환자, 간호사, 의사가 지각하는 교육요구도와 교육제공정도에 관한 연구

박인숙,문영숙,조미경,최은숙,이경숙,정길수 충남대학교 의과대학 지역사회의학연구소 1994 충남의대잡지 Vol.21 No.2

The purpose of this study was to provide the basic data for the planning of education of patients by exploring and comparing patients', nurses' and doctors' perception of the educational needs and degree of providing education. 66 hospitalized patients undergoing chemotherapy and 44 nurses, 42 doctors assigned for the direct care were sampled in 1 university hospital in Taejon from August 30, 1993 to September 30, 1993. For the comparing patients', nurses' and doctors' perecption of the educational needs and degree of providing education, the researcher used Kims' Educational need scale which is composed of 20 item Likert type 5 point scale. Data were analyzed by means of percentile score, SPSS, t-test, ANOVA, Pearson correlation. The result were as follows 1. Comparision of total Mean score patients', nurses' and doctors' perception of the educational need ordering nurses(M=4.0465), patients (M=3.9803), doctors (M=3.8309). The difference between the three group's total Mean score is showed no statistical significant difference. 2. Comparision of total Mean score patients' educational need, patients' percetion of nurses' and doctors' degree of providing education, patients' educational need is scored 3.9803, patients' perception of nurse is scored 2.3431, patients' perception of doctor is scored 2.5022. The difference between the patients' educational need and medical teams' degree of providing education is showed statistical significant difference(P<.001). 3. Comparision of total mean score nurses' educational need is scored 4.0465, nurses' perception of nurses' degree of providing education is scored 2.9920, patients' perception of nurses' degree of providing education is scored 2.3431. The difference of between the nurses' educational need and nurses' perception of nurses' degree of providing education is showed statistical significant difference(P<.001) 4. Comparision of total mean score doctors' educational need is scored 3.8309, doctors' perception of doctors' degree of providing eduation is scored 3.1726, patients' perception of doctors' degree of providing education is scored 2.5022. The difference of between the doctors' educational need and doctors' perception of doctors' degree of providing education is showed statistical difference(P<.001).

정지형 자전거 운동 훈련이 건강한 여성의 체구성,심폐기능 및 유연성에 미치는 효과

김동옥,최정숙,안혜영,민혜숙,이경숙,박연환,송미령,최명애,최정안,김매자 서울대학교 간호대학 간호과학연구소 1999 간호학 논문집 Vol.13 No.1

The purpose of this study was to determine the changes in body composition, cardiopulmonary function, and flexibility following 8 weeks' bicycle ergometer exercise training. The subjects of this research consisted of healthy adult women between 30 and 40 years of age. Initial intensity of bicycle ergometer exercise was based on the target heart rate equivalent to 55% of maximal oxygen uptake, and intensity of the exercise increased by 5% every 2 weeks. Body composition, cardiopulmonary function at rest and during maximal exercise, as well as flexibility were determined before and after 8 weeks of bicycle ergometer exercise training. Masimal exercise was performed on the treadmill according to Bruce Protocol. The results obtained were as follows; 1. There were o changes in body weight, percent body fat, fat body weight, and lean body weight as well. The ventilation volume for 1 minute, respiratory quotient and expired CO₂ volume have not changed significantly after the training, either. 2. As a result of training, resting systolic and diastolic blood pressure decreased significantly(p<.05) 3. Maximal heart rate, maximal oxygen consumption and maximal running time increased significantly after the training(p<.05) 4. Pelvic flexibility increased slightly after the training, however, it did not reach the statistical significance. Trunk flexion forward increased significantly after the training(p<.05). From these results, it may be concluded that 8 weeks bicycle ergometr training improve the cardiopulmonary function and flexibility in healthy adult women between 30-40 years of age.

