Study on an Unplanned Extubation Prevention Program (UEPP) for Intubated Patients in Intensive Care Unit

강경자,유미,Kang, Kyung-Ja,Yu, Mi The Society of Digital Policy and Management 2014 디지털융복합연구 Vol.12 No.3

본 연구는 내과계 중환자실에 입원한 기관삽관 환자의 비계획적 발관 예방프로그램을 개발하여 비계획적 발관율을 감소시키고 간호사들이 실무에서 비계획적 발관에 적극적으로 대처할 수 있도록 도움을 주기 위해 수행되었다. 조사기간은 사전기간이 2008년 5월부터 2009년 4월이었고, 프로그램 적용기간은 2009년 5월부터 2010년 4월로 각각 1년씩이었다. 기간 내 조사 대상 총 삽관환자는 사전시기와 중재 시기에 각각 330명, 332명이었으며, 이들 중 비계획적 발관을 경험한 사전 29사례와 적용기간 23사례에 대해 발관경험 환자와 담당간호사의 발관 관련 제 특성을 추가적으로 살펴보았다. 통계분석은 SPSS 18.0을 이용하였다. 비계획적 발관을 경험한 환자와 간호사의 제 특성은 유의한 차이를 보이는 것은 없었으나 두 시기에 신규 간호사의 진입비율에 유의한 차이가 있었다(p=.039). 기관내관 삽입 1000일당 비계획적 발관율은 신규 간호사 진입이 많았음에도 적용 기간의 평균이 8.8을 보여 사전 관찰시기의 평균 발관율 12.3과 비교하여 유의하게 감소(t=-2.333, p=.040)하였으므로 본 연구의 결과는 중환자실 삽관환자의 비계획적 발관예방 활동을 통해 환자 안전에 기여할 수 있는 프로그램이라 사료된다. Unplanned extubation prevention program (UEPP) was developed and applied to intubated patients hospitalized in a medical intensive care unit (ICU). The number of unplanned extubation was 29 during the preliminary investigation and 23 cases during the prevention intervention program. The general features of the patients and nurses who experienced UE did not have any significant differences between the two periods, with only the number of new nurses in the ICU being significantly different (p=.039). Although the number of new nursing staff in the ICU was high, the mean rate of unplanned extubation, which is the number of UE days per 1000 intubation days, was 8.8 during the prevention intervention program, which was significantly lower than 12.3, the mean rate of UE during the preliminary investigation (t=-2.333, p=.040). The results provide a prevention program that could contribute to the safety of patients by actively preventing unplanned extubation in intubated patients in ICU.

'미국"에모리" 대학 국제간호교육센터'의 재교육기

강경자,Kang K. J. 대한간호협회 1975 대한간호 Vol.14 No.3

관상동맥질환자를 위한 동기증진 교육·상담 프로그램이 건강행위변화에 미치는 효과

강경자,송미순 병원간호사회 2010 임상간호연구 Vol.16 No.2

Purpose: The purpose of this study was to develop a motivational enhancement therapy (MET) for coronary artery disease (CAD) patients in early stages of health behavior change and evaluate its effects on health motivation, the stages of change, health behaviors, and cardiovascular risk factors. Methods: Using a non-equivalent control pre-post design, the study was conducted on 42 CAD patients who underwent medical treatment or percutaneous coronary interventions in a hospital. The intervention group (n=21) received the MET (MET 1 during admission, MET 2 after discharge via telephone). The control group (n=21) received a standard care. Data were analyzed using descriptive statistics, χ²-test and t-test with the SPSS 12.0 program. Results: Participants in the intervention group reported significantly increased scores of health motivation (t=-2.093, p=.043), the stages of change (t=-5.682, p<.001), and health behaviors (t=-3.069, p=.004) and significantly decreased scores of cardiovascular risk factors (t=2.131, p=.039) compared to those of the control group. Conclusion: The findings indicate that the MET is an effective intervention in improving health behaviors and decreasing cardiovascular risk factors for CAD patients.

Maslow 의 기본욕구가 의복의 동조 및 개성에 미치는 영향

강경자,서영숙 한국의류학회 1992 한국의류학회지 Vol.16 No.4

This research was designed to evaluate the effect of need and of demographic variables of adult women on the conformity and individuality in the selection of clothes. 1. There are factors which have effect on variables of need. Marriage status, household type, age have effect on safety need, household type and age have effect on belongingness and love need. Household type and native community have effect on self-esteem need, household type, native community, school career, frequency of contact with mass media have effect on need for self-actualizing. Native community have effect on aesthetic need, and school careers have effect on the desires to know and to understand. 2. Self-esteem need, belongingness and love need, safty need, need for self-actualizing, aesthetic need, frequency of contact with mass media and income as demographic variables are directly related with conformity of clothing. Age, marriage status, native community, household type, school career are indirectly related with conformity of clothing. 3. Self-esteem need, need for self-actualizing, aestheitic need, desires to know and to understand, belongingness and love need, frequency of contact with mass media, household type have direct effect on the individuality of clothing. And age, household type, native community, school career have indirect effect on the individuality of clothing.

