수술환자를 위한 웹 기반 근거중심 실무 가이드라인의 개발 및 평가

홍성정 ( Sung-jung Hong ),장재식 ( Jae-sik Chang ),전영훈 ( Young Hoon Jeon ),이은주 ( Eun Joo Lee ),김화선 ( Hwa Sun Kim ) 한국인터넷정보학회 2011 인터넷정보학회논문지 Vol.12 No.1

본 연구는 수술환자에게 적용할 수 있는 수술 후 통증, 수술 후 오심 구토, 체온관리에 대한 웹 근거중심 실무 가이드라인시스템을 개발하여 이를 적용하고 수술 환자의 수술 후 통증, 오심/구토, 체온관리에 대한 의료인의 지식정도와 환자의 만족도를 평가하기 위한 것이다. 수집된 자료는 SPSS/WIN 17.0 프로그램을 이용하여 평균, 표준편차, t-test, Repeated ANOVA로 분석하였다. 웹으로 구축한 근거중심 실무 가이드라인 적용 전과 후의 수술 후 통증, 수술 후 오심/구토, 수술환자 체온관리에 대한 지식정도와 환자 만족도에 유의미한 차이가 있었다. The purpose of this research is to evaluate patient`s satisfaction and clinician` knowledge level about pain, nausea, vomiting, and temperature management of patients after operation by develop an web-based evidence-based practice guideline about pain, nausea, vomiting, and temperature control after operation in order to apply the guideline operation patients. The collected data was analyzed through real number, average, standard deviation, t-test and repeated ANOVA by using SPSS/WIN 17.0 program. The study subjects showed a significant difference in the level of knowledge about pain, nausea/vomiting, and temperature control after operation and patient`s satisfaction, before and after applying the web-based evidence-based practice guideline.

자가 통증조절장치를 이용하는 수술환자의 통증관리 실태 및 통증관리 비용분석

홍성정(Hong, Sung-Jung),이은주(Lee, Eunjoo) 기본간호학회 2013 기본간호학회지 Vol.20 No.2

Purpose: The purposes of this study were to identify and compare various types of post operative pain management and the costs for pain management following 4 different types of surgery. Methods: Data were collected from 325 medical charts which were extracted from the billing databases of a tertiary hospital and analyzed using numbers, percentages, one way ANOVA, and Scheffe test. Results: For pain management, 10.5% of patients used PCA only, but the other patients combined other methods with PCA. The average length of PCA use was significantly different by operation. Almost one third (32.9%) of patients experienced at least one of side effects due to analgesics used for pain management, with highest incidence being for nausea and vomiting. For patients who underwent a total abdominal hysterectomy, 34.7% used PCA less than 2 days due to side effects of the analgesics and the ratio of analgesia cost to total hospital cost and total pharmacy cost were highest compared to other operations. Conclusion: The results of this study indicate a need to develop new strategies to more effectively manage postoperative pain to decrease incidences of side effects without increasing medical costs.

아로마 두경부마사지가 치매노인의 수면장애, 문제행동, 우울 및 혈중 세로토닌, 혈청 코티졸, 활력징후에 미치는 효과

홍성정(Sung Jung Hong),김은희(Eun Hee Kim) 위기관리 이론과 실천 2014 Crisisonomy Vol.10 No.9

본 연구는 노인요양병원에 입소해 있는 65세 이상의 치매노인을 대상으로 라벤더, 마조람, 로만 케모마일을 혼합한 천연오일을 이용한 아로마 두경부마사지를 적용하여 마사지 전ㆍ후에 따른 치매노인의 수면장애, 문제행동, 우울 및 혈중 세로토닌, 혈청 코티졸, 혈압, 맥박에 미치는 효과를 파악하기 위한 단일군 사전-사후 설계의 유사실험연구이다. 연구대상은 A시에 소재하는 노인요양병원에 입소해 있는 65세 이상의 치매노인 총 45명으로 자료수집기간은 2013년 5월부터 10월까지이었다. 연구대상자에게는 2일 간격의 총 6회의 아로마 두경부마사지를 적용하였다. 자료분석을 위해 SPSS/WIN 19.0 program을 이용하여 빈도와 백분율, 평균과 표준편차, paired t-test, 반복측정 분산분석으로 분석하였다. 연구결과 아로마 두경부마사지를 수행 후 수면장애, 문제행동, 우울정도가 통계적으로 유의하게 감소하였고, 3회 차에서 6회차까지 수축기혈압과 이완기혈압이 통계적으로 유의하게 감소되었으며, 혈액검사에서는 중추신경계 전달물질인 세로토닌은 유의하게 증가하였고, 스트레스 호르몬인 코티졸은 유의하게 감소되었다. 이상의 연구결과 아로마 두경부마사지는 경증 치매노인자의 수면장애, 문제행동장애 및 우울을 조절하는데 효과적인 간호중재이므로, 노인요양병원이나 복지관 등의 노인시설에서 충분히 활용할 수 있는 간호중재이라 본다. This study was to examine the effect of aroma head and neck massage on sleep disturbance, problematic behaviors, blood serotonin, blood cortisol, and the vital signs in elders with dementia. The research design was the one-group pre test-post test study. The participants were 45 persons about over 65 years elderly with dementia. It was been studied from May of 2013, to October of 2013. The research method is to do aroma neck massage total 6 sessions for 10-15 minutes. The collected data were analyzed the frequency, percentage, mean, standard deviation, paired t-test and repeated measures ANOVA using SPSS/WIN 19.0 program. There were significant decrease in sleep disturbance, problem behaviors, and depression. And there were significant differences in blood pressure, serotonin, and cortisol after providing aroma head and neck massage. The results provided that head and neck massage was an effective the sleep disturbance, problem behaviors and depression of elderly with dementia. Therefore, the aromatherapy and head and neck massage could be recommended as a nursing intervention for enhancing quality of life in older adults with dementia.