중년여성의 약물사용 실태 조사

이영선,김은경,김경숙,강경인,김희선,신성희,김은숙,최지선,신혜숙,황선기 여성건강간호학회 2001 여성건강간호학회지 Vol.7 No.4

The purpose of this study was to investigate the drug use of middle aged women. The subject consisted of 330 middle aged women who ranged in age from 40 to 60 years. They were selected in Seoul, Kyung-Ki province, Korea. Data were collected by using questionnaires, from April, 10th to 30th 2001 and analyzed by the SPSS PC+ program using qui-square. The results are summarized as follows ; 1. The proportion of drinking and smoking experience was 42.4%, 3.7%. The motivation of drug use was advised family and relatives(46.1%), doctor's order(39.4%), magazine and advertisement(14.5%). Most of middle aged women get the information on knowledge of drug from hospital(47.3%), magazines and advertisement(30.3%), advised family and relatives(22.4%). And 57.9% of the middle aged women didn't know side effect of the using drug and 13.9% of the middle aged women have had experienced with side effect. And the level of attitude on drug abuse in middle aged women was 43%. Most of the subjects(93.9%) didn't use alternative drugs, and they used more than 3 kinds of drugs(47%). 2. They used digestives(44.2%), applying ointments(41.8%), drinks(39.4%), analgesics(39.1%), laxatives(8.8%), anti hypertension drugs (8.8%), and anti-anemic drugs(8.8%) in their orders.

Acinetobacter sp. BE-254에 의한 유화제의 생산

최경숙,장경립,임이종,김순한,정영기,이태호 동의대학교 기초과학연구소 1997 基礎科學硏究論文集 Vol.7 No.1

The strain producing bioemulsifier was isolated from soil samples. The isolated strain was identified as the genus Acinetobacter through its morphological, cultural and physiological characteristics. The highest emulsification activity and stability by Acinetobacter sp. BE-254 was observed after 5 days of cultivation in the culture medium containing n-hexadecane 4%, NaNO₃0.2%, KH₂PO₄0.01%, MgSO₄·7H₂O 0.01%, CaCl₂0.01%, and yeast extract 0.01%. The optimum pH and temperature for bioemulsifier production were pH 7.0 and 30℃, respectively. Furthermore the most of bioemulsifier was produced during the exponential growth phase, and this suggested that the bioemulsifier production was growth-associated. The bioemulsifier showed good emulsification activity on various emulsifying substrates such as hydrocarbons, edible oils, and petroleum fractions.

한국형 유방암과 난소암에서 종양 유전 상담프로그램의 적용

최경숙 건국대학교 의과학연구소 2004 건국의과학학술지 Vol.14 No.-

The Human Genome Project began in 1990 as an international effort to characterize human genetic instruction by creating a genetic map that reflects the position of genes on chromosomes. This current advances in decoding and understanding the human genome have profound implications for people's health and quality of life. Cancer genetic counseling has become discuss owing to the recent development of genetic tests that pinpoint familial cancer risk. It is composed of risk assessment and counseling regarding behavioral, medical and surgical options to decrease risk. A basic goal of cancer counseling is to derive and explain an individual's cancer risk in clear terms and the counselor's role is to educate and enumerate options for patients and clinicians, answer questions regarding what is known and suggest appropriate referrals to help reach difficult decisions. Therefore, genetic counseling program for hereditary breast and ovarian cancer is extremely important to educate oncologists nurse providers including psychiatrists, psychologists and oncology nurses who have a knowledge of cancer genetics as well as oncology and support the counseling system.

Tsukamurella sp. 26A에 의한 생물계면활성제의 생산

최경숙,김순한,정영기,장경립,이태호 동의대학교 기초과학연구소 1998 基礎科學硏究論文集 Vol.8 No.1

The strain producing biosurfactant was isolated from soil. The isolated strain was identified as the genus Tsukamurella through its morphological, cultural, physiological, menaquinone type, fatty acid composition characteristics. The highest biosurfactant production by Tsukamurella sp. 26A was observed after 4 days cultivation in the culture medium containing n-hexadecane 7%, NaNO₃0.2%, KH₂PO₄0.001%, K₂HPO₄0.02%, MgSO₄·7H₂O 0.02%, CaCl₂·2H₂O 0.02%, yeast extract 0.02%(pH 6.8-7.0, 30℃). The surface and interfacial tension of an aqueous solution reached 30 mN/m and 1.5 mN/m, respectively. The biosurfactant stabilized oil-in-water emulsion with a variety of hydrocarbones, edible oils and petroleum oils.

