임상실습 교육개선을 위한 간호학생의 간호활동시간 분석

이애경,김정애,주미경,정안순,장은정,김정수,강정희,이정애 경복대학 2001 京福論叢 Vol.5 No.-

신규간호사의 능력은 간호학생 때의 다양한 임상경험에 기초를 둔다. 따라서, 간호대학의 교수, 병원 지도자, 임상지도자는 간호학생들이 다양한 지식을 획득하고 간호기술을 경험할 수 있도록 도와주는 중요한 역할을 한다. 이 연구의 목적은 이러한 간호학생들의 임상실습에서 수행하는 간호활동과 간호활동 시간을 분석하고자 하는데 있다. 연구결과 간호학생 1인당 직접간호활동 시간은 185.5분(직접간호비율은 56.7%)으로 141.65분(간접간호 비율은 43.3%)인 간접간호활동 시간보다 많았다. 직접간호활동 시간 중 활력징후 측정이 51.9분으로 가장 많은 시간을 차지하였고, 간접간호활동 시간 중에는 차트보기가 22.98분으로 가장 많은 시간을 차지하였다. 전반적으로 기본적인 임상간호 수행기술에 소요되는 시간이 고도의 숙련된 간호기술을 수행하는데 드는 시간보다 많은 것으로 나타났다. 따라서, 본 연구결과를 토대로 간호대학의 지도자와 병원의 지도자 및 임상지도자가 함께 임상실습 교육과정의 지침서와 평가서를 평가할 필요가 있다고 제언하는 바이다. The competence of newly graduated nurses is based on various clinical experiences gained when they were students. Therefore, professors in nursing schools, directors in hospitals or preceptors must play a critical role in assisting them to obtain various knowledge and experienced nursing skills. The purpose of this study is to investigate nursing care activities and nursing care hours practiced by nursing students in clinical experience. The results of this study showed that the direct nursing care hours per each nursing student are 185.5 mins(direct nursing care rate 56.7%) and it is higher than indirect nursing care hours, 141.65 mins(indirect nursing care rate 43.3%). The hours of checking vital signs are the longest(51.9mins) among the direct nursing care activities, and the hours of reviewing chart are the longest(22.98mins) among the indirect nursing care activities. In general, the time of performing basic clinical nursing technique was higher than that of performing high skilled nursing technique. And nursing observation was higher than that of directly performing task. So, we suggest based on the results of this study as follows. It is needed for nursing instructors in nursing schools and hospitals together to evaluate the guidelines and check-list of clinical practice courses.

일 전문대학 간호과 학생들이 인지하는 강의평가 기준에 대한 조사연구

김정애,이애경,주미경,정안순,장은정,김정수,강정희,이정애 경복대학 2004 京福論叢 Vol.8 No.-

일개 전문대학 간호과 학생들을 대상으로 강의평가 기준을 파악하고자 하였다. 개방형 질문지를 이용하였으며 7개의 교수관련 강의평가 문항 각각에 대해 좋은 점수 및 나쁜 점수를 부여하는 기준을 조사하였다. 각 문항별로 다양한 기준이 확인되었으며, 간호과 학생들의 강의 만족도를 높일 수 있는 교수설계를 위한 기초 자료로 활용할 수 있을 것이다. We aimed to set standards for the student evaluation of instruction for college students of Nursing. We used an open questionaire and surveyed the standards for how students judge the instruction good of bad by using seven questions related to the instructor. Various standards set from each question could be used as basic materials to meet the students' needs in the classroom when the instructors try to find out new instructional design.

골반 초음파 감시 하에 16 Gauge Angioneedle™을 사용하여 치료적 더글라스와 천자를 시행하여 치유된 복강 내 출혈 1예

김미영,이해혁,유애리,박정희,이임순,정수호,레앙소팔,배동한,김태희,이권해 순천향의학연구소 2008 Journal of Soonchunhyang Medical Science Vol.14 No.1

Culdocentesis is a procedure that checks for abnormal Quid in the space just behind the vagina (cul-de-sac). First, a pelvic examination is done. Then, after exposing the postehor vaginal fonix with a bivalve vaginal speculum the posterior lip of the cervix is grasped with a tenaculum. The cul-de-sac is then entered through the postehor vaginal wall with an 18-20 gauge needle with a syringe inserted. As the cul-de-sac is entered, suction is applied, and the intraperitoneal contents are aspirated. In the recent past, culdocentesis was commonly used in the evaluation of a vahety of common intraperitoneal conditions, principally, the hemorrhage associated with ectopic gestations and ruptured ovarian cysts the presence and/or drainage of purulent associated with pelvic inGammatory disease, and as a screening procedure to facilitate early diagnosis of ovarian neoplasms. Usually 16-18 gauge needle with a syhnge attached was used for culdocentesis. But we have experienced a case of therapeutic culdocentesis with 16 gauge angioneedle in patient of hemoperitoneum. So, report it with a bhef review of literature.

