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      • 병원감염관리 프로그램의 모형에 관한 연구

        윤혜상 中央醫學社 1990 中央醫學 Vol.55 No.12

        The main purpose of this study was to develop the conceptual model of a hospital infection control program and to prevent a nosocomial infection. Nurses and doctors who had participated in an education program for infection control or were responsible for hospital infection control were selected as data informers. The data were collected from 51 subjects by employing a Delphi technique in a series of two rounds from september 1, 1987, to January 31, 1988. In each round the responses to questionaries were analyzed and the results were communicated back to the individuals. Finally the conceptual model of hospital infection control program for Korea was made on the basis of 10 elements. 10 elements are as follows: 1. Hospital administrator's knowledge of importance and necessity for HIC(hospital infection control) 2. Supporting HIC administratively. 3. Constituting infection control committee and role of ICC. 4. Developing an eductional program and providing a work manual for the hospital infection control staff. 5. Educating and informing medical staff about hospital infection. 6. Surveillance for hospital infection. 7. Developing patient care technique. 8. Controlling the hospital environment. 9. Executing regular health examinations of all medical staff. 10. Recruting the medical staff sufficiently The conceptual model of hospital infection control program is as follow:

      • SCOPUSKCI등재

        여성 요실금의 중재 효과를 평가하는 제 반응 변수들간의 관계

        윤혜상 성인간호학회 1998 성인간호학회지 Vol.10 No.1

        This study was designed to investigate the relationship among variables to assess the effect of bladder training and pelvic muscle excercise on female urinary incontinence. A total of 50 women, recruited from Incheon ares through a newsletter advertisement, were assigned to 3 groups : 13 to the control group, 19 to the bladder training group and 18 to the Kegel(pelvic muscle) excercise group. Treatment protocol lasted for 8 weeks, and study measurements were taken at the beginning, 5 week and 9 week of treatment. Peak pressure, average pressure and duration time of pelvic muscle contraction were evaluated by a perineometer : urinary incontinence scores by the urinary incontinence scale ; amount of leaked urine and ratio(the amount leaked urine/single urinary volume after a pad test) by a 30-minutes pad test : frequency of micturition, nocturia and single urinary volume through a urinary diary. Measurements of baseline, 5 week and 9 week were analyzed using Pearson's correlation. In conclusion the important variables to assess the effect of bladder training and pelvic muscle exercise for 4 weeks are peak pressure, average pressure, duration, leaked urine amount, ratio, frequency of micturition and single urine amount, ratio, frequency of micturition and single urinary volume. The important variables to assess the effect of bladder training and pelvic muscle exercise for 8 weeks are duration, leaked urine amount, ratio, frequency of micturition, frequency of nocturia and single urinary volume.

      • SCOPUSKCI등재

        수술장내의 통행량과 수술소요시간에 따른 낙하균수

        윤혜상 성인간호학회 1994 성인간호학회지 Vol.6 No.2

        Postoperative wound infection is very important in operating room nursing care and is found to be related with airborne microbes during operation. The purpose of this study were to identify the level of air contamination and examine the relationship among personnel traffic, opening & closing door operating, time and airborne microbes. Subjects of this study were 31 operations performed at 2 operative the atre of 2 hospitals. Data collection was obtained by researcher and operating room nurses trained by researcher specially for this study from September 28th, to October 5th, 1992, from February 5th, to February 11th,1993. While an operation was been performing, numbers of personnel traffic, opening & closing the door and operative time were counted, and airborne microbes were gathered. After then, airborne microbes were cultured and counted according to Robert Koch's method for quantative sampling. In the analysis of this study, Pearson correlation was used to examine the relationship among personnel traffic, opening & closing door, operation time ad airborne microbes. ANOVA test was used to compare the differences in airborne microbes among reception area. corridor, on-operating room and vacant operating room at Operating Th'e atre. The results of this study can be summarized as follows. 1) Correlation between the personnel traffic and airborne mocrobes was supported significantly (r=0.6798,P<0.001). 2) Correlation between the opening & closing and airborne microbes was supported significantly(r=0.7344,P<0.001). 3) Correlation between operation time and airborne microbes was supported significantly(r=0.6492,P<0.001). 4) There were 23.2 colonies per 15 min at reception area, 9.1 colonies : on-operating room, 6.1 colonies; corridor, 2.8 colonies ; vacant operating room. 5) Comparison of 4 places at operative the atre showed the significant differences in the airborne microbes(F=89.2578, P=.0000).

