結核罹患 女學生들의 結核에 對한 知識, 態度 및 治療實態에 關한 調査硏究 : 서울市內 女子中·高等學生을 中心으로

文姬子 中央醫學社 1974 中央醫學 Vol.27 No.6

This study was carried out for 80 days from August 26 through November 13, 1974 by investigating knowledge, attitude and treatment status of tuberculosis as well as social and economic back-grounds of 117 pulmonary tuberculosis cases of girls' middle and high schools in Seoul City. The control group selected consisted of 117 healthy students and their social and economic backgrounds and knowledge about tuberculosis were investigated. The results obtained are summarized as follows: 1) In respect of the occupation of guardians, the number of those engaged in agriculture and fisheries was about 5 times larger in the case group than that of the control group and the number of those unemployed was also about 6 times larger in the case group than that of the control group. 2) The number of family members living together in the same room was 3.2 persons, on the average, in the case group and 3.0 persons in the control group. The rate of those living the solitary life was 6.0% in the case group and 16.2 in the control group, respectively. 3) 23.1% of the students responded that their family members were once contracted by tuberculosis in the past and suffer from it at present. 4) 3.4% of the case group and 7.7% of the control group responded that tuberculosis is a hereditary disease while 29.1,°% of the case group and 28.2% of the control group knew nothing about tuberculosis. 5) 38.5° of the case group and 33.3% of the control group responded that they know about BCG. The former showed a higher rate of 91.1% in the response of correct knowledge than 71.8% of the latter. 6) The majority of the students were found out as tuberculosis patients by the mass chest X-ray examination carried out in each school. 7) Most of the students (88.9%) diagnosed as T.B. patients showed the psychological reactions of flustration, doubt, despair and the will to get cured completely after the diagnosis. 8) 21.4% of the case group read books or publications concerning tuberculosis:-after being diagnosed as pulmonary tuberculosis 32% of them read encyclopedia. 9) 65% of the case group showed the confidence of perfect cure. 10) 21.3% of the case group responded that there has made no particular change in their living habit after being diagnosed as pulmonary tuberculosis and most of the rest responded that they try to keep themselves "moderate"(14. 5%), "feel languid and tired of study" (13.6%), "try to maintain regular life and personal hygiene (7.6%), and" unwilling to get together with friends≪ (6.8%). 11) About one-third of the respondents expressed that the regular application of remedies is the greatest bottleneck during medical treatment. 13.7% complained of large amount of dosage, 9.4% of indigestion and 8.5% were afraid of being known by others. 12) 30.8% of the case group showed irregular application of antituberculosis drugs for the reasons of "forget" (50%) "misunderstanding" (22.2%), "side effect" (13.9%) and "ineffective". 13) The majority of the case group were registered for medical treatment with the City School Health Center. 14) 30.7% of the T.B. students were those who used to take INH exclusively.