거대 난소 종양의 염전 1예

김미영,이해혁,유애리,박정희,이임순,정수호,고은석,레앙소팥,배동한,김태희,이권해 순천향의학연구소 2008 Journal of Soonchunhyang Medical Science Vol.14 No.1

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전통누룩 진균류를 이용한 입국의 제조 및 입국곰팡이의 동정

김재호 ( Jae Ho Kim ),권영희 ( Young Hee Kwon ),이애란 ( Ae Ran Lee ),김혜련 ( Hye Ryun Kim ),안병학 ( Byung Hak Ahn ) 한국균학회 2012 韓國菌學會誌 Vol.40 No.4

다양한 향미를 가진 막걸리의 개발을 위해 전통누룩으로부터 분리한 곰팡이로 입국을 제조한 후 품질특성을 분석하여 입국의 규격에 적합하며 이취가 없고 관능이 우수한 9균주를 입국 제조용 우수균주로 최종 선발하였다. 선발된 균주는 Aspergillus oryzae(C1-5-2-2, C20-7-3, CN1.3.1-4, CN16.19.1-1, N152-1, N220-1), Mycocladus corymbiferus (N162-2), Rhizopus oryzae(N20), Lichtheimia corymbifera (N21)로 동정되었으며, 제조한 입국의 산도는 5.0~6.8, 당화력은 128~241sp이었다. Various koji were prepared by fungi isolated from traditional nuruk and their quality characteristics were investigated. Acidity and saccharification power of their koji were ranged in 5.0~6.8 and 128sp~241sp. Nine fungi which were showed good quality and sensory evaluation were identified by analysis of their nucleotide sequences with PCR-amplified 18S rDNA internal transcribed spacer-1(ITS-1) and ITS-4 genes. Among them, six strains were identified as Aspergillus oryzae and the other strains were identified as Mycocladus corymbiferus, Rhizopus oryzae, Lichtheimia corymbifera.

암 병동 간호사의 통증관리에 대한 지식과 태도

공성화,방찌야,서민숙,현신숙,김희정,이미애1,이미애2,유현희,허재경,김은애,박경숙 성인간호학회 2004 성인간호학회지 Vol.16 No.1

Purpose: The purpose of this study is to evaluate the knowledge and attitudes of oncology ward nurses toward cancer pain management and to find ways to improve the educational program for nurses. Method: A total of 209 nurses working at the oncology ward of three hospitals in Seoul and a Gyenggi Province. The survey instrument used was the 32-item scale for evaluating nurses knowledge and attitudes originally developed by McCaffery and Ferrell'(1990). that was by Kim'(1997). Result: In terms of the nurses knowledge of pain management. the result showed that the nurses scored an average of 67.8 out of 100 for phamacokinetics of opioids. 84.8 for classification of analgesics, 60.1 for pain assessment, and 70.7 for drug administration. 18.2% of the nurses hesitate to inject the narcotic agent because of concerns regarding the drug's potential side effects. there was significant difference in the knowledge of pain management according to the general characteristics of pain in terms of the nurses age(p=.001), position (p=.016). years of experiences(p=.002), experience of cancer pain education(p= .001). Conclusion: The also showed that nurses working at cancer ward lack knowledge. It is important to provide intensive education to nurses about cancer pain management.

