지역응급의료센터 간호사의 감정노동, 극복력과 간호근무환경이 이직의도에 미치는 영향

김지옥(Kim, Ji-Ok),위휘(Wee, Hwee) 한국웰니스학회 2018 한국웰니스학회지 Vol.13 No.3

본 연구는 우리나라 응급의료체계 중 지역응급의료센터의 간호사 인사관리의 기초자료를 제공하고자 지역응급의료센터 간호사의 감정노동, 극복력, 간호근무환경 및 이직의도를 파악하고 이직의도에 영향을 미치는 요인을 확인하는 서술적 조사연구이다. 연구대상은 강원, 경기, 전남, 전북과 충남에 소재한 14개 기관에서 근무하는 경력 3개월 이상인 일반간호사이며, 총 209명의 자료가 분석되었다. 자가보고식 설문지를 이용하였고, 자료수집 기간은 2017년 7월 10일부터 8월 9일까지이었다. 자료분석은 SPSS22.0프로그램을 이용하여 기술통계, 독립 t검정, ANOVA, Pearson 상관계수, 다중회귀분석을 사용하였다. 연구결과 조사된 모든 변수는 중간수준 이상이었고, 일반적 특성에 따른 이직의도의 차이는 나타나지 않았다. 지역응급의료센터 간호사의 이직의도에 영향을 주는 요인은 간호근무환경(β=-0.43,p<.001), 감정노동(β=0.35,p<.001)이었고, 이들은 이직의도를 15% 설명하였다. 이 결과를 바탕으로 기관은 인증평가 기준에 따른 물리적 환경 뿐 아니라 간호사가 지각하는 간호근무환경의 개선을 위해 노력할 것과, 간호사의 감정노동을 개인적인 차원으로 이해하기보다 조직 차원에서 관리할 것을 제안한다. 또한 지역응급의료센터 간호사의 이직의도에 영향을 미치는 추가적인 변인을 확인하는 추후 연구를 제언한다. The purpose of this study was to investigate emotional labor, resilience, work environment and turnover intention of community emergency medical center nurses to provide basic data on nursing management. This is a descriptive research to identify the factors that influence the outcome. The subjects of this study were general nurses with over 3 months of experience working in 14 institutions. 209 data were analysed. Self-report questionnaires were used and data were collected from July 10 to August 9, 2017. Data were analysed using descriptive statistics, independent t-test, ANOVA, Pearson’s correlation coefficient and multiple regression by using SPSS 22.0. All variables were more than middle level and there was no difference in turnover intention according to general characteristics. The work environment(β=-0.43, p<.001) and emotional labor(β=0.35, p<.001) were the factors influencing the turnover intention and these factors explained 15% of the variance. Based on these results, the administrators should try to improve work environment and manage the nurse’s emotional labor at the organizational view. And we suggest further studies that identify additional variables that affect the turnover intention.

정위적 방사선 수술시 치료위치에서의 정위적 표적점 확인을 통한 자기공명영상 획득의 정확도 연구

김상환,류지옥,김백규,김영호,Kim Sang Hwan,Ryu Ji Ok,Kim Baek Kyu,Kim Yong ho 대한방사선치료학회 1999 大韓放射線治療技術學會誌 Vol.11 No.1

Purpose : For practical application of the MR image for stereotactic radiosurgery, the target point achieved by acquisition of MR image in a relatively homogeneous phantom has to agree with the actual isocenter of irradiation in real radiosurgery and the amount of distortion of the MR image should be known. Materials and Methods : A dosimetric film with a random target point was inserted into a radish vertically and horizontally on axis Z and they were fixed with a headring. After image acquisition by stereotactic radiosurgery planning system, we achieved stereotactic coordinate of the target point and examined irradiation using the coordinate acquired as isocenter. After the irradiation, the film in the radish was developed and processed and the degree of coincidence between the target point marked on the film and the center of the radiation distribution. In order to measure the degree of distortion of the MR image in a different way, an acryl phantom was made and punctures were made at intervals of 1 cm and a drop of oil was dropped into it. Then, it was inserted into the radish vertically and horizontally on axis Z to acquire the MR image. Each coordinate was achieved and the estimation of distortion of MR image was made both in vertical and horizontal directions Results : The film from the radio was developed and for the one inserted vertically on axis Z, there was a good coincidence in the discrepancy between the target point marked on the film and the center of the radiation distribution. For the one inserted horizontally, the discrepancy between them was under 0.5 mm. As a result of estimating distortion of MR image using acryl, the discrepancy was under 0.45 mm in the case of the phantom inserted vertically on axis Z, and that of the one inserted horizontally was 1.4 mm. Conclusion : We were able to confirm good coincidence in homogeneous phantom in actual treatment position of radiosurgery using the MR image and the discrepancy measured in the analysis of distortion of the MR image did not exceed the permissible level. Therefore, it was evident the system of the hospital is suitable for radiosurgery using MR image.

