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임상간호사의 간호근무환경, 공감피로 및 공감만족이 소진에 미치는 영향
한미영(Mi Young Han),이민숙(Lee Min Sook),배주영(Ju Young Bae),김영숙(Young Suk Kim) 한국간호행정학회 2015 간호행정학회지 Vol.21 No.2
The purposes of this study was to identify the effects of nursing practice environment, compassion fatigue and compassion satisfaction on burnout in clinical nurses. Methods: Participants selected for the final analysis were 208 nurses working in 2 general hospitals in Busan and Masan. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation and Hierarchial Multiple Regression with SPSS/WIN 18.0. Results: Compassion fatigue had a significant positive effect on burnout, while Compassion satisfaction had a negative effect on burnout, but Nursing practice environment had no effect on burnout. The explained variance for burnout was 61% and compassion satisfaction was the most significant factor in burnout of nurses. Conclusion: The results of this study indicate that to reduce burnout in clinical nurses it is necessary to develop programs to increase nurses` compassion satisfaction and decrease compassion fatigue.
알지네이트가 가교된 소장점막하조직 스폰지의 생체적합성 평가
송인범 ( In Bum Song ),이민숙 ( Min Suk Lee ),김문석 ( Moon Suk Kim ),강길선 ( Gil Son Khang ),이해방 ( Hai Bang Lee ) 한국조직공학과 재생의학회 2006 조직공학과 재생의학 Vol.3 No.3
Porcine small intestine submucosa(SIS), mainly composed of collagen and glycosaminoglycan, has been widely used as a material for organ and tissue reconstruction without immuno-rejection responses. Chemicallycrosslinked SIS sponges were prepared and characterized for bio-interactive wound dressings and tissue engineered scaffolds. SIS powder were reacted in aqueous solution of 3% acetic acid and 0.1% pepsin for 48 hrs and the prepared SIS solution was poured into mold and fabricated by freeze-drying method. The crosslinking reaction was performed using 1-ethyl-(3-3-dimethyl aminopropyl) carbodiimide hydrochloride(EDC) solution(distilled water(D.W.) : ethanol = 5 : 95) of 50, 100 and 200 mM concentration for 24 hrs. Then 1 wt% alginate solution was pass through the SIS sponge and lyophilzed. 102 mM calcium chloride(CaCl2) was used as crosslinking agent. The prepared sponges were characterized by scanning electron microscopy(SEM). The biocompatibility of NIH/3T3 fibroblast with these SIS sponges was found to be acceptable at a cell density of 2×104 cell/cm2. We investigated biodegradation of SIS sponge, MTT assay and H&E stain. From the MTT assay results, the biocompatibility of the crosslinked SIS sponge with NIH/3T3 fibroblast was confirmed. It was confirmed that SIS consists of organic components like tissue and showed inter-connective pores for adhesion and growth of cell. As a result of this study, we suggest that crosslinked alginate-SIS sponges fulfil many critical elements desirable in the application of wound dressing and tissue regeneration material.
자가혈당측정 기반의 개별 맞춤형 프로그램이 당뇨병 및 당뇨병 전단계 환자의 건강행태와 당화혈색소에 미치는 영향
김윤경(Yoon-kyung Kim),김보라(Bo-Ra Kim),유은숙(Eun-Suk Yoo),윤서영(Seo-Yeong Yun),정미정(Mi-Jeong Jeong),최지혜(Ji-Hye Choi),최재순(Jae-Soon Choi),성현진(Hyun-Jin Sung),강영숙(Young-Suk Kang),이민숙(Min-Sook Lee),황태윤(Tae-Yoon Hwa 한국농촌의학 지역보건학회 2022 농촌의학·지역보건 Vol.47 No.2
본 연구는 2021년 1월에서 10월까지 경주고당센터에서 당뇨병 환자 57명과 당뇨병 전단계 환자 14명을 대상으로 실시한 자가혈당측정 기반의 개별 맞춤형 프로그램의 효과를 확인하기 위하여 수행되었다. 자가혈당측정 기반의 개별 맞춤형 프로그램은 12주 동안 2주 간격으로 7차 교육이 실시되도록 구성되었으며 1차와 7차 교육을 제외한 대부분의 교육은 전화로 진행되었다. 교육내용은 자가혈당측정 및 활용, 올바른 약물복용법, 저혈당 예방과 대처법, 합병증예방과 관리, 당뇨식사관리, 식사일지작성, 식사유형분석 등을 포함하고, 교육시간은 대상자마다 상이하여 20분에서 1시간까지 소요되었다. 프로그램 동안 대상자들은 자가혈당 측정치를 ‘송아리당뇨’ 앱에 기록하였고 담당간호사와 영양사는 기록된 혈당치를 근거로 개별 맞춤형 혈당관리방법을 교육하였다. 교육의 효과를 판정하기 위해 사전, 사후 설문평가 및 당화혈색소 검사가 실시되었다. 당뇨병 지식(20점 만점)은 14.77점에서 15.41점으로, 건강행태(40점 만점)는 25.50점에서 28.40점으로, 자가혈당 측정경험(6점 만점)은 2.70점에서 4.81점으로 증가하였고 모두 통계적으로 유의하였다. 당화혈색소는 1차 평가(n=67명)에서는 7.38%에서 6.73%로, 2차 평가(n=53명)에서는 7.27%에서 6.67%로 감소하였고, 체질량지수도 24.47kg/㎡에서 24.01kg/㎡로 감소하여 모두 통계적으로 유의하였다. 사후 당화혈색소는 혈당측정치 활용도(r=-0.415) 및 사후 건강행태(r=-0.313)와 음의 상관관계가 있었고, 혈당측정치 활용도는 사후 건강행태(r=0.581) 및 사후 당뇨병 지식(r=0.493)과 양의 상관관계가 있었다. 결과적으로 본 프로그램은 당뇨병 환자와 당뇨병 전단계 환자의 혈당관리에 효과적이며, 사후 당화혈색소는 혈당측정치 활용도와 관련성이 있으며 혈당측정치 활용도는 사후 건강행태와 관련성이 있었다. 이러한 연구결과로 볼 때, 자가혈당측정 기반의 개별 맞춤형 프로그램은 대상자들의 혈당관리에 효과적으로 기여한 것으로 사료된다. Objective: This study was to evaluate the effectiveness of an individually tailored program based on self-measurement of blood glucose on health behavior and HbA1c in diabetes and pre-diabetes patients. Methods: The program consisted of seven sessions for 12 weeks which were carried out every two weeks. Almost all sessions were progressed on untact method except for the first and last session. The 71 subjects were assessed for their knowledge of diabetes, health behavior, the experience of self-measurement of blood glucose, body mass Index (BMI) and hemoglobin A1c (HbA1c) at before and after the program. They were also evaluated on their degree of utilization of blood glucose measurements after the program. Results: Each mean score on their knowledge of diabetes, health behavior and the experience of self-measurement of blood glucose was significantly increased from 14.77, 25.50, and 2.70 to 15.41, 28.40, and 4.81, respectively. Each mean score on both BMI and HbA1c (n=53) was significantly decreased from 24.47kg/㎡ and 7.27% to 24.01kg/㎡ and 6.67%, respectively. The post-HbA1c had a significant negative correlation(r=-0.415) with the degree of utilization of blood glucose measurements. The degree of utilization of blood glucose measurements had a significant positive correlation(r=0.581) with post-health behavior. Conclusions: The program shows effectiveness in improving HbA1c in Type 2 diabetes and pre-diabetes patients. The post-HbA1c might be related to the degree of utilization of blood glucose measurements which might be related to the health behavior.