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모-태아 상호작용 증진 프로그램이 임부 및 영아의 수면-활동 양상에 미치는 효과
한경자,권미경,최미영,방경숙 한국아동간호학회 2010 Child Health Nursing Research Vol.16 No.4
본 연구는 임신 말기 초임부를 대상으로 시행한 태교관점 모-태아 상호작용증진 프로그램이 출산 전 어머니의 수면-활동양상과 출생 후 영아의 수면-활동 양상에 미치는 효과를 규명하기 위하여 모자 동실 산후조리원에서 초임부와 초임부로부터 출생한 영아를 대상으로 중재군 17명, 대조군 17명 총 34명246 한경자∙권미경∙방경숙 외 1인J Korean Acad Child Health Nurs 16(4), 2010년 10월The shortest sleep time of mother .379No. of mother’s night awakening at .377LMP 35-36 weeks Table 5. Relationship between Mother's Sleep and Infant’s Sleep (n=34)Variables rNo. of infant night awakening 을 대상으로 종단적 연구를 수행하였다. 연구 결과 출산 전 두군 초임부의 수면/활동 양상에는 별 차이를 보이지 않았으며,출생 후 영아의 수면 양상에서도 유의한 차이가 없는 것으로 나타났다. 비록 중재 프로그램의 효과는 나타나지 않았으나 본 연구 결과 출산 전 어머니와 출생 후 영아의 수면 간에는 유의한상관관계가 있음을 확인한 것은 임신기 동안 초임부에게 수면/활동 조절 중재의 적용이 필요함을 나타내는 결과이며, 이러한연구결과들은 국내 아동간호실무영역에서 실무지식개발의 자료로서 활용될 수 있을 것으로 사료된다. 본 연구의 결과를 근거로 태교관점 모-태아 상호작용 증진프로그램의 반복 연구를 실시하여 경험적 증거를 확대하고, 종단적 연구를 통해 임신모와 영아의 수면 및 활동에 대한 자기조절에 관한 좀 더 장기적인 효과를 검증할 수 있는 추후 연구가이루어지기를 제언하며, 어머니 및 영아의 수면-활동 리듬에대한 질적 측정과 서술적 분석을 기초로 구체적인 중재를 적용한 후 효과를 검증해보는 연구를 시도해 볼 필요가 있다.
한경자,김혜숙,김매자,홍경자,박성애,윤순녕,송미순,정연이,김혜원,김동옥,최희정,김경애 한국간호과학회 2007 Asian Nursing Research Vol.1 No.1
Purpose The purpose of the paper is to discover the patterns and processes of decision-making in clinical nursing practice. Methods A set of think-aloud data from five critical care nurses during 40 to 50 minutes of caregiving in intensive care units were obtained and analyzed by applying the procedures recommended by Ericsson and Simon for protocol analysis. Results Four thinking processes before acting were identified to constitute various sorts of thoughts in which the nurses were engaged during patient care: reviewing, validation, consideration, rationalization, and action. In addition, three patterns of sequential streaming of thinking (short, intermediate, long) were identified to reveal various ways the nurses dealt with clinical situations involving nursing tasks and responsibilities. Conclusion This study specifies the initial categories of thoughts for each of the processes and various patterns with which these processes are sequentially combined, providing insights into the ways nurses think about problems and address their concerns. The findings suggest that the thinking in clinical practice involves more than focused decision-making and reasoning, and needs to be examined from a broader perspective
한경자 한국일본사상사학회 2009 일본사상 Vol.0 No.17
本稿は、謎が謎を生む意外な展開を好んだ宗輔が、その趣向を近松の浄瑠璃から採り入れていることに注目し、複雑な筋立てや謎解き劇のような展開などの推理小説的要素が近松の浄瑠璃においてどのように用いられ、さらに並木宗輔の浄瑠璃においてどのように展開していくのか、その様相について考察したものである。 近松の浄瑠璃は後の浄瑠璃や歌舞伎などに多くの影響を与えており、近松半二や並木宗輔の作品には近松の作品から詞章や趣向、筋などを採り入れた作品が多い。特に近松没後の合作による浄瑠璃は、全体の劇構成が複雑化しており、並木宗輔の作品にはさらに推理小説的な手法が好んで用いられているという特徴がある。それらの作品には、「心底」の趣向、首無し死体の趣向、死んだと思っていた人物が実は生きているなど、観客の意表をつくような趣向を、さらに複雑に発展させている。 推理小説的な要素が浄瑠璃に導入されるのは、浄瑠璃の発達による筋の複雑化のほか、比事物の影響や文学全般における知的遊戯性への傾斜、そして享保期(1716-1735)以降の作者部屋、合作の体制などの影響があり、近松没後の浄瑠璃はより複雑な内容が好まれるようになる。しかし、宗輔の作品は複雑ではあるが、謎解き的要素がその場だけのものとして遊離することなく、推理小説的展開に伏線を敷いて脈絡をつける、劇全体の構成として絡んでおり、その中でより精巧な「悪」の描写への工夫が見られるのである。
왕명자,김귀분,최선하,송미순,조순자,강현숙,이향련,조결자,전명희,김원옥,한경자 서울대학교 간호대학 간호과학연구소 1992 간호학 논문집 Vol.6 No.1
The purpose of this Q methodological study was to examine internal cognition and attitudes towards oriental medicine among Koreans. Statements related to oriental medicine were collected by open-ended questions on oriental medicine characteristics. Subjects were one physician, two nurses and two patients in oriental medicine hospital, and one physician, two nurses and two patients in an western practice hospital. Thirty six statements were finally selected in terms of two dimensions-recognition and effect of oriental medicine. The statements were written in separate cards and given to 19 adults subjects to sort the cards according to the degree of agreement and disagreement to each statement. The number of card for each level was set to shape a normal distribution. Q-sorts were coded and analyzed through pc QANAL program. As the result of Q-analysis, four operant factors emerged. Three subjects were belong to type I named 'Oriental Medicine Expert' who recognized oriental medicine systemically and believe it's healing effectiveness. Eight subjects were classified as type Ⅱ, 'Science Conscious Searcher' who thought oriental medicine lack of scientific bases and worried about it's side effects. Seven subjects were fallen into type Ⅲ, 'Believer' who selectively agreed on it's use. There was only one subject belonging to type Ⅳ, 'Selective User' who didn't deny effectiveness of oriental medicines, but believed in its limited application. The statements which agreed upon among all subjects were those related to psychosomatic effect and enhancement of natural healing power of oriental medicine.