한복배색의 조화감에 대한 한,미 여대생의 지각반응 연구 (제1보) : 톤 인 톤 배색을 중심으로 On the Tone in Tone Coloration

강경자 한국의류학회 2001 한국의류학회지 Vol.25 No.4

The purpose of this research was to evaluate the harmony of colors of the traditional Korean skirt and jacket. 3 colors of jacket and 6 colors of skirt were combined by 4 kind of color's tone. The Korean women college students and the American women college students (University of Wisconsin-Madison) were selected to evaluate the harmony of colors. It could be supposed that the different evaluation were caused by their different cultural backgrounds. The results of the research can be summarized as follows. When colors were combined with four tone(vivid, light, dull and dark), American students evaluated the same colors of red skirt and red jacket, green skirt and green jacket as harmonized coloration. But Korean students thought they were not harmonized. The yellow colors of jacket and the similar colors of red skirt were evaluated as harmonized by both Korean and American students. They evaluated the green jacket and the red skirt of contrast color as harmonized. The different tone of color caused the different evaluation of harmony of colors by both Korean and American students.

B 대학병원 내과 중환자실의 비계획적 발관 발생과 결과에 대한 조사연구

강경자,이희주 한국자료분석학회 2012 Journal of the Korean Data Analysis Society Vol.14 No.3

본 연구는 일개 대학 병원 내과중환자실에서 기관 내 삽관 환자의 비계획적 발관 정도, 환자와 담당 간호사의 상황적 특성을 확인, 발관 된 후 재삽관 정도를 확인하는 서술적 조사연구이다. 연구 기간은 2005부터 2009년까지 5년간, 총 136명의 비계획적 발관 사례를 대상으로 하였다. 연구결과 비계획적 발관률은 6.2%, 간호행위와 연관성이 있는 사고적 발관이 9.6%, 자가발관은 90.4%로 나타났다. 억제대 풀림 또는 부적절로 인한 발생은 55.1%, 비계획적 발관 직전 환자의 호흡기 의존도는 의존도가 낮은 경우가 27.2%, 비계획적 발관 후 재삽관 하지 않은 경우가 39.7%, 밤 근무 때 발생률은 45.6% 등으로 나타났다. 재삽관에 미치는 영향 요인은 의식이 명료하지 않을수록(OR: 2.506)과 밤 근무조일수록(OR: 2.205), 발관이유 중 억제대 부적절인 경우(OR: 0.228) 및 사건, 사고 등 기타원인이 있는 경우(OR: 0.339) 등으로 나타났다. 따라서 억제대 사용 및 적절한 진정제 투여 지침의 개발과 적용, 적기에 계획적 발관을 할 수 있는 지침, 밤근무 간호사의 비예측 발관의 위험요소 주지 및 주의 집중 요구 등이 필요함을 알 수 있었다. The purpose of this study was to identify outcomes and occurrence rate related to unplanned endotracheal extubation (UEE) patients of medical intensive care unit during 5 years from 2005 to 2009. The participants in this study were 136 patients. They experienced UEE in intensive care unit (ICU). We used structured data collection tool and chart reviews were used to collect data for additional data. UEE rate was 6.2%. Alert patients were higher rate among self extubation patients and Not sedated patients were 103 (75.7%). The main reason why it is important that inadequate restraints is applying to patient. Nursing activity is caring other patients at the same time when UEE is occurred. Nurse carrier below 6 month is 22.8%. Especially, critical time is from 10:30 pm to 4 am during night duty. Reintubation patient is 60.3%, the others is not needed reintubation after UEE. Mental state, more not alert (OR: 2.506), night duty (OR: 2.205), inappropriate restraint (OR: 0.228) & other accidents (OR: 0.339) were significantly related to reintubation. The results of this study indicate that is needed a prevention program for unplanned extubation. Adequate intervention should be served for intubated patients in ICU.

