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김남초,한혜자 노인간호학회 2002 노인간호학회지 Vol.4 No.2
The purpose of this study were to analyze daily activities of older people and to provide basic data for developing a leisure activity program for this population. The participants were 46 elderly people who lived in Chung Cheong province. Data were collected during September 2002. The participants were interviewed and observed by student nurses, their grand-daughters, for 1 week, from Monday to Sunday. The data were analyzed using the SAS program. The results showed that the mean frequency for the activity, personal maintenance, was 32.9 times a week and this item had the highest frequency. The mean frequency for paid work was 9.0 times a week, which was the lowest. The mean duration of the activity, resting, was 61.9 hours a week, which was the highest. The mean duration for paid work was 10.3 hours a week, which was the lowest. Older men had more social activities than older women. Older people without families did more personal maintenance than those with families. Older people with incomes did more IADL than those without incomes but had less leisure activity. But older people without families spent more time in personal maintenance than those with families. Older people without incomes spent more time in leisure activities than those with incomes. It is desirable for older people to convert their resting activities to productive and creative activities.
김남초 노인간호학회 1999 노인간호학회지 Vol.1 No.2
As the rate of the elderly population is increasing and concern for the enhancement of the quality of life for the elderly is growing, sexuality of the elderly will be an important part of nursing aspects. We have been forbidden to talk about sexuality in the past but now the tendency is to talk about it openly and positively. Nurses who pursue holistic nursing care do not have to ignore or avoid the issue of sexuality of the elderly, because the elderly have sexual needs. We have to discard the thought that the elderly are asexual and that sexuality of the elderly is repulsive. Nurses must look for sexual dysfunction whichoccurs in the elderly, and help to solve the problem of sexual dysfunction through effective intervention. In order to perform those functions, nurses have to acquire knowledge about nursing intervention and the strategies which are necessary to solve the problems of the change of sexual response, sexual dysfunction, and chronic illness which affects sexual function. In addition, nurses have to understand the overall concept of sexuality.
손씻기 교육이 간호사의 손씻기 행위와 중환자의 호흡기로의 MRSA 분리율 감소에 미치는 영향
김남초,최경옥 성인간호학회 2002 성인간호학회지 Vol.14 No.1
Purpose: This is a clinical experimental study aimed to provide basic data to ensure quality care. The propose of this study is to increase nurses hand washing behavior and decrease respiratory isolation rate of MRSA. Method: This study was conducted in Kangnam St. Marys hospital. The subjects included 5 nurses working at the NS ICU and 165 specimen for nasal swabs and 46 specimen for sputum cultures from 106 patients admitted to the NS ICU. The data were collected from June to September 2000. Results: 1. The percentage of the nurses hand washing was 15.6percent but was improved to 46.5 percent after the educational intervention. In particular, hand washing behavior was increased in situations such as after suctioning, before parenteral nutrition, and after providing hygiene care. 2. Results of nasal swab showed that MRSA isolation rate was reduced from 42.8 percent before the education to 18.6percent after the education. The sputum culture results also showed that the MRSA rate was reduced from 40.7percent before the education to 34.6percent after the education. Conclusion: The findings showed the nurses' strict hand washing behavior and use of disposable gloves and paper towers as well as use of hand sterilization spray by visitors or families can decrease the MRSA isolation rate in the NS ICR patients. Since the NS ICU patients may have respiratory complications due to long-term hospitalization, the nurses regular hand washing is important enough to be emphsized. Future research should be focused on the impact of nurses' hand washing behavior on the incidence of pneumonia, an iatrogenic infection.
인공호흡기 튜브교환주기에 따른 인공호흡기 관련 폐렴발생률
김남초,김양리 성인간호학회 2003 성인간호학회지 Vol.15 No.3
Purpose: This study was aimed at providing scientific evidence for minimizing ventilator-associated pneumonia (VAP) by identifying appropriate timing of exchange of circuit for mechanical ventilator that is well suitable for the medical environment of intensive care units of hospitals in Korea. Method: This was quasi-experimental study with a convenience sample of 19 adult subjects aged over 18 years who were admitted to the NS ICU of C university hospital, and placed on mechanical ventilator. The subjects were placed in two groups, compared on the incidence rate of VAP after they received exchange of circuit either at 1-week interval (N=10) or 2-week interval (N=9). Result: 1) When considering 1000 days as the standard unit of analysis fro incidence, the incidence rate of VAP was 7.19 cases at the 1-week cycle exchange group and 15.23 at the 2-week cycle exchange group, showing no statistically significant difference between the two groups. 2) There were a total of 3 types of bacteria isolated from the patients with VAP, including 2 cases with P. aeruginosa, 1 case with Streptococcus group F and A. baumannii. Conclusion: With thorough hand washing and strict management of tracheal tube of mechanical ventilator as well as use of tracheal intubation techniques, exchange cycle of circuit of mechanical ventilator by nurses may be changed from 1-week to 2-week interval.