벗풀의 식물화학적 성분

김기탁(Ki Tack Kim),문형인(Hyung In Moon),이강노(Kang Ro Lee),지옥표(Ok Pyo Zee) 대한약학회 1998 약학회지 Vol.42 No.2

From the methanol extract of the whole part of Sagittaria trifolia ergosterol peroxide, icariside D2. Thalictoside and 4-nitrophenyl beta-D-glucopyranoside were isolated and their structures were identified by the physico-chemical and spectral data. This is the first report of these compounds from S. trifolia.

고추나물의 항산화 활성 Flavonoid 성분

정칠만,황은주,권학철,김선여,배기환,지옥표,이강노,Jung, Chil-Man,Hwang, Eun-Ju,Kwon, Hak-Chul,Kim, Sun-Yeou,Bae, Ki-Hwan,Zee, Ok-Pyo,Lee, Kang-Ro 한국생약학회 1999 생약학회지 Vol.30 No.2

Four antioxidative flavonoids were isolated from the aerial parts of Hypericum erectum. Their structures were identified as quercitrin (I), isoquercitrin (Ⅱ), hyperoside (Ⅲ) and orientin (IV) on the basis of spectroscopic means. Antioxidative activities for flavonoids $I{\sim}IV$ were determined by measuring lipid peroxide using 2-thiobarbituric acid (TBA) method and by evaluation the radical scavenging activity on 1,1-diphenyl-2-picrylhydrazyl (DPPH) radical. Compound IV, orientin, was found to have strong antioxidative potency.

성인 당뇨병 환자의 극복력, 우울 및 자가간호역량

박영례(Park, Youngrye),장은희(Jang, Eun Hee),김지옥(Kim, Ji Ok) 한국성인간호학회 2018 성인간호학회지 Vol.30 No.5

물쑥의 성분 및 이들 성분이 흰쥐의 간세포 독성에 미치는 영향

장우영(Woo Young Jang),이강노(Kang Ro Lee),지옥표(Ok Pyo Jee),유승조(Seung Jo Yoo),김영중(Young Choong Kim),김선여(Soon Yoo Kim) 대한약학회 1993 약학회지 Vol.37 No.2

alpha-Linolenic acid ethylester, C19 spiroketalenolether polyyne, herniarin and steroid were isolated from the leaves of Artemisia selengesis (Compositae). The structures of the compounds were elucidated on the basis of spectroscopic evidence. Liver protective effects of these constituents were studied using galactosamine and CCl4-induced cytotoxicity in primary cultured rat hepatocytes.

사철쑥과 그늘쑥의 다당류 연구

황은주(Eun Ju Hwang),권학철(Hak Cheol Kwon),정칠만(Chil Man Jung),문형인(Hyung In Moon),김선여(Sun Yeou Kim),지옥표(Ok Pyo Zee),이강노(Kang Ro Lee) 대한약학회 1999 약학회지 Vol.43 No.4