結核罹患學生들의 結核에 對한 知識 態度 및 動態에 관한 調査硏究 : 서울市內 男子 中·高等學校 學生을 中心으로

文姬子 서울大學校保健大學院 1972 公衆保健雜誌 Vol.9 No.2

Pulmonary tuberculosis has been one of the major health Problems in Korea. By the Policy of Ministry of Health, the school is responsible to take care of the Pulmonary tuberculosis students in middle and high schools. This study was conducted to find out knowledge, attitudes and practices of middle and highschool boys on pulmonary tuberculosis. Questionaires were used to collect the data in different period. The survey was done to the diagnosed 208 tuberculosis boys during the period of June 15-July 25, 1972 and November 1-8, 1972 for the healthy boys. The following conclusions were obtained as a results. 1. The survey shows that 14.9 percent of the Patient's guardian were engaging in labour and 3.4 percent in control group. 2. An average of 4.4 family members share with the patient at the same room in middle schools and 2.9 members in high school. It was 3.6 and 2.4 family members in healthy boy's group. 3. Sixty four percent of the healthy boys expressed that tuberculosis is a communicable disease and 21.6 percent of them considered it as a hereditary disease while 64.9 percent and 6.7 percent in diagnosed tuberculosis group. 4. Fifty two percent of the diagnosed tuberculosis cases answered they know on BCG and 63.9 percent of them were correct possession of scientific knowledge on BCG. It was 44.7 percent and 37.6 percent in healthy group. 5. Seventy one percent of the tuberculosis cases were detected as a supected tuberculosis by mass X-ray indirect method in school for the first time. Sixteen percent of the cases were diagnosed as a tuberculosis when they visited a physician. 6. Sixteen two percent of the tuberculosis cases in middle school boys and 26.2 percent of that high school boys read books on tuberculosis after they were diagnosed as a tuberculosis. 7. Thirty two percent of the tuberculosis cases had experienced fatigue and 17.5 percent of them had no symptoms at all before they were diagnosed as a tuberculosis. 8. After diagnosed as a tuberculosis, 29.9 percent of the boys experienced "plightened" as a initial reaction. 9. Seventy percent of the diagnosed tuberculosis patients belived that thay can be cured. 10. Sixty five percent of the middle school and 87.2 percent of the highschool patient had recieved a periodic X-ray check-up since they had registered for treatment (Cases of less than six months were excluded). 11. Fifty seven percent of the unchecked cases for a periodic X-ray examination expressed the reason for nochecking as "indifference to X-ray check-up" and 38.1 percent answered that they did not considered it was necessary for treatment. 12. Seventy four percent of middle school and 55.3 percent of highschool patients had not taken their Anti-tuberculosis drugs and injections regularly. 13. Ninety percent of the patients were registered at the School Health Center for treatments. 14. Eighty three percent of the patients who could not keep regularity of medication answered the primary reason of that as "because they forget to take drugs". 15. behavioral changes of the pateints after diagnosis were as follow; reduce physical exercise: 18.3% extend sleeping hours: 12.5%

효과적인 조직기능에 영향을 미치는 인격요인-III. 동기유발 및 직업적 만족-

문희자,Moon H J 대한간호협회 1981 대한간호 Vol.20 No.2

간호표준

문희자 대한간호협회 1987 대한간호 Vol.26 No.3

효과적인 임상교육을 위한 교육자의 자질

문희자 간호사 1979 월간 看護 Vol.1979 No.12

나다움을 찾게 해준 후배

문희자 샘터사 1996 월간 샘터 Vol.27 No.2

일부지역 위안부들의 성병에 관한 지식 및 태도에 관한 조사연구

문희자,조미영,Moon Heui Ja,Cho mee young 대한간호협회 1976 대한간호 Vol.15 No.3

From 13th of sept to 15th of Nov. in 1975 A Survey was Conducted to know the degree of knowledge and the attitudes for the V.D. and the situations of present life o 102 prostitutes registered to the V.D. Clinic Center Paju-gun. Kyung ki province, the conc