간호계와 비간호계 대학생의 AIDS관련 지식 조사연구 : 경기지역 일개 전문대 재학생을 중심으로

이애경,김영희 경복대학 1997 京福論叢 Vol.1 No.-

후천성 면역결핍 증후군(AIDS)는 전세계적으로 그 심각성이 더해가고 있으며, 인류의 복지를 위협하는 무서운 질병이다. 최근들어 한국에서도 HIV감염지수가 증가하고 있는 추세이며, 1996년말 현재까지 608명의 환자가 발생되었다. 그러므로 본 연구에서는 경기지역 일개 전문대 재학생을 중심으로 에이즈 예방교육을 실시하기에 앞서 그들이 갖고 있는 사전지식을 조사하고자 에이즈관련 지식에 대한 서술적 조사연구를 시도하였다. 연구대상자는 경기지역에 소재하는 일개 전문대 18세에서 26세까지의 재학생 242명으로 연구도구로 34문항의 질문지에 의하여 자가보고법으로 자료수집을 하였으며 실수, 백분율, 평균값, 유사성검정, t-test, ANOVA, 2-way ANOVA를 이용하여 자료를 분석하였다. 연구결과는 다음과 같다 : 1. 전체 대상자의 에이즈관련 지식점수는 평균17.67점이었고, 정답율의 범주는 47.2%-94.6%이었다. 2. 평균점수가 가장 낮은 문항은 '일단 에이즈균이 몸에 있으면 에이즈환자가 된다(47.2%)' 였는데, 이는 에이즈의 잠복기간을 잘 알고있지 못함을 보여주고 있다. 3. 비간호계 집단의 에이즈관련 지식정도는 간호계 집단에 비해 낮은 평균값을 보였는데, 이는 에이즈예방교육시 건강관련과목을 전공하지 않는 일반대학생들을 중심으로 하는 에이즈예방교육이 강조되어야함을 나타내주고 있다. 4. 대상자의 인구사회학적 특성에 따른 대상군의 에이즈관린 지식정도의 차이를 확인한 결과 전체 대상군에서 일반잡지를 통한 교육경험이 있는 집단이 교육경험이 없는 집단에 비해 지식점수가 높게 나타났으며, 비간호계 집단에서는 건강정보잡지를 통한 교육경험이 있는 집단이 교육경험이 없는 집단에 비해 지식점수가 높게 나타났고, 간호계에서는 통계적으로 유의한 차이를 보이지 않았다. 육이 강조되어야함을 나타내주고 있다. 4. 대상자의 인구사회학적 특성에 따른 대상군의 에이즈관련 지식정도의 차이를 확인한 결과 전체 대상군에서 일반잡지를 통한 교육경험이 있는 집단이 교육경험이 없는 집단에 비해 지식점수가 높게 나타났으며, 비간호계 집단에서는 건강정보잡지를 통한 교육경험이 있는 집단이 교육경험이 없는 집단에 비해 지식점수가 높게 나타났고, 간호계에서는 통계적으로 유의한 차이를 딘이지 않았다. Acquired immunodeficiency syndrome(AIDS) is threatened to human being's welfare is a far greater serious disease than most other disease. Recently HIV infectious clients are increasing tendency in Korea and the number of AIDS patients are 608 peoples in 1996. Therefore the purpose of this study was to identify the level of AIDS related knowledge before the eduaction of AIDS prevention of the college students at Kyung-gi area and the research design utilized in this study was a descriptive survey research. The subject were 242 college students where is at Kyung-gi area and they were 18-26 years old. The data were collected by self reporting with a questionnaire of 34 items and were analized by frequency, percentage, means, qui-square test, t or ANOVA test, and 2-way ANOVA. The results were as follows : 1. The Mean score of AIDS related knowledge was 17.67 and the correct answer rate of it was from 47.2% to 94.6%. 2. The lowest item was 'The person who has HIV get AIDS soon(47.2%).' and it was shown that the subject didn't know well about latent period of AIDS. 3. The mean score of a group who was majoring in non-nursing was lower than who was majoring in nursing and it must be empasized to AIDS preventive education for the group who was majoring of non-medicals. 4. The level of AIDS related knowledge as to demographic facter was revealed that the total group who had an learning experience through the magazine was high score of AIDS related knowledge than who had no experience, while the non-nursing group who had an learning experience through the jounal of health topics was high score of it than who had no experience., and it was not significant statistically in the nursing group.

대장균군 검사용 간이 시험지 개발

이인애,정태화,김재화,성찬근,이희구,최인성 THE KOREAN SOCIETY FOR BIOMEDICAL LABORATORY SCIEN 1996 Journal of biomedical laboratory sciences Vol.2 No.1