간호과정 적용에 따른 간호수행 평가

최경숙 중앙대학교 의과대학 의과학연구소 1985 中央醫大誌 Vol.10 No.4

This study was undertaken to find the level of performance which the nursing students did in the clinical setting, to evaluate student's abilities and to suggest ways to improve their abilities. This study involved 267 courses of nursing process out of 44 cases of nursing case study from August to December 1984 in Chung­Ang University Hospital. The results were as follows. 1. Performance rate of Assessment stage was 70.0% and 54.7% for the systemic data collection. 2. Classifying the nursing problems according to Abdellah, rate of nursing problems related to sustenal care need was 48.9%, related to basic to all patients 34.3%, related to remedial care need 11.8%, related to restorative care need was 5.0%. 3. Performance rate of planning Stage was 76.0%. 4. In the implementation stage, performance rate of implementation of plan was 91.8%, application of skills was 56.6%, and 53.8% for organization and use of resourses. 5. Performance of evaluation stage was 16.1% and 13.1% for revision of plan. For the recommendation, I would like to suggest emphasizing of evaluation stage would be needed.

開化期 韓國女性의 近代意識의 形成

崔淑卿,鄭世華 이화여자대학교 한국문화연구원 1976 韓國文化硏究院 論叢 Vol.28 No.-

This paper attempts to trace the process of formation of Korean Women's "modern" consciousness and to indicate how it started to grow. Since the 17th century the voluntary modernization effort had been pursued by the followers of practical science. However, the effort had met with failure. The effort began to be realized in the 19th century when the Korean government partially perceived the necessity of modernization and opened her door to keep abreast with the other nations of the world. Korean women came to be enlightened by those who had the chance to be in contact with new knowledge and things, by the introduction of Christianity, and by modern education for women in so-called mission schools. The Kaap-O Reform in 1894 brought changes to all walks of life. The political and economic system of the country together with the social one began to be changed. Accordingly, the enlightenment penetrated the family system, people's social standing, government official's social privileges and so forth. The change was, more or less, an expected outcome of the social needs of the period. In the name of women's beauty and virtue, any remarriage of women was strictly forbidden. However, the custom was abolished with the reform. On the other hand, early marriage of women was forbidden. Although schools were open to common people at the time, no one paid any particular attention to the necessity of educating women. Women made a complaint against the government, and with men took part in the patriotic civil rights movement of the Manmin-Kongdong-Hoi)"All the people getting together society") and tried to oust the incompetent ministry and to establish a reform cabinet. Thereafter, as Japan expanded her aggressive forces, the women's rights movement together with the movement for restoring the sovereignty of Korea was developed. The women's consciousness in this crucial situation complemented the patriotic movement at this time. In 1905, when Korea was deprived of diplomatic rights by Japan, The women's patriotic consciousness was enhanced. They established women's organizations, schools for women, and actively participated in the Kukchae-Posaang Movement("National debt redemption movement") with men. The purpose of the above-mentioned movements was to save the country from crisis and to produce capable women who could do a big part in safeguarding the country. The Korean women's movement is quite different from its western counterpart in the sense that the women's movement in the West has been launched against men. The "enlightened" Korean men have supported and welcomed Korean women's "modern" consciousness, since the friction between the two sexes had to be dissolved in the face of the much bigger task loaded on their shoulders, the protection of the sovereignty of their country from the enemy outside.