BC급 전범재판을 통해 바라본 일본인의 전범의식 -“무사도 재판”을 중심으로-

강경자 중앙대학교 일본연구소 2018 日本 硏究 Vol.0 No.48

This Study tried to identify the problems and causes of Japanese perspective on war criminals focusing on the perception of war criminals in the trial process of BC class war crimes trial. To this end, this paper investigated how the spirit of Samurai was projected into the perception of the BC class war criminals and Japanese society by examining Yokohama Court’s " Bushido Trial", one of the BC class war crimes trials, and the nature of the Samurai spirit, which became the spiritual foundation of the Japanese people under the modern emperor system. As a result, the traditional Japanese spirit of the Samurai was thoroughly used to establish the ideology of the modern emperor. This was later deteriorated into the Imperial Samurai Spirit which claimed even one’s life for the Emperor at war times. Because BC class war criminals were brainwashed in this spirit, they could not feel any sense of conscience or responsibility for the atrocities of war carried out in the name of the Emperor. The lack of guilt on the war and war responsibility in the present Japanese society can be said to be relevant to the imperial Samurai spirit. Before criticizing the war crimes trial against Japan, Japanese society should look at the realities and problems of the imperial Samurai spirit that was transformed for the establishment of the modern emperor ideology. Only then would it be possible to confront the historical fact of how many Asian countries have been damaged by the war in the name of the Emperor, and move to a real reconciliation with the other Asian countries.

보건소 내소 당뇨병 환자의 건강신념, 건강 통제위성격과 환자역할행위 이행과의 관계

강경자,태영숙,손수경,Kong, Kyung-Ja,Tae, Young-Sook,Sahn, Sue-Kyung 한국가정간호학회 2002 가정간호학회지 Vol.9 No.2

Purpose: This study was conducted to explore the relationship among health belief. health locus of control and patients sick-role behavior compliance of diabetic mellitus patients visiting public health center. Method: The subjects of this study were 193 of the diabetic patients who were visiting 4 Public Health Center in B city. The instrument used for measuring health belief was Park's(1985). for health locus of control was Wallston. et al's(1978) and for sick-role behavior compliance was Park's(1984). The data were collected with structured questionnaires; total 58 items contained about health belief. health locus of control and sick-role behavior compliance from 1st to 31st July. 2001. The data was analyzed by the SPSS/PC programs using t-test. Pearson's correlation coefficient. ANOVA and Scheffe-test. Result: The average score of the health belief was $57.99\pm9.45$ health locus of control was $66.83\pm9.48$ and sick-role behavior compliance was $42.81\pm7.00$. Statistically significant factors influencing the health belief among social demographic characteristics were family number(F=3.818. p=0.024), monthly income(F=5.153, p=0.002), time of diagnosis(F=3.937. p=0.002) and difficult to control disease(F=5.803. p=0.000). The significant factors influencing the health locus of control were marital status(F=4.669. p=0.010). Also significant factors influencing the sick-role behavior compliance were monthly incomes(F=5.245, p=0.000). the time of diagnosis(F=4.424. p=0.001) and admission to hospital with diabetes(F=9.031. p=0.000). There was negative mild correlation comparatively between health belief and sickrole behavior compliance(r=-0.142, p<0.05) but no correlation in sensitiveness/severity, barrier, benefit(p<0.05). There was no correlation between internal. external. chance health locus of control and sick-role behavior compliance (P>0.05). Conclusion: There was a negative weak relationship between health locus of control and patient's sick role behavior compliance. Therefore further study to investigate the relating factor of the sick role behavior compliance among above of middle aged diabetes mellitus patients is necessary.

한복배색의 조화감에 대한 한,미 여대생의 지각반응 연구 (제2보) : 톤 온 톤배색을 중심으로 On the Tone on Tone Coloration

강경자 한국의류학회 2002 한국의류학회지 Vol.26 No.3,4

The purpose of this research was to compare the evaluation of tone on tone coloration of traditional Korean dress by Korean and American women college students. The respondents were asked to evaluate 48 stimuli of the traditional Korean skirt and jacket with different tone of color. The evaluation of Korean and American students admit of various interpretation, and it can be said that they were caused by their different cultural bacgrounds. The results of reseach can be summerized as follows. As to the red colors, Korean students evaluated vivid skirt and light or dark jacket, light skirt and vivid or dull, dark jacket, dull skirt and light jacket as harmonized. But American students judged light skirt and dull and light jacket as not hamonized. As to the yellow colors, both Korean and American students had common opinions that light skirt and dull jacket are well harmonized. Korean students thought vivid skirt and dull jacket, light skirt and dull, dark jacket, dull skirt and dark jacket are well harmonized. American students thought light skirt and vivid, light, dull jacket, dull skirt and light jacket are well harmonized. As to the green colors, Korean students evaluated vivid skirt and dull, dark jacket, light skirt and vivid, dull, dark jacket are well harmonized. But American students evaluated vivid skirt and light jacket, light skirt and dark jacket, dark skirt and vivid or light jacket are not harmonized. Among 48 stimuli of tone on tone coloration, Korean students evaluated 18 set and American students judged 30 set as harmonized.

괌도의 운치속에서

강경자 새가정사 1972 새가정 Vol.- No.-