농촌 거주 노인의 호흡기감염예방 이행에 영향을 미치는 요인

권명순,유정순 한국지역사회간호학회 2019 지역사회간호학회지 Vol.30 No.4

Purpose: This study was to identify the factors influencing the practice of respiratory infection prevention (RIP) for the elderly residing in rural areas. Methods: The data were collected from 188 residents aged 65 years or older residing in the jurisdictions of four public health clinics in rural areas of C city, using a structured questionnaire for the period from December 1, 2018 to February 28, 2019. The collected data were analyzed with independent t-test, one-way ANOVA, Pearson’s correlation coefficients, and hierarchical multiple regression analysis using SPSS/WIN 25.0 program. Results: The score on knowledge of RIP was 8.82±1.36, while it was 4.53±0.47 for attitude, 3.78±0.66 for practice, and 3.78±0.69 for social capital. It was observed that the factors influencing the practice of RIP were attitude of RIP (β=.38, p<.001), social capital (β=.29, p<.001), family type (β=-.19, p=.002), and subjective health status (β=.15, p=.035), while the explanatory power of the model was 47%. Conclusion: Consequently, to enhance the practice of RIP for the elderly residing in rural areas, it is necessary to develop programs considering social and environmental characteristics of rural areas based on their attitude of RIP, social capital, family type and subjective health status.

포스트 코로나 시기 농촌 거주 노인의 호흡기감염 예방 프로그램 개발: 보건진료 전담공무원 대상 델파이 기법

권명순,유정순,장지혜 한국보건간호학회 2022 韓國保健看護學會誌 Vol.36 No.3

Purpose: The purpose of this study was to develop a respiratory infection prevention program for the rural elderly in the post-coronavirus disease 2019 (COVID-19) era. Methods: The Delphi method was used to validate the contents of the program. Two rounds of Delphi surveys and one individual interview were conducted on four subjects and 16 categories with nine experts. Content validity was calculated using the content validity ratio (CVR) and coefficient of variation (CV). Results: This study verified the content validity of the existing program components, such as respiratory infection prevention characteristics, cough etiquette, correct hand washing, oral hygiene, correct tooth brushing, and exercise by walking. The study comprised 28 categories covering seven subjects, including the provision of knowledge and information about COVID-19, environmental management for respiratory infection prevention, and exercise training for immunity enhancement. Conclusion: This Delphi study examined the respiratory infection prevention program that was redesigned for the post-COVID-19 era and confirmed the validity of the educational contents. The findings of this study suggest that the program can be used practically for the prevention of respiratory infection among the rural elderly.

자기결정성 이론에 근거한 스마트폰 과의존 대학생의 내적 동기화를 위한 기본 심리 욕구 탐색

권명순,진주혜 한국정신간호학회 2019 정신간호학회지 Vol.28 No.1

Purpose: Smartphone overdependence in young adults is a growing issue, that requires a vigorous approach to manage its associated problems in the affected ones. This study was designed to suggest a detailed direction to help university students with smartphone overdependence, who would be internally motivated through satisfying their basic needs based on the self-determination theory (SDT). Methods: The data were collected via face-to-face interviews with twenty program providers, who have managed the program for preventing and treating the smartphone overdependence. All interviews were audio-recorded and transcribed. The data were analyzed using directed qualitative content analysis. Results: One core category emerged from the findings: ‘Empowering motivation of autonomous actor of change associated with environmental context,’ which three generic categories and seven subcategories supported. Apart from the three basic needs in the SDT, autonomy, relatedness, and competence, no additional concepts were mentioned, but the participants complained about the practical difficulties of running programs with non-motivated students. Conclusion: Our study findings emphasize that research and clinical practice for young people with smartphone overdependence should focus more on developing detailed program contents synchronized with theoretical and conceptual guidance.

혁신확산모델에 근거한 원격건강관리시스템의 질적 분석

권명순,장지혜 한국지역사회간호학회 2017 지역사회간호학회지 Vol.28 No.2

Purpose: The purpose of this study is to explore factors which influence adoption, implementation and continued use of tele-healthcare systems. Methods: Qualitative research was conducted by in-depth interviews with 17 professionals from various fields of organizations involved in developing and implementing tele-healthcare systems. Data were analysed thematically, using a conceptual model of diffusion of innovations. Results: The system users were reacted positively to the 3 attributes out of 9 which decided the adoption of innovation. In addition, it is required to redesign the tele-health care system simpler and easier so that the system users can access to the system much more easily regardless of space and time limitations. From the design stage on an individual level, it is necessary to conduct detailed needs analysis and listen to users who are at the center of innovation diffusion. On an organizational level, it is necessary to actively prepare for possible problems during system implementation, educate the users and build communication channels continuously. Conclusion: This study has identified the factors affecting the innovation of tele-health care systems and contributed to the understanding of the operation of tele-health care systems by the diffusion of innovation theory in community health posts.

대학생의 기본심리욕구 및 스마트폰 중독과 대학생활적응과의 관계

권명순,이보영 한국보건간호학회 2017 韓國保健看護學會誌 Vol.31 No.3

Purpose: This study was conducted to evaluate the relationship among university students’ basic psychological needs, smartphone addiction and degree of adaptation to their university life, as well as to investigate the factors affecting their adaptation to university life. Methods: This study was conducted from May through July in 2017 for 235 university freshmen. Data were analyzed by frequency, t-test, ANOVA, and stepwise multiple regression. Results: The study showed that the group living in the dormitory or other places rather than living with family and satisfying in family life [ED highlight–please clarify this, I cannot infer your intended meaning; however, this text can likely be deleted.] adapted easily to university life. Moreover, adaptation to university life was negatively correlated with smartphone addiction, but positively correlated with basic psychological needs. Consequently, these results confirmed that residence type, satisfaction with family life, smartphone addiction and basic psychological needs were the factors having the greatest influence on university life. Conclusion: Based on the results of this study, it is necessary to lead students to participate in programs that can meet basic psychological needs or prevent smartphone addiction to help university freshmen adapt to university life.