류마티스 관절염 환자 배우자의 부담감

최경숙,은영,함미영 대한류마티스 건강전문학회 2000 근관절건강학회지 Vol.7 No.2

Rheumatoid arthritis as one of the chronic illness requiring management in long period of time puts great burden to patients, their family and society. For patients with chronic illnesses, providing a social support is important and the most important source comes from spouses. Therefore we assessed burden of husbands of female rheumatoid arthritic patients and also found out the factors affecting burden. The sample of study was 107 female rheumatoid arthritic patients and their spouses. The tool of assessing spouses' burden was the revised version of subjective and objective parameters developed by Montgomery et at,(1985). The results are as follows: 1. General characteristics of patients and spouses: The mean age of the patients was 48 years. Educational level of patients was high school 41.1%. The mean age of the spouses was 51years. Educational level of spouses was mostly high school(40.2%) and college(29.9%) graduate, The mean marital period was 23.4years. Average income per month was 1,609,000 won. The average duration since diagnosis was 9.4years. As a therapy, 67.3% chose standard drug therapy. Average rating of discomfort by Patient was 3.05(range1-5) and that of severity was 3.48 and that of dependency was 2.58. The husband's rating of their spouses disease severity was 3.68. 2. Husbands' burden : The average burden in subjective items was 21.61(range 6-36) and objective items was 35.24(range 10-60). The average of total burden was 56.59(range 16-96). 3. Husband's total burden correlated with patient's age, educational level of patients, therapy method, Patient's level of discomfort, patient's severity, patient's level of dependence, husband's recognition of level of severity in statistical level. Husband's objective burden correlated with patient's age, educational level of patient, Patient's level of discomfort, husband's recognition of level of severity. Husband's subjective burden correlated with Patient's age, educational level of patients, therapy method, patient's severity, patient's level of dependence, husband's recognition of level of severity. 4. Linear correlation analysis on burden: The husbands' total burden is explained in 37.7% by husband's recognition of level of severity and husband's age. The husbands' objective burden is explained in 31.2% by patient's level of dependence, husband's age, husband's recognition of level of severity. The husbands' subjective burden is explained in 26.7% by husband's recognition of level of severity and patient's age. In conclusion, husbands' level of burden is affected by many factors and therefore nursing strategy for relieving burden of middle aged husbands should be individualized taking these factors into consideration.

OCT 플라스미드를 갖는 원유 분해세균에 의한 Octane 분해능

최순영,김창숙,이명혜,황문옥,민경희 숙명여자대학교 자연과학연구소 1991 자연과학논문집 Vol.- No.2

원유 분해세균에 의한 원유 분해능을 조사한 결과, Xanthomonas campestris M12. Xanthomonas sp. M28, Acinetobacter lwoffi G1, and Klebsiella pneumoniae L25, 그리고 Pseudomonas maltophilia N246 등의 순서로 나타났다. Xanthomonas campestris M12, Xanthomonas sp. M28, 그리고 Pseudomonas maltophilia N246 균주 모두 octane 분해시의 온도는 30℃에서 최적이었으며, 최적 pH는 X. campestris M12와 Xanthomonas sp. M28이 7.0∼7.5이었고, P. maltophilia N246이 7.5∼9.0이었다. N246 균주의 최적 NaCl 농도는 3.0∼3.5%이었다. P. maltophilia N246와 X. campestris M12는 모두 플라스미드를 갖고 있음을 확인하였고, N246 균주로부터 플라스미드를 제거하였을 경우 octane 분해능이 소실되었으므로 이 플라스미드 위에 octane 분해 유전자가 있음이 확인되었다. 이 균주의 OCT 플라스미드의 크기는 118kb이었다. 또한, N246 균주는 ampicillin 항생제에 내성을 나타내었다. Xanthomonas campestris M12. Xanthomonas sp. M28. Acinetobacter lwoffi G1, and Klebsiella pneumoniae L25, Pseudomonas maltophilia N246 were screened to increase the ability for crude oil utilization. All of these could utilize hexadecane and octane with the exception of N 246 strain for only octane biodegradation. Thus N246, M12, and M28, strains were specially examined for octane oxidation. Octane biodegradation by three strains showed the optimal conditions at 30C, pH7.0∼9.0 and 0.2∼0.3% octane concentration as a substrate. It was found that P. maltophila N246 and X. campestris M12 had plasmid and the cured plasmid from N246 strain lost octane utilization. Therefore, it was confirmed that certain genes for octane utilization were located on OCT plasmid in N246 strain. The size of OCT plasmid in N246 strain was 118 kb. The N246 strain was resistant to ampicillin.