      • KCI등재

        노인간호실습이 간호학생의 노인에 대한 태도에 미치는 영향

        윤혜상,한미경 노인간호학회 1999 노인간호학회지 Vol.1 No.2

        The primary purpose of this study was to evaluate the impact of the students' geriatric clinical nursing practice in a nursing home on their attitudes of nursing students toward the elderly. Data were collected from 225 volunteers in a junior nursing program over a one month period from November I to November 30, 1998. One group was tested after completing a geriatric nursing course and geriatric nursing practice; and the other group was tested after completing only a geriatric nursing course. A multiple-act behavioral attitude instrument was developed and used in the study. The instrument measured the students' reactions to 11 opinion statements, rated on a four-point scale, ranging from "strongly agree" to "strongly disagree". A t-test was used to determine the differences between the of the two groups attitudes of the two groups. There was no difference in the attitudes of nursing students toward the elderly between the group of nursing students who had a geriatric nursing course and clinical nursing practice and the nursing students who had a geriatric nursing course only. After the nursing students had geriatric nursing practice, they talked more with the elderly (χ²=7.708, p=0.052), demonstrated better manners with the elderly(χ²=12.700, p=0.004), and thought that the elderly were more lonely(χ²=8.294, p=0.081).

      • SSCISCIESCOPUSKCI등재

        수술에 사용하는 생리식염수의 오염수준 변화

        윤혜상 한국간호과학회 1995 Journal of Korean Academy of Nursing Vol.37 No.2

        Post-operative wound infections have been the serious problems in nursing care in the operating room and appear to be strongly related to the infection occurring during the operation. The purpose of this study is to identify the level of contamination in saline used in the operation and also examine the correlation between the contaminated saline and the length of the operation, and unclean atmospheric factor. Subjects for this study include 13 cases of operation performed at the operative theatre of a hospital in Seoul area. Test samples and related data were collected from this medical facility between Oct. 6 through Dec. 10, 1994 by the author and anurse who worked in the operating room. For the study, multiple batches of saline sample were collected at the various time intervals duringthe operation and filtered through the membrane filters. Viable microorganisms retained on the filters were cultured on the appropriate culture media and the levels of existing cells in saline were enumerated according to Koch's method. In the analyses of the data, Pearson's correlation coefficient was obtained for the examination of relationship between the length of operation and numbers of microorganisms existing in saline and for the comparison of the differences in numbers if microrganisms in saline sample collected at the various operative stages, e. g. pre-incision, excision and skin suturing stages, ANOVA and Scheff Tests were performed. The results of this study are summarized as follows. 1) The lenth of the operation and numbers of microorganisms in the saline used in the operation appeared to be significantly correlated (r=0.5467, P<0,001). 2) In case of saline exposed to air, but not used in the operation, the length of exposure to the air and the numbers of microorganisms present in saline also showed an apparent correlation(r=0.5087, P<0. 001). 3) The frequencies of occurrence of microorganisms in saline used in the operation and in saline exposed only to the air in the given time showed significant differences(t=3.73, p=.0000). 4) In case of saline used in the operation, there is significant differences in its numbers of contained microorganisms between the operative stages ; pre-incision, excision, and skin suture (F=17.7500, p=.0000). 5) In case of saline exposed only to the air in the given time, there is significant differences in its numbers of contained microorganisms between the operative stages . pre-incision, excision, and skin suture(F=6.3807, p=.00031).

      • KCI등재
      • SSCISCIESCOPUSKCI등재

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