응급실 환자가족의 스트레스에 관한 연구

지동옥,최경숙 중앙대학교 의과대학 의과학연구소 1994 中央醫大誌 Vol.19 No.3

This study designed to find stress level events related to the experience of emergency room patient's families and to offer nursing intervention in order to reduce the stress of patient's families. Questionnaires were distributed to 156 patient's families coming to emergency room of C university hospital from October 7 to 22 in 1992. Analysis of data was used CSS-PC, mean for stress level, the relationship between patient's families characteristics and stress were analyzed by using t-test, ANOVA, Pearson Correlation Coefficient. The result of this study were as follows : the level of stress factor were in sequence ; stress related physical state and disease(M=6.70, SD=0.81), stress related lack of information & supporting resources(M=3.26, SD=0.86), stress related process of nursing care and treatment(M=3.26, SD=0.90), stress related surrounding of hospital(M=3.11, SD=0.77). stress related medical team(M=3.07, SD=0.82), stress related family itself's problem(M=3.05, SD=0.95). The most serious components of stress were in sequence ; delay in the patient's problem(M=3.73, SD=1.18), no detailed explanation about the treatment and tests(M=3.59, SD=1.29), the patient's pain about tests and operation(M=3.59, SD=1.35), difficulty to meet doctor(M=3.56, SD=1.24), can not knowing the diagnosis(M=3.42, SD=1.40). In analyzing the relation between the general characteristics and the state stress, visiting times(t=5.142, P=0.025), the reason for being in hospital(F=3.66, P=0.027), and the examination process(F=4.30, P=0.014) showed a statistically significant difference. In conclusion the emergency room patient's family experiences a high level of state stress and perceives various stress components. Therefore it appears that considering the level of stress and the components of stress of family would be necessary for on improved efficient nursing intervention in order to prevent or reduce the stress of families.

브레이싱을 갖는 철골구조물의 비탄성 내진응답

이진옥,지동현 忠南大學校 産業技術硏究所 2002 산업기술연구논문집 Vol.17 No.2

Seismic inelastic analysis was carried out to braced and non-braced fifteen-story steel frame designed based on SC-WB concept. EI Centro ground motion was applied with peak ground acceleration 02.g. 0.3g and 0.4g. Step by step integration method was used to solve dynamic equilibrium. The result of dynamic inelastic analysis in the case of 04.g was compared with that of elastic analysis. By the comparison of the linear elastic analysis and inelastic analysis, relatively smaller displacement in the case of inelastic analysis than linear elastic analysis was found and the fact that the formation of the plastic hinge has the effects of stress dispersion make economical design possible at the strong earthqauke.

간호대학생의 전문간호이미지에 대한 인식 : Q-방법론 적용 Q-methodological approach

김복순,조정호,지동옥,현신숙,채정선,이소연,지희영,정은경,지성애 중앙대학교 의과대학 의과학연구소 1998 中央醫大誌 Vol.23 No.4

Applying Q-methodology, this research analyses the image style of the nurse college students to get the data for the nursing education about the nursing professional. The research was between 1998. 8. 13 and 1998. 10. 5 with 35 students of the C-nurse college second and third grade. We gather 148 Q-statement cards and use 39 items of them. Analysis of Q-type obtained by QUANL pc program. As the result of the research, there are three styles about the nursing professional image of the student. The first type is the value-complexed style : students have conflict about the nursing as a professional, and recognize the outside viewpoint and the influence of the environment factors about the nurse as negative and skeptical. The second type is the proud style : their image about the nurse and the nursing is very positive and they try to develop the professional knowledge continuously and think of the nature of the nursing as important. The third type is in search for the profession : their perception of the nursing as a profession is very high but they have a negative viewpoint about the nurse because of the lack of the professional pride and the endeavor of the self-development. As the result of the research, the styles of the image about the nursing as a profession is available for the reconstruction of the attitude for the professional nursing and data for nursing education. We suggest the below according to the result of this research : 1. The strategic research to make the image of the nursing as a profession better has to be continuous. 2. It is necessary to compare the nurse college student with the nurse about the difference of the image of the nursing as a profession.