웹기반 체온 관리 근거중심 간호실무 가이드라인이 위절제술 환자의 체온, 전율, 체온 불편감, 체온 관리 만족도에 미치는 효과

홍성정(Hong, Sung-Jung),이은주(Lee, Eunjoo) 기본간호학회 2014 기본간호학회지 Vol.21 No.2

Purpose: The purpose of this study was to examine the effects on body temperature, shivering, and perceived thermal comfort of web-based evidence-based practice guideline for patients undergoing gastrectomy. Methods: Eighty patients scheduled for gastrectomy were recruited and assigned to the control or experimental group by sequential order. Before collecting data from the experimental group, a systematic educational program on evidence-based guidelines was provided to the nurses as well anesthesiologists. Data were analyzed using t-test and repeated measured ANOVA. Results: The experimental group showed higher body temperature from the induction of anesthesia until four hours after surgery compared to the control group. In addition, the levels of thermal comfort as well as satisfaction with thermal management were significantly higher in the experiment group. Conclusion: Use of evidence-based guidelines was effective in maintaining body temperature, lowering sensitivity to shivering, and promoting perceived thermal comfort. Therefore, adoption of evidence-based interventions in nursing practice is recommended.

저체온 관리 근거중심 가이드라인의 국내 타당성 검증

홍성정(Hong, Sung-Jung),이은주(Lee, Eun-Joo) 한국산학기술학회 2014 한국산학기술학회논문지 Vol.15 No.1

본 연구의 목적은 National Collaborating Centre for Nursing and Supportive Care (NCC-NSC)에서 개발한 수 술 환자의 체온 관리 근거중심 가이드라인의 국내 타당성을 검증하기 위한 것이다. 수술 환자 관리 경험 및 지식이 풍부한 의사와 간호사 총 180명으로 구성된 전문가 집단을 대상으로 가이드라인 각각의 권고사항에 대한 적절성과 적용가능성을 평가하였다. 수집한 자료는 SPSS/WIN 18.0을 이용하여 평균, 표준편차, paired t-test 이용하여 분석하였 다. 가이드라인의 적절성과 적용가능성은 9점 척도로 각각 평균 8.11점과 7.28점으로 높게 나타났으며, 대부분의 권고 사항의 적절성과 적용가능성도 평균 6-8점 이상으로 비교적 높게 평가되었다. 그러나 대부분의 가이드라인 권고사항 에서 적절성이 적용가능성 보다 유의하게 높게 나타나, 실제 임상환경에서 가이드라인의 권고사항을 직접 적용하는 데는 장애가 있는 것으로 나타났다. 따라서 가이드라인의 권고사항을 임상환경에 적용하는 데 장애가 되는 요인을 확 인하고 이를 적절히 해결하는 방안이 모색되어야 할 것이다. The purpose of this study was to evaluate the appropriateness and applicability of a evidence-based peri-operative hypothermia management guideline developed by NCC-NSC in Korea using expert group. The expert group was composed of 180 registered nurses in surgical units and recovery room, and physicians (surgeons and anesthesiologists) who had enough experiences and knowledgeable on the management of surgical patients. Validity of guidelines were evaluated in terms of appropriateness and applicability using 9 point scale. Most of the recommendations in the guideline received high score of above 6-8 point both in appropriateness and appropriateness. However, most of the recommendations were received significantly lower score in applicability than appropriateness. This research can be used as a step to develop more acceptable hypothermia management guideline for the patients undergoing abdominal surgery in Korean. In addition, further studies which identify the barriers that inhibit applicability of recommendations should be investigated.