낮아지고 또 낮아져서

문희자 샘터사 1990 월간 샘터 Vol.21 No.10

韓國 看護大學 敎育課程에 對한 硏究

文姬子,金潤喜,趙潔子,趙美映,姜賢淑 慶熙大學校 1982 論文集 Vol.11 No.-

The changes of social issues and nursing concepts require the expansion of nursing needs and nursing role, therefore it is keenly demanded the necessity of the research for new curriculum development in nursing. So to make a contribution to the development of nursing education in Korea, we made a comparative study of nursing curriculum of each universities which have baccalaureate program and put them into operation at present; they are 10 Korean universities, 5 American universities and 4 Japanese Universities. Thus by researching the differences among them. We acquired the conclusions as followings. The purpose of Nursing education In case of Korean parts, the contents of those aims must be explained more clearly and more in detail than another results of research. There also has to be made the statements upon the scientific researching methodology in scholarly respect, or the self-development in individual respect, or the lasting endeavour for studies in professional respect. We must put an emphasis upon the statement and education of the direct nursing provider, or the primary health care manager at hospital and community, who is one of the important aims of modern nursing education. The substance of nursing curriculum. 1) Total credits for completion and the comparison of curriculums, classified by the field. The scope of total credits of each nation, according to Colleges ranges; Korea: 140-163, U.S.A.: 121-187, Japan: 13-158 Compared with those of U.S.A. and Japan, the average credits of Korea is higher. Classified by the field, the credits alloted to major courses are 73.3% and liberal courses, only 26%, which shows that it does not satisfy the current educational trend that emphasizes the liberal course. 2) The comparison of curriculums, classified by a school year. In case of Korea, the total credits are evenly assigned to all grades, but the freshman taken the concentration of liberal courses (81.2%). Among the major courses are preponderant the Nursing Supportive subjects in the sophomore and the nursing major ones in the junior and senior. 3) Curriculums classified by the subject. (1) As compared with those of Japan and U.S.A. Korean students are less free in chosing subjects their own way all over the curriculums. It is, therefore, required that the range of the optionals be widened for the open and flexible education. (2) We can find all of three nations (Korea, Japan, U.S.A.) neglect the sphere of the behavioral sciences among the fundamental nursing subjects. In the field of social sciences, among Korea, Japan, and U.S.A., top ranks Japan that tends of the interested in social well-being. In Korea only two universities have this subjects. (3) Nursing major subjects. Defficulties in comparing them lie in the gulfs of the title of subjects, and the structural differences of the formation of curriculums among nations. In case of Korea, although there are a few differences of the number of credit of subjects among colleges, she has uniform aspects for U.S.A., which says that there are no characteristics and self-control each colleges has in Korea. We can notice that the subjects each Korean university shares are also doubled with those of the national examination for nursing qualification. Japan differs from Korea in that subjects are more differentiated and students are provided with more chances to make a choice through the system of subjects and the texture of a curriculum are similar to those of Korea. In case of Korea, therefore, the unification of fundamental subjects (especially in the medical field) and clinical practices is required. (4) The course for teaching profession is taken as either the required or optional just in Korea (80%) and Japan (75%). The number of subjects and total credits of teaching courses is different according to the colleges of Korea and Japan. As for the contents of subjects Korea deals with theory and Japan, the practical thing with which students can adjust themselves to the spot of society. As a result of that, in case of Korea, demanded are the entire review and research upon the purpose of establishing a curriculum, its relation to the total credits and the choice of substance of subjects etc. 4) The patterns of organization in curriculum development. Most of the patterns of organization, classified by clinic subject pivot upon disease and subjests are not mutually unified in case of Korea and Japan. Though the patterns of organization of subjects if formally unified, that of curriculums is not substantially or wholy synthesized, while in case of U.S.A. the unification of the patterns of organization entire curriculum as well as the mutual unification of subjects is attained and each college runs a characteristic curriculum, since the application of nursing theory and the model of a curriculum are different according to college. The prevention of disease, the promoting health and the disease system is patterned, centering around the healthy and their families. Therefore, in case of Korea, it is urgent to unify the curriculum of nursing education for the efficiency of the future oriented nursing education, and it is also imminent to develop the new pattern of a nursing curriculum suited for our own social demand and situation. And we need the continuous studies and search for the method of application in order to development the new curriculum. The comparison of a curriculum with the purpose of nursing education. The substances of subjects are not consistently in accord with the aims of nursing education each college states in Korea, Japan and U.S.A. Especially in case of Korea, the most statements upon the purpose of education are in the social dimension, but the most subjects have the academic dimension. In Korea it is stringent to examine and study the choice of the contents of education in terms of learning, profession, individual and society.

