics, the t-test, ANOVA, the Scheffe test, Pearson’s product moment correlation coefficients and multiple regression analysis with SPSS for Windows Version 18.0. The mean score of the uncertainty of the patients undergoing chemotherapy for lung neoplasms was 2.61(±0.46), which was higher than that of the patients with other diseases. The uncertainty was positively correlated with the seriousness of the illness (r=.74, p<.01) and consistency of the symptoms (r=.27, p<.01). Multiple regression analysis showed that the (main) factor influencing the uncertainty was the seriousness of the illness, which explained 54% of the uncertainty of the patients undergoing chemotherapy for lung neoplasms. As a result, nursing interventions are needed to reduce the uncertainty of lung neoplasm patients who are receiving chemotherapy. The seriousness of the illness should be considered when developing nursing interventions to reduce the uncertainty of lung neoplasm patients.

항암화학요법을 받는 폐암 환자의 피로 자가 간호 스마트폰 애플리케이션 개발 및 적용 효과

모문희(Mo, Moon-Hee) 대한종양간호학회 2021 Asian Oncology Nursing Vol.21 No.4

Purpose: The purpose of this study was to develop a fatigue self-care smartphone application and to evaluate its effectiveness so that lung cancer patients receiving chemotherapy can reduce fatigue autonomously. Methods: After reviewing literature and evaluating experts and users, it developed ‘SMART FSC (Smart Fatigue Self-Care),’ which is a self-management smartphone application for fatigue. Similar experimental studies were conducted using a non-equivalent control group non-synchronized quasi-experimental design to identify the effects of SMART FSC. The study participants were recruited in D city: 22 participants were assigned to the experimental group, and 23 to the control group. Results: As a result of testing the effectiveness of the fatigue self-care smartphone application, there was a significant difference between the pre-post fatigue scores of the experimental group. In addition, the sleep satisfaction score of the experimental group with the smartphone application was different from the sleep satisfaction score of the control group. And the difference in the pre-post sleep satisfaction scores was significantly different. Conclusion: Study findings indicate that the fatigue self-care smartphone application developed by this study will be effective to solve the fatigue of lung cancer patients receiving chemotherapy.

PEMF를 이용한 노인성 청각 장애 치료기의 개발

모문희(Moon-Hee Mo),김진훈(Chin-Hoon Kim),김영인(Yeung-In Kim),김주만(Joo-Man Kim),김병철(Byoung-Chul Kim) 한국정보기술학회 2014 한국정보기술학회논문지 Vol.12 No.1

This study analyzed various data on the previously reported PEMF treatment for osseous and soft tissue. As a result, in order to apply it to auditory portion, magnetic pulses with the frequency of 10 to 100 Hz and strength of 0.2 to 4.0 mT are applied to inner ear tissues including the cochlear duct, but induced voltage and eddy in the tissue should be a rectangular wave including harmonics with a DC. In order to realize this, this study aims to suggest that it is randomly applied to diseases according to symptoms by preparing multiple pulse sequences. Based on these results, this study designed and produced two types, headset and earphone types, as a typical PEMF applicator, and then measured the magnetic field distribution. The results showed that magnetic field with sufficient strength for treatment was distributed throughout inner ear tissues including auditory center of cochlear duct.

장루보유자의 불편함

오은희(Oh Eun Hee),홍성정(Hong Sung Jung),모문희(Mo Moon Hee),우미영(Woo Mi Young),김선주(Kim Sun Ju),정복례(Chung Bok Yae) 대한종양간호학회 2011 Asian Oncology Nursing Vol.11 No.1

Purpose: The purpose of this study was to explore and describe the distress of the patients with ostomy. Methods: A descriptive research design was adopted for data collection and analysis. Six patients with ostomy participated in the study. The consent from the participants was obtained for ethical protection. Data were collected from July 31, 2009 to January 10, 2010 using in-depth interview technique. Krippendorff’s content analysis method was utilized for data analysis. Results: Eight categories and 26 themes were extracted from the data which illustrated the lived distress of the patients with ostomy. The categories were “do not have any freedom to eat whatever I wish to eat”, “uncontrolled defecation”, “have to live through tough situation”, “keep stoma in suspense”, “disgusting ostomy”, “can not live with comfort”, “easily take a pessimistic view”, and “see how the wind blows in daily family life”. Conclusion: Ostomates were affected by the distress of having an ostomy in their physical, psychological, social and spiritual life. Individualized and continued nursing education program has to be developed in hospital and community settings in order to improve the quality of life of the ostomates.

