가정형 인공호흡기 사용 중인 재가 근위축성 측삭증후군 환자의 가정간호기반 호흡관리 프로그램이 미충족의료와 의료자원이용에 미치는 효과

황문숙,박진희 대한산업경영학회 2019 산업융합연구 Vol.17 No.4

The purpose of this study was to identify the effect of Home Health Nursing based Respiratory Management Program (HHNbRMP) on unmet healthcare need and healthcare resource utilizations of patients applying the home mechanical ventilator in the home with amyotrophic lateral sclerosis. The subjects of this study were 40 patients placed in an experimental group(n=19) and a control group(n=21), respectively. This HHNbRMP based on Cox’s interaction model was consisted of cognitive assent (education, specialized medical care, case management), internal motivation (airway clearance, thoracic and air accumulated exercise) and psychological response (meditation & active listening). The intervention was applied to experimental group during 12 weeks. As variables was measured at baseline, twelve, twenty-four weeks and healthcare unmet need, resource utilizations (admission, out patient department, emergency room) was measured at 24 weeks. The data were analyzed by t-test, ANOVA and Repeated Measures ANCOVA. This intervention was not effective the unmet healthcare need. But the admission in to the hospital among the healthcare resource utilizations variables showed a significant difference at twenty-four weeks(t=4.17, p=.049). This results suggest that applying this program tailored to patients condition, utility of medical resource would be decreased, specially admission. 본 연구는 가정간호기반 호흡관리프로그램이 근위축성 측상경화증으로 가정에서 인공호흡기를 적용하고 있는 환자에게 미충족의료와 의료자원이용에 효과가 있는지를 확인하는 연구이다. 연구대상자는 실험군 19명, 대조군 21명으로 40명이다. Cox의 상호작용모델에 기반을 둔 가정간호기반 호흡관리프로그램은 인지적 동기로 교육, 전문간호, 사례관리, 내적 동기로 기도청결, 흉곽운동, 공기누적운동, 심리적 반응으로 명상과 적극적 경청이다. 이를 실험군은 12주 동안 제공하였고, 대조군은 통상적인 가정간호를 제공하였다. 중재관련 변수는 사전, 사후 12주, 24주에 측정하였고, 의료자원이용은 24주에 측정하였다. 연구결과 호흡관리프로그램은 미충족의료정도에는 차이가 없었으나, 의료자원이용정도 중 입원횟수 감소에는 효과가 있었다. 이에 근위축성 측상경화증 환자 호흡관리프로그램은 호흡문제로 인한 의료기관 이용횟수를 감소시켜 환자의 호흡기능 향상에 기여할 수 있을 것이다.

1930년대 한국 현대무용의 태동에 관한 고찰

황문숙 龍仁大學校 1997 용인대학교 논문집 Vol.13 No.-

This study was attempted with an intention of seeking to recognize the importance of activities of an individual dance so as to reilluminate the life of artist Choi, Seung-hee, Cho, Taek-Won. The Korea's New Dance can defined as the dance which was creatively farmed on the basis of the traditional Korean dance Keeping abreast with current affairs the pattern of the stage. The 1930-1940 was the growing time of the Korea's New Dance was performed done 石井 漠 Japanese, from March 21 to 23, 1926 at the kyoung-sung public hall. This performance encouraged Choi, Seung-hee, Cho, Taek-Won to join the modern dance. The creation of traditional korean dance was attempted for the first time and, as result of that, efforts for the theatre performance to be one part of the art were being made actively, introducing the Korean dance to the world. They earlier works the method of expressing his dance was westernized as the dance vocabulary of the modern dance with the imitation of the western works and the addition of the sense of the modern dance. They dance came to take rat the work activities of the successful dance artist by grafting korean traditional beauty into they new dance. However, There were not a few things left to be more desired in the way of creation of Korea dance. This study of made to impose on Choi, Seung-hee, Cho, Taek-won an meaning that should be emphasized in they historical study.