낙상예방 프로그램이 재가노인의 체력과 심리기능에 미치는 효과

권명순 한국간호과학회 2011 Journal of Korean Academy of Nursing Vol.41 No.2

Purpose: This study was done to identify effects of a fall prevention program on physical fitness and psychological functions in community dwelling elders. Methods: A quasi-experimental study was carried out with a nonequivalent control group pre & post-test design. The program, which included exercises and education, consisted of a 12-week group program and an 8-week self-management program using a health calendar. An experimental group (32) and a control group (21) participated. Results: There were significant differences in SPPB (t=-3.92, p

보건진료소의 고혈압예방 및 관리사업 평가도구 개발

권명순,조원정 지역사회간호학회 2004 지역사회간호학회지 Vol.15 No.2

Purpose: This study was to develop an effective evaluation tool for evaluation of hypertension prevention and management program(HPMP) in community health posts (CHPs). Method: Evaluation tool composed from the literature review, the field visiting, and the in-depth interviews with the community health practitioners. Result: The evaluation tool had four domains, each with different maximum points:, hypertension prevention (35), hypertension management (40), environment of the CHPs(10), and evaluation system of the HPMP(15). The first domain was hypertension prevention with sub-domains of health education, and early detection of patients with hypertension. The second domain was hypertension management with sub-domains of management of health records of patients, education and counseling , and treatment and follow-up of patients. The third domain was the environment of the CHPs with subdomains of accessibility of CHPs to residents, accessibility of general health data to the public, and availability of health information to the public by multimedia. The fourth domain was the evaluation system of the HPMP with the subdomains of planning of program, formative evaluation, process evaluation, and summative evaluation. Conclusion: The newly developed evaluation tool will contribute not only to plan and set goals for evaluation of HPMP in CHPs.

趙芝薰論

권명순 우석대학교 국어국문학연구회 1987 又石語文 Vol.4 No.-

금속심장판막 치환환자를 대상으로한 warfarin 용량 조절 guideline의 적절성 평가

권명순,정영미,김귀숙,이병규,손인자 韓國病院藥師會 2004 병원약사회지 Vol.21 No.3

The effectiveness and safety of warfarin therapy are critically dependent on a dose-response relationship, which is extremely individualized and can be influenced by several different factors. Therefore, patients on oral anticoagulant therapy require a close and careful monitoring of their daily dosage to prevent any complication possibly related to overdosing or underdosing. Patient with mechanical prosthetic valves are at high risk of systemic embolism therefore, they require an appropriate and lifelong anticoagulation. In 2001, the warfarin guideline for outpatients with mechanical heart valves replacement was developed by anticoagulation service team. This study goal was to evaluate the guideline. Data abstracted from the records of 100 patients whose warfarin dose has been changed by the guideline. After dosage adjustment, 60% were within the therapeutic range of INR 2.0 ~ 3.0, 23% were less than INR 2.0, and 17% were greater than INR 3.0. There was no thromboembolism but two bleeding sign and two ER visits occured. These were done because of hematuria, fever and chill which was not related anticoagulation therapy. A pharmacy-managed guideline for dosing warfarin achieved therapeutic goals and promoted use for outpatients with mechanical heart valves replacement.

일개 노인보건센터에서의 자가관리능력 측정도구 검증

권명순,조원정 지역사회간호학회 2006 지역사회간호학회지 Vol.17 No.4

Purpose : To find wether the self-care ability measurement used for visiting health care provide an appropriate standard to select service methods using a Delphi survey and to offer basic data that can improve the measurement. Method: A Delphi survey was done with 39 people consisting of theoretical professionals, field managers, and practitioners engaged in visiting health care. Result : It was found that items and weighted points in the currently used self-care ability measurement needed adjustment. Therefore, a modified evaluation standard was presented by domains, items and detailed items. Finally, the selt-care ability measurement is composed of 4 domains, 11 items and 19 detailed items. Conclusion : This study is significant in that it presented to business practice by supplementing problems in the existing self-care ability measurement. this study suggests the need to develop various measurement for elderly households based on community. 국민의 평균수명이 연장됨에 따라 노인 인구의 수와 비율이 급격하게 증가하고 있다. 우리나라 65세 이상의 노인 인구는 2000년에 7.2%에서 2003년 인구의 8.3%로 2010년에는 10.7% 2018년에는 14.3% 가 넘어 고령사회가 될것이며, 2026년 에는 20.8%가 넘는 초고령사회가 될 전망이다. 또한 65세 이상 노인의 대부분 (90.9%)은 관절염, 만성요통, 고혈압등 적어도 3개월 이상 지속되는 퇴행성 만성질환을 가지고 있으며, 나이가 많을수록 만성질환 유병률이 높으며, 65세 이상의 노인중에서 기능장애를 갖고 있는 경우가 42.5% 가 넘고, 그중에서 신체활동능력이나 가사활동 능력의 기능제한 으로 재가노인서비스 대상이 되는 노인 수는 41.2 %에 이르고 있다.