일반병동과 특수병동의 핵심기본간호술에 대한 중요성인식과 수행 빈도 비교

장은희(Chang, Eun-Hee),모문희(Mo, Moon-Hee),최은희(Choi, Eun-Hee) 한국산학기술학회 2015 한국산학기술학회논문지 Vol.16 No.2

본 연구는 간호사가 지각하는 핵심기본간호술의 중요성과 실제 빈도가 일반병동과 특수병동에서 차이가 있는지를 확인하기 위한 비교 조사연구로 2011년 10월 1일에서 2011년 10월 30일까지 D광역시 소재 Y 대학병원 간호사 182명을 대상 으로 하였다. 간호평가원에서 제시한 핵심기본간호술 20개 문항에 대해 자가 보고식으로 작성하였다. 자료 분석은 SPSS 20.0 program으로 분석하였다. 연구결과에서 일반병동과 특수병동의 핵심기본간호술에 대한 중요성 인식은 일반병동이 특수병동 에 비해 피내주사(p=.011), 수혈요법(p=.028), 단순도뇨(p=.047), 배출관장(p=<.001), 수술 전· 후 간호(p=.035), 입원관리하기 (p=.027)와 비강 캐뉼라를 이용한 산소 요법(p=.002)이 유의하게 높았다. 일반병동과 특수병동의 핵심기본간호술에 대한 실제 수행 빈도는 일반병동이 특수병동에 비해 수혈요법(p=.002), 간헐적 위관영양(p=.032), 단순도뇨(p=<.001), 배출관장(p=<.001), 수술 전 간호(p=.001), 수술 후 간호(p=<.001), 입원관리하기(p=.001), 격리실 출입시 보호장구 착용(p=.021)과 비강캐뉼라를 이용한 산소요법(p=<.001)이 유의하게 높았다. 본 연구를 통해, 일반병동에서 중요하고, 실제로 특수병동보다 많이 수행하는 일반병동에서의 핵심기본간호술과 특수병동에서 중요하고, 일반병동에 비해 많이 수행하는 특수병동에서의 핵심기본간호술 을 분류할 수 있었다. 이는 핵심기본간호술 학습을 체계화할 수 있는 교과과정을 개발하는데 초석이 되리라 사료된다. This study was performed to compare the perceived importance and performance frequency of the core nursing skills between general and special department. Subjects were 182 nurses who work on the hospital. Data was collected using items made by Korean accreditation board of nursing education and analyzed by frequency, mean and t-test. There were differences of importance and frequencies about nursing core skill between general and special wards. Core nursing skills of general wards were higher importance on intradermal injection(p=.011), transfusion(p=.028), simple catheterization(p=.047), cleansing enema(p=<.001), preoperative and postoperative care(p=.035), management administration(p=.027) and oxygenation with cannular(p=.002) than special wards. Actual performance frequency core nursing skills of general wards were higher similar on transfusion(p=.002), intermittent tube feeding(p=.032), simple catheterization(p=<.001), cleansing enema(p=<.001), preoperative care(p=.001), postoperative care(p=<.001), management administration(p=.001), protection equipment for quarantine room and waste disposal(p=.021), oxygenation with cannular(p=<.001) than special wards. It is needed to develop efficient and sequential program to learning the nursing core skills for nursing students.