1930년대 한국 현대무용의 태동에 관한 고찰

황문숙 용인대학교 1997 용인대학교 논문집 Vol.13 No.-

성격 유형과 식생활 행동과의 관계에 관한 연구

황문숙,한우진,김혜영 [용인대학교 학생생활연구소] 2002 학생생활연구 Vol.10 No.-

This study was performed to investigate the relationship between Myers-Briggs type indicator and food behavior of female university students. One hundred and ten female college students participated in the study. Korean women students had more percentage of Sensing and Thinking type than Intuition and Feeling type compared to American college students. Food habit score was not different by different type indicator. The number of eating out and one's drinking capacity was significantly different by personality preferences. That is, Extraversion, Feeling, and Intuition type had higher number of eating out and higher drinking capacity than Introversion. Thinking, and Sensing type. In addition, Intuitive women had slower eating pace and smaller eating portions than sensing women. More studies are necessary between personality preferences and dietary behavior to contribute to effective nutrition education and counseling.

무용학과 학생들의 전공에 대한 만족도 조사연구

황문숙 용인대학교 학생생활연구소 2009 학생생활연구 Vol.16 No.-

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무용의 창작성 신장을 위한 아동기 학습지도 프로그램 연구

黃文淑 龍仁大學校 1991 용인대학교 논문집 Vol.7 No.-

In order to promote dance creativity, the auther assume that can be developed by school education. The auther strived to develop childhood student dance learning program which can promote creative dance. The results of the study are as follows ; 1. learning method through Body program. 2. learning method through Movement changes. 3. learning method through Stimulus of Improvisation 4. learning method through Imagination. As the program assume the exploration study, not subjective theaching method but student to discover, aware, use willingly and further can promote childhood student. Furthermore, this learning program may be apply to any dance classes regardless of age and sex. Other then this for creative dance should be study the divorce program.

무용 전공 여대생들의 경력별 성격특성

황문숙,문미란 [용인대학교 학생생활연구소] 2003 학생생활연구 Vol.11 No.-

가정전문간호사가 실무에서 경험한 어려움과 대처

황문숙,박학영,장수정 한국지역사회간호학회 2020 지역사회간호학회지 Vol.31 No.2

Purpose: This study aimed to explore the difficulties and coping that advanced practice nurses (APNs) experience in home health nursing field. Methods: The participants were 12 APNs who had experience in home health nursing for over 5 years. Data were collected through two focus group interviews between August and September, 2017. The results were analyzed using a qualitative content analysis. Results: Out of 10 sub-categories and 29 codes, 4 categories emerged: “crushed by the responsibilities as the only healthcare professional”, “worn out by family who interfere with work”, “anxiety about my safety being threatened” and “using self-learned know-hows”. Conclusion: APNs face difficulties due to the environmental characteristics of the homes, the characteristics of chronically critically ill (CCI) patients and their families, and legal or systematical limitations when dealing with problems based on their personal competence. In order to ensure that professional nursing care is more readily provided to CCI patients through home health nursing services in local communities, it is imperative that support systems at the organizational and institutional levels be established in a systematic way to resolve the issues faced by APNs.

가정형인공호흡기 적용 근위축성 측삭경화증 환자를 대상으로 한 가정간호기반 호흡관리 프로그램의 효과

황문숙,이미경,송종례 한국간호과학회 2016 한국간호과학회 학술대회 Vol.2016 No.10

Side Leg Extension 동작의 근전도 변화에 관한 연구

黃文淑 龍仁大學校 1994 용인대학교 논문집 Vol.10 No.-

One of the basic and most frequiently used movement, in Modern Dance is Side Leg Extension. The purpose of the study was compare most engaged muscle of the skelled to that of non-shelled at each Phase I, II, III when performing this particular movement, Side Leg Extension. The study incluoled eight female students in Mordern Dance. The magnitude of Amplitude across the different movement Phase I, II, III of Side Leg Extension was measured by EMG Polygraph System 270. Means and Standard Deviations of Different muscle Groups at skilled and non-skilled for Side Leg Extension at each Phase were reported. The Test of Mean Difference(t -Test) was employed. Following results were revealed. 1.At phase I, significant differences between M.V.L, M.S, and M.G.M of the skill and those of the non-skilled were revealed. At phase II, there were significant differencds between the skilled and the non-skilled in terms of M.V.L, M.S, M.V.M, M.L.B, and M.B.F. 3.At phase III, it was shown to be significant between the aove two in M.V.S, M.L.D, M.B.F, M.S. Based on the results, implications and suggestions were discussed.