대장균군 검사용 간이 시험지는 본 실험실에서 국내 최초로 고안, 개발하였으며 이 간이 시험지법은 현장 검사법의 하나로 대장균군이 내는 succinic acid dehydrogenase 때문에 tetrazolium salt 가 환원되어 적색 반점을 형성하는것을 이용한 방법으로서 이 간이 시험지의 제조는 대체로 종래의 표준 평판법과 거의 동일한 조성의 배지와 시약을 사용하여 여지에 흡착시킨 후, 건조시켜 (60℃) 멸균한 것으로 표준 평판법과 어떤 상관관계가 있는가를 검토하였다. 이 간이 시험지의 제조에서는 bile salt No.3를 deoxycholate로 대체하여 제조 원가를 절감하였고, 또한 일본에서 현재 시판되고 있는 제품과 품질 비교시험을 하여 더 좋은 결과를 얻었으며 종래의 표준 평판법과 비교하였을 때도 오히려 표준 평판법(24-48시간 배양)보다 빠른 시간(16-20시간 배양)내에 판정할 수 있는 이점이 있으며, 표준 평판법에서는 없어서는 안될 배지나 배양 접시, pipette등의 자료및 기구가 일체 필요없고 언제 어디서나 현장에서 직접 시험할 수 있어 매우 간편하며 또한 저렴한 가격으로 제조 할 수 있는 경제성이 높은 이점을 갖고 있다. The objective of this study was to develop a paper strip which could determine E. coli qualitatively and quantitatively in water, wastewater, drinks, or food. This paper strip method was a simple and rapid test method that determine E. coli by visual identification. In this study, nutrient culture media were formulated and characterized for optimum conditions. Paper strips were then prepared by impregnating into the media and dried at 60℃. The test procedure is quite simple to use. The paper strip was dipped into a sample, and excess sample was removed. The strip was then incubated at 37℃ for 16 to 20 hours and the number of colonies on the strip was counted. The color of the colony spots produced by microorganisms varied depending on the media formulation. Violet-red spots were produced by E. coli. The test method was simple, rapid and no special laboratory equipment was necessary for visual identification. Therefore, this test method is applicable to on-site tests such as field tests or home tests. The paper strip method was compared with the standard agar plate method and Japanese commercial product. The method of the economical preparation of test strips was studied for production on industrial scale.

대뇌 백질변성의 임상적 의미와 위험인자 분석

이애영,손은희,김태우 대한치매학회 2002 Dementia and Neurocognitive Disorders Vol.1 No.1

Background: Cerebral white matter changes can be observed frequently in Alzheimer′s disease or healthy elderly as well as vascular dementia the clinical significance and injury mechanism of cerebral white matter changes have not been clarified Objectives: To evaluate the significance of cerebral white matter changes in elderly patients Methods: We assessed cognitive function and radiological features in patients with white matter changes to evaluate the effect of cerebral white matter changes and cortical central brain atrophy on cognition Grading of white matter changes was measured by the Scheltens scale The cortical atrophy was graded with visual inspection by two independent neurologists and the central atrophy was assessed with ventricular indices The cognitive status was evaluated with Mini-Mental state examination and the modified Mini-mental State examination Results: Identified risk factors for white matter changes were older age, hypertension, and female gender The degree of cerebral white matter changes was significantly associated with cognitive disturbances and their main effect on cognition was fluency and attention deficits There was no difference in the severity of cortical atrophy between the two groups Visual rating for cortical atrophy and measurement of ventricular indices showed good intra-and -observer reliability Conclusion: Our results support the hypothesis that cerebral white matter changes contribute to cognitive disturbances, especially frontal lobe dysfunctions in elderly irrespective of cortical brain atrophy.

피질하혈관성 치매와 알쯔하이머병에서 뇌량 용적의 변화 비교

이애영,손은희,유성동 대한치매학회 2002 Dementia and Neurocognitive Disorders Vol.1 No.2

Background : The clinical significance of callosal atrophy in demented patients has not been elucidated. We performed this study to compare the total and regional difference of corpus callosum according to demenua subtypes and analyzed the relationship with the white matter changes. Methods : Twenty-eight patients with Alzheimer's disease (NINCDS-ADRDA criteria), 17 patients with vascular dementia (NINDS-AIREN criteria), and 14 healthy controls were included. The total area of corpus callosum and three distinct subdivision were measured by manual tracing with Paintshop Pro 6.02 software. The degree of white matter changes were graded by the Scheltens' scale. The MMSE and Modified Mini-Mental Stats (3MS) Examination were used for cognitive function test Results : Total callosal area was much smaller in vascular dementia compared with those of Alzheimer's disease and control. The degree of white matter change correlated siginficantiy with the callosal atrophy in vascular dementia Callosal atrophy was proportional to the cognitive decline. Conclusion : We suggest that callosal atrophy in patients with subcortical vascular dementia may be a neuroradiological clue for the coginitive decline and reflects the cerebral white matter injury.