일개 지역 남녀 고등학생과 대학생의 신체질량지수에 따른 신체상

최은희(Choi, Eun-Hee),모문희(Mo, Moon-Hee) 한국산학기술학회 2013 한국산학기술학회논문지 Vol.14 No.3

일개 지역 남녀 고등학생과 대학생의 신체질량지수에 따른 신체상을 파악하기 위한 서술적 조사 연구로 D 광역시 소재 남녀 고등학생과 대학생을 대상으로 2010년 3월 22일부터 4월 1일까지 설문조사를 실시하여 600부를 본 연구에서 사용하였다. 자료 분석은 SPSS 20.0 program으로 분석하였다. 연구결과는 신체질량지수에 따라서 고등학생 과 대학생, 남녀 모두 신체상은 유의한 차이가 있었으며(F =15.86, p <.001), 신체상에서 남학생은 고등학생과 대학생 사이에 유의한 차가 없었으나 여학생은 대학생의 신체상이 고등학생에 비해 유의하게 낮았다. 이상의 결과로 볼 때, 비만인 대상자보다도 정상체중인 대상자의 신체상이 더 낮은 것을 고려한다면 고등학생과 대학생의 올바른 체중에 대한 인식변화가 필요함을 알 수 있으며 이를 위한 교육프로그램 개발이 요구된다. The purpose of this study was to survey body image according to BMI. The subjects were 600 students, data were collected by questionnaire surveys using convenience sampling and analyzed by the SPSS 20.0 program. Body mass index(BMI) and body image between high school and college students were significantly different. Although significant difference between two groups, BMI of high school and college students among women were not significant difference. BMI and body image according to gender were significantly different. Body image according to BMI between men and women were significantly different and expecially subjects of under weight had highest body image(F =15.86, p <.001). These results mean that body weight misunderstood by the early adulthood. It is needed to revise of perception on their own body weight in order to improve body image.

병원 교육전담간호사가 인지한 신규간호사 필수 간호술기와 실습 교육 개선방안

권소희(So-Hi Kwon),김수현(Su Hyun Kim),정선영(Sun Young Jung),모문희(Moon Hee Mo),전영미(Young Mi Chun),홍선연(Sun Yeun Hong),이우숙(Woo Sook Lee),박주영(Juyoung Park),박지현(Jihyun Park),이현주(Hyoun Ju Lee),손정태(Jung Tae Son) 한국데이터정보과학회 2021 한국데이터정보과학회지 Vol.32 No.2

본 연구는 병원 교육전담간호사가 신규간호사 교육 경험을 통해 인지한 필수 간호술기와 간호학 실습교육의 개선방안에 대해 포커스 그룹 인터뷰와 설문조사의 혼합연구방법을 이용하여 탐색하였다. 총 119개의 간호술기 중에서 교육전담간호사 전원이 매우 중요하다고 평가한 간호술기가 23개였다. 또한 교육전담간호사들은 신규간호사가 실무적응의 어려움을 보이는 원인을 무균술을 포함한 기본 원칙의 준수와 조작의 미숙, 대상자 상황 이해의 어려움, 낯선 상황에서의 미숙한 대처, 간호사로서 태도의 미흡으로 인식하고 있었다. 신규간호사의 임상실무역량을 높이기 위해서는 간호교육에서 간호전문직 의식을 고취시키기 위한 사고력 증진 교육 강화와 더불어 임상실무 역량을 향상시키기 위한 임상 실습의 교육 체계 개선과 프로그램 개발이 필요하다. 본 연구의 결과는 향후 임상의 요구와 대학의 현실을 반영하는 실습내용과 방법을 구성하는데 있어 유용한 기준으로 활용될 수 있을 것으로 기대 한다. This study explored the essential nursing skills recognized by 6 clincal nurse educators through new graduate nurse education experiences and ways to improve nursing practice education using a mixture of focus group interviews and surveys. Of the total 119 nursing skills, 23 skills were evaluated as very important by all participants. In addition, clincal nurse educators pointed out that new graduate nurses fail to comply with basic principles such as the aseptic technique and that the manipulation of medical devices is immature. Clincal nurse educators recognized that new graduate nurses did not understand the patient’s situation well, that they were immature in dealing with unfamiliar situations, and that their attitude as a professional nurse was inappropriate. In order to improve the practical adaptability of new graduate nurses, it is necessary to improve the education system and develop programs for clinical practice education. The findings are expected to be a useful criterion for building practical content and methods of nursing education curriculum.