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임시은(Yim, Si Eun),태영숙(Tae, Young Sook) 고신대학교 전인간호과학연구소 2013 전인간호과학학술지 Vol.6 No.-
Purpose: The purpose of this study was to identify actual condition of complementary and alternative therapies(CAT) use among the breast cancer patients. Method: The subjects were 195 in women with breast cancer inpatient and outpatient settings at 5 hospitals located in B city from 13th August to 17th November 2007. Data collection was conducted by using Kim Soon Hee(2003) s questionnaire. The collected data were analyzed using frequency, percentage, 2-test by SPSS 12.0 program. Results: Most of the subjects turned out to use CAT by 74.9% adopting the option. ‘immune system enhancement’ was mostly selected by 56.2% in reasons for use and ‘comfortable by 52.1% in postscript of its use. Dietetic and Nutritional therapy was most preferred by 42.5% of the surveyed, There were significant differences in using possibility of CAT according to monthly income levels( 2=10.272, p=0.016). duration for diagnosis ( 2=7.224, p=0.027), treatment method( 2=15.736, p=0.003), and pain ( 2=5.62,p=0.018). Conclusions: The breast cancer patients were highly utilizing in CAT. The efficient CAT application and education which is based on the actual condition of CAT that clarified above are needed.
전옥경(Jeon, Ok Kyung),임시은(Yim, Si Eun),정인숙,윤은영(Yun, Eun Young),김미현(Kim, Mi Hyun),박윤선(Park, Yun Sun),이수란(Lee, Su Ran) 대한종양간호학회 2010 Asian Oncology Nursing Vol.10 No.2
Purpose: This survey was aimed to examine the current dietary restrictions practices for neutropenic patients among hospitals with 500 and more beds. Methods: Self-administered questionnaires were sent to 100 head or charge nurses of oncology or hemato-oncology wards by mail during October 2009, and 51 questionnaires were returned. The data were analyzed with descriptive statistics using SPSS (win version 12.0). Results: Of the hospitals surveyed, 47.1% (n=24) had guidelines on the dietary restrictions, and 80.4% (n=41) placed patients with neutropenia on restricted diets. The major decisional criteria of the dietary restriction was absolute neutrophil count (30.5%) and cooking status (29.2%). The most commonly restricted foods were raw fish or fresh meat (98.0%), uncooked intestine (98.0%), raw eggs (98.0%), draught beer (96.1%), and fresh fruits or vegetables (86.3%). Conclusion: The results showed variation in pattern of dietary restrictions and lower rate of guideline among hospitals, so that the need for the standard dietary restriction guideline is high. However, the role of diet in the development of infection in neutropenic patients is still unclear, which makes it difficult to establish dietary restriction guideline. Therefore, additional research are required to identify the relationship between dietary factors and infections. 본 연구는 의료기관별 호중구감소환자를 위한 식이제한 실태를 파악하기 위해 실시되었다. 연구결과 대부분의 기관에서호중구감소환자식이를 적용하였으며, 조리되지 않은 식품에대해 낮은 허용률을 보였다. 그러나 식이제한적용 및 해제 시기, 식이제한/섭취 허용기준, 식품군별 제한여부 등에서 차이가 있었으며, 지침을 가지고 있는 경우도 반이하로 낮은 수준이었다. 식이제한지침이 다양하고 일관성이 없는 경우 환자나 간호사에게 혼돈이 될 수 있으며, 부적절한 식이제한으로 환자에게 부정적인 영향을 줄 수 있어 표준화된 식이제한지침에 대한개발요구는 높다. 그러나, 아직 식이제한과 감염발생과의 관계가 명확하지 않아 표준화된 식이제한지침개발에 어려움이 있음을 감안하여, 관련 연구가 좀 더 활발히 진행되어야 할 것이다