양호교사의 역할수행에 관한 조사연구

문희자,박신애,강현숙,고정은 慶熙大學校 1985 論文集 Vol.14 No.-

It is the ultimate purpose of school health management to protect, maintain, and prormote the students' health and to help for them to form a wholesome habit of health. To do this, school nurse is an actual professional personnel of school health management in our country. therefore, role performance of a school nurse is directly related to the quality of school health planning, we think. With this belief, this study intends to revise, supplement Rustia model for school health promotion and develop in into a suitable model for our actual situation. In so doing, based on Rustia model, we had surveyed the actual situation of a school nurse's role performance by making 77 school nurses in Boys' and Girls' Middle and High Schools in Seoul as the scope of this research for a period of two months beginning on September 1, 1984. The results were analyzed by employing percentage and mean value. The results of the investigation are as follows: 1. General Characteristics of the school nurses and schools. (1) The average age of the surveyed school nurses is 31.64± 6.6 years old. 81.6% of them was proved to have acquired academic background above Colleges and Graduate Schools; 74% were married; 61% were religious persons. And the average on-duty term was 6.42±5.03 years. 66.2% of them employed in the hospitals before this present job and 31.2% have worked at school as school nurses immediately after their graduation. In college, most of them (81.8%) went through a course of study for the teaching profession and only 9.1% of the taught other courses of study. (2) The majority of the surveyed schools (51.9%) were public schools and 62.3% of them were middle Schools. The average number of students in the school was 2628.52;that of school pesonnel was 66.17±9.7;that of classes was 39.68±12.0. 2. Role performance for primary prevention. (1) Among the serveyed schools, 83.1% of them performed epidemiological analysis of health problem for the promotion of health. As for health planning among health management plan, all of them put it in force, however, only 35% of them participated in preparation of the budget to achieve it. As to the evaluation program, 64.9% of them carry out it into operation and in case of being carried out once in a year marked the most frequency of enforcement as 32.4%. On guidance and support related to health planning, 42.9% of them held a staff meeting; of which 53.2% were school nurse-teacher meeting; 28.6%, school nurse-parent meeting. (2) To protect the students and school personnel from danger and injury, 67.5% of them participated in alleviating health problems-that is, the maintenance of health standard and safety within school, and inserting the means of settling those problems into curriculum and management of school events. Especially, only 14.3% administered school lighting and 35.1% observed safety standards of desks and chairs in class. Consequently, the result of this survey revealed that there is much to be desired in the administration for the maintenance of health standard and safety. As for pervention of infectious disease, the following were implemented; a) disinfection of toilets (92.2%); b) control of drinking water (75.5%); c) purification of sewage and garbage incineration (74%). What is pecular is that 71.4% of them have controlled vaccination but enforcement rate shows lack of enthusiasm when viewed from the kinds of vaccination: Typhoid fever (51.9%), cholera (41.6%) hepatitis (9.0%), encephalitis (23.4%) and that one or two sorts of vaccination were treated. As for the technical improvement of personnels who handled health problems, all of them put it in practice, and for prevention program and use of health resources, 87.5% participated in it. 3. Role performance for secondary prevention (1) 92.2% of them carried out screening tests of a physical assessment for an early detect on health problem and 24.7% did a screening tests which made a part of students its object after the first screening tests. A selection and check-up of measurement tool during a developmental evaluation was taken effect by 98.7% and a preliminary education on the persons who administered that examination and determine to select a place for it by 100%. Of discrimination and screening tests, various kinds of examination for finding disease was detected effectively by 98.7% and of this operation nothing could be come into force more than a check-up of parasites and urine with 97.4%. As to the methods explaning danger of health and safety, the case to be offered school personnels information in a staff meeting marked 96.1% and the one to offer students information in the case of generating such danger as infectious diseases was 100% (2) Control of health problem to be required regular treatment for taking a proper measure on that problem at an earlier time was carried into effect by 93.5%. 98.7% of them imposed a role of communication and intervention of offering and observation method for finding health problem and encourging this method to teacher in charge. All of them executed emergency care, School-nurses helped 33 persons a day on the average, and 89.6% of them did for students to get through a serious crisis. (3) In order to prevent complication and an disable, 83.1% of them carried out a continuous follow-up care of the students who were discharged from the hospitals. 4. Role performance for tertiary prevention (1) In order to care and treat the students who needed their rehabilitation and adaptation for activities of daily living, 89.6% of them performed reeducation after reevaluate their health status, 94.8% performed a role on motivation, 85.7% put in effect a continuous control of the students who needed rehabilitation and correction, and 15.6% did counselling for taking a measure to meet the situation of the disabled. 5. Role performance for health education. Unifying health education from the view points of the first, secondary and tertiary prevention against diseases, we surveyed the content, method, objectives of health education which is now in effect and should be emphasized in the future. Upon this study, we came to conclude as the following; as to the content of health education which is now is effect, prevention of infectious diseases has an absolute majority of all contents as 98.7%, and prevention against parasites, personal hygiene and oral hygiene second place. as 97.4% But education on prevention of venereal diseases shows inactiveness as 42.9%. On the contents to be emphasized, mental health (42.9%), sex education (40.3%) were enumerated but nobody stated about prevention of infectious diseases. As a method practising health education, all of them used that of counselling, and as an indirect education utilizing media, it comes printed matters (96.1%), poster (83.1%), interclass broadcasting casting (75.35) in that order. And the case of regular class on health education marked 23.4%, of the object of health education, 98.7% made students its object; 87.0% school personnels; 51.9% parents of students.