간호중재분류 (NIC)에 근거한 부인과 간호단위의 간호중재 분석

홍성정 ( Sung Jung Hong ),이성희 ( Sung Hee Lee ),김화선 ( Hwa Sun Kim ) 여성건강간호학회 2011 여성건강간호학회지 Vol.17 No.3

Purpose: The purpose of this study was to identify nursing intervention performed by nurses on gynecological nursing units. Methods: The instrument in this study is based on the fifth edition of Nursing Interventions Classification (NIC) (2008). Data was collected by Electronic Medical record from August, 2010 to October, 2010 at one hospital and analyzed by using frequencies in the Microsoft Excel 2010 program. Results: Of a total of 82 NIC, domains of the nursing interventions showed higher percentages for physiological: basic (36.3%) and physiological: complex (34.5%). The classes of nursing interventions showed higher percentage for health system medication (12.1%), perioperative care (10.0%), and drug management (8.6%). The most frequently used top interventions were Discharge Planning. The thirty least used interventions was environmental management. Top thirty most frequently used interventions belonged to the domain of physiological: basic (37.9%), physiological: complex (31.1%), and behavioral (5.4%). Conclusion: These findings will help in the establishment of a standardized language for gynecological nursing units and enhance the quality of nursing care.

NIC과 연계된 산부인과 환자 간호중재에 대한 한국 건강보험 수가체계와 미국 ABC 코드체계와의 수가 비교 분석

홍성정(Hong, Sung-Jung),이은주(Lee, Eunjoo) 한국성인간호학회 2012 성인간호학회지 Vol.24 No.4

간호학생을 위한 웹 기반 간호과정 프로그램의 개발 및 만족도 평가

홍성정(Hong, Sung-Jung),김화선(Kim, Hwa Sun) 기본간호학회 2011 기본간호학회지 Vol.18 No.4

Purpose: This study was conducted to develop a comprehensive web-based nursing process program to assist nursing students and to evaluate the effects of the program. Methods: The system provides nursing students with guidelines based on NNN (NANDA, NOC, NIC) when the nursing students conduct a series of nursing procedures on diagnosis-outcome-intervention for a specific symptom. It also maintains and manages nursing processes actually conducted by students for clinical practices, and provides an environment where the patient information and nursing process can be converted into a formatted document for printing. This web-based program was used to surgical patients from April to June 2011. Results: The overall satisfaction rate was 3.64. The item with the highest score was, ‘Do you think a web-based nursing process program is necessary?’ (3.87), followed by ‘Do you want to use this program when you become a nurse and implement the nursing process?’ (3.33). Conclusion: These results indicate that implementation of web-based programs needs to be continued as an effective tool, but more research is needed on the best way to implement web-based programs in various clinical setting.

Effects of a Simulation-based Education focused on Stroke Patients on Confidence of Performance, Self-directed Learning Ability and Knowledge, and Learning Satisfaction in Nursing Student

Sung Jung Hong(홍성정) 한국산학기술학회 2014 한국산학기술학회 학술대회 Vol.2014 No.2

This study was conducted to examine the effects of simulation education integrated with problem based learning (SIM-PBL) on confidence of performance, self-directed learning ability and knowledge, and learning satisfaction in nursing care for cerebral hemorrhage. This study was a non-equivalent control group pre-post test design. The control group received the regular clinical practicum in geriatric hospital setting. For the experimental group, a SIM-PBL education replaced 240 minutes of their clinical practicum. The experimental group showed greater improvement in clinical competency and learning satisfaction compared with the control group. The SIM-PBL education is effective in improving some areas of clinical competence for nursing student. Therefore. It is necessary to develop SIM-PBL programs for clinical education and evaluate the effectiveness on the learning outcomes.

간호학생을 위한 가상현실 기반 분만생리 교육프로그램 개발

이성현(Sung-Hyun Lee),조효준(Hyo-Jun Cho),홍성정(Sung Jung Hong) 한국보건기초의학회 2022 한국보건기초의학회지 Vol.15 No.1

The purpose of this study is to develop and effect the Virtural Reality (VR) based delivery physiological education program for nursing students. The program was developed through analysis, design, development, implementation, and evaluation stages. The content included the overview of the anatomy about women’s reproductive organs, fetal skull, fetal postures, and step of delivery (from 1 stage to 4 stage). To evaluate the developed educational program, participants was attended 4 thnursing students (20 subjects) for 2 weeks. The average user satisfaction score was 4.16 out of 5 and the average expert rating was 4.58 out of 5. Based on the study results, the VR based delivery physiological education program for nursing students should be designed for convenience and usefulness as well as education. This delivery physiological education program for nursing students is expected to offer individualized training opportunities for improving maternal-child nursing knowledge functions, although further research is needed to investigate its effects in various settings