간호사의 통증 인식에 관한 주관성 연구: Q-방법론 적용

은미자,최미혜,조은숙,김경희,정혜경,송미승,권혜진,지동옥,양갑필,박현옥 중앙대학교 의과대학 간호학과 간호과학연구소 1999 중앙간호논문집 Vol.3 No.2

The pain should be accessed the pain according to the expression of target patient, and it should be managed in a way to relieve and remove in full use of every method. The wrong belief about pain of medical people is the critical factor influencing improper pain management. Thus, for more effective pain management suitable to a patient it needs to explore the subjectivity of nurse, who solves the problems of patient closely. To investigate research questions, the research method adopted to perform a survey in this study. The subjects consisted of 40 nurses working in a hospital in affiliation with C University. The analysis method in this study adopted Q-methodology. Analysis showed that there was 4 types of the subjectivity about pain perception, and the results are as follows. The first is 'reception type' This type of nurse thinks that she administraters medication for a pain control for patients so far as it is not bad for their health. In brief, this type of nurse think that it is most important to take the pain midacation as needed and perscribe as soon as possible for pain reduction. The second is 'judgment type' This type of nurse seems to think that she cares for patients on the basis of a objective and rational basis, not a discomfort itself caused by the pain of patient. Also, these nurses seem calmn because they are very rational about the pain of patient. The third is 'consideration type'. This type of nurse has the most hospitalization experience compared to the other types. They think that the psychological and environmental influence on pain is important because of their own experiences. Accordingly, they have more empathy with the patient than the other types. The fourth is 'dissension type'. This type of nurse has more confidence in treating patients with acute pain rather than a chronically ill patient, but she deals with pain when chronic a patient feels pain in an acute sense. This uncertainty classifies them into the 'dissension type'.

Valsartan/Amlodipine 160/5mg Combination therapy versus Amlodipine 10mg in hypertensive patients with inadequate response to amlodipine 5mg monotherapy

박정의,성지동,정진옥,권성욱,원경헌,김병진,조병렬,김명곤,이삭,김학진,임성훈,박승우 대한심장학회 2016 Korean Circulation Journal Vol.46 No.2

Background and Objectives When monotherapy is inadequate for blood pressure control, the next step is either to continue monotherapy in increased doses or to add another antihypertensive agent. However, direct comparison of double-dose monotherapy versus combination therapy has rarely been done. The objective of this study is to compare 10 mg of amlodipine with an amlodipine/valsartan 5/160 mg combination in patients whose blood pressure control is inadequate with amlodipine 5 mg. Subjects and Methods This study was conducted as a multicenter, open-label, randomized controlled trial. Men and women aged 20-80 who were diagnosed as having hypertension, who had been on amlodipine 5 mg monotherapy for at least 4 weeks, and whose daytime mean systolic blood pressure (SBP) ≥135 mmHg or diastolic blood pressure (DBP) ≥85 mmHg on 24-hour ambulatory blood pressure monitoring (ABPM) were randomized to amlodipine (A) 10 mg or amlodipine/valsartan (AV) 5/160 mg group. Follow-up 24-hour ABPM was done at 8 weeks after randomization. Results Baseline clinical characteristics did not differ between the 2 groups. Ambulatory blood pressure reduction was significantly greater in the AV group compared with the A group (daytime mean SBP change: -14±11 vs. -9±9 mmHg, p<0.001, 24-hour mean SBP change: -13±10 vs. -8±8 mmHg, p<0.0001). Drug-related adverse events also did not differ significantly (A:AV, 6.5 vs. 4.5 %, p=0.56). Conclusion Amlodipine/valsartan 5/160 mg combination was more efficacious than amlodipine 10 mg in hypertensive patients in whom monotherapy of amlodipine 5 mg had failed.