Two polysaccharides, ACP-UMF and ACP-ULF, were purified from the aerial part of Artemisia capillaris by anion-exchange chromatography, ultrafiltration, and gel filtration chromatorgraphy. The polysaccharides appeared to be homogenious from the results of HPLC. The molecular weights of ACP-UMF and ACP-ULF were estimated to be 16305.92 D and 3292.23 D, respectively, by MALDI-TOF MS. The sugar compositions were determined by GC to be arabinose 10.05%, xylose 1.67%, mannose 5.45%, galactose 39.06%, glucose 15.43% for ACP-UMF and arabinose 11.60%, xylose 11.15%, mannose 6.37%, galactose 32.47%, glucose 18.35% for ACP-ULF. A polysaccharide, SP-M, was also purified from Artemisia sylvatica in the same manner as in A. capillaris. The molecular weight of SP-M was determined to be 2462.52 D by MALDI-TOF MS. SP-M consisted mainly of rhamnose 36.49%, arabinose 29.00%, and glucose 19.38%. Incubation of CCl4-intoxicated hepatocytes with ACP-UMF reduced the levels of glutamic pyruvic transaminase(GPT) and cellular malondialdehyde(MDA) to 62.8% and 23.8%. ACP-ULF also reduced the levels of GPT and MDA to 46.1% and 38.1% and SP-M to 38.8% and 26.3%, respectively.

[약학]국내 자생버섯, Phellinus ribis 중 Ceramide 성분

문동철(Dong-Cheul Moon),황경화(Kyung-Hwa Hwang),최규열(Kyu-Reul Choi),이용문(Yong-Moon Lee),김정훈(Jung-Hoon Kim),김재길(Jae-Gil Kim),박영현(Young-Hyun Park),김미란(Mi-Ran Kim),지옥표(Ok-Pyo Zee) 한국분석과학회 1994 분석과학 Vol.7 No.4

부산지역 온찜질방의 이용실태 및 태도

김지옥,옥치상 고신대학교보건과학연구소 2005 보건과학연구소보 Vol.15 No.-

The purpose of this study was to serve a basis data for preparation of health policy and for developing program of health promotion by the utilization and its attitudes in the place for thermal fomentation. The data was collected by using a structured and self-administered questionnaire in February 2004. The subjects in this study were 200 general public in Busan Metropolitan City, Korea. 180 questionnaires were analyzed with SPSS for Windows(7.5) program, and the others who respond unfaithfully to the survey were excluded. Based on the results, the use of thermal fomentation therapy was 8.9% in man, 91.1% in woman, respectively. The distribution of age was 54.4% in 30 ages : the use times during a month was 38.9% : the time to go was 61.6% in wanted mind : the evening time was 63.0% : the person to take together was 42.2% in friends. In the use characteristics of thermal fomentation, the staying time in the place for thermal fomentation was 79.2% in 3∼5hr : the reason to go was 58.7% in fatigue : the staying time to take thermal fomentation was 42.9% in 20min. So the many persons perceived as a low standard of living were taken a bath in the place for thermal fomentation for being relieved of their fatigue after coming home from work. The responding order of thermal fomentation therapy was 51.5% in yellow earth, 16.4% in feldspar porphyry, 6.4% in jewellery, 5.8% in germanium, respectively. The utilization of thermal fomentation therapy was higher than average, and the effectiveness was average. In environmental sanitation in the place for thermal fomentation, the room temperature, thermal fomentation temperature, clean sanitation, clothes sanitation, drinking water sanitation, rest room space were average, and the illumination, noise degree were below average. The utilization, satisfaction and health effectiveness of thermal fomentation therapy were more excellent in being low in age and good in health state : and were more worse in being high in age and bad in health state. The above results showed that the perception of thermal fomentation therapy was high and were most commonly experienced in woman. In the future to the aging society, the demand of thermal fomentation therapy and health wellbeing will be increased. So health policy makers and health professional should pay more attention to thermal fomentation therapy and alternative medicine for making appropriate utilization. And health education suitable to the general public should be needed.

벗풀의 식물화학적 성분

김기탁,문형인,이강노,지옥표 성균관대학교 약학연구소 1998 成均藥硏論文集 Vol.10 No.1

From the methanol extract of the whole part of Sagittaria trifolia ergosterol peroxide, icariside D_2, thalictoside and 4-nitrophenyl β-D-glucopyranoside were isolated and their structures were identified by the physico-chemical and spectral data. This is the first report of these compounds from S. trifolia.