정맥관 감염예방 근거중심 가이드라인의 권고강도 별 간호사의 지식 및 수행정도

류세앙(Ryu, Se-Ang),김윤희(Kim, Yun-Hee),장금성(Jang, Keum-Seong),정경희(Chung, Kyung-Hee),최자윤(Choi, Ja-Yun),양진주(Yang, Jin-Ju),박순주(Park, Soon-Joo) 한국성인간호학회 2012 성인간호학회지 Vol.24 No.5

혈액투석 환자의 수면장애 영향요인

이현미(Lee Hyein Mi),류세앙(Ryu Se Ang),김은아(Kim Eun A),장금성(Jang Keum Seong) 기본간호학회 2009 기본간호학회지 Vol.16 No.2

Purpose: This study was conducted to identify the factors contributing to sleep disorders in patients on hemodialysis. Methods: A descriptive correlational study design was used. The participants were 135 patients on hemodialysis in hemodialysis clinics. Data were collected from March to May 2007 using structured questionnaires and hematologic sample. Stepwise multiple regression was used to identify factors influencing sleep disorders among the demographie-clinical factors, depression and fatigue. Results: About 69% of the patients had a sleep disorders. There were significant differences in sleep disorders according to marital status, caregiver, religion, economic level, insurance, erythropoietin, somnifacient, and antihypertensive agents. But there were no differences according to age, gender, dialysis period, or antidepressants. Their sleep disorders had significant correlations with depression, and fatigue, and a significant negative correlation with Protein, Albumin, Phosphate and BUN. But there were no correlations with hematocrit, hemoglobin, creatinine, sodium, potassium, or calcium. Depression and fatigue were factors influencing sleep disorders. They accounted for 43.8% of the variance in sleep disorders in these patients. Conclusion: Findings provide an understanding of sleep disorders and the factors that are an influence in patients on hemodialysis. To promote sleep in these patients, nursing interventions to manage depression and fatigue are needed.

일 종합병원 간호사의 간호수행능력 영향 요인

강경자(Kyung-Ja Kang),김은만(Eun-Man Kim),류세앙(Se-Ang Ryu) 한국콘텐츠학회 2011 한국콘텐츠학회논문지 Vol.11 No.1

본 연구는 간호사의 간호수행능력을 파악하고, 그 영향요인을 규명하기 위하여 시도되었다. 자료는 2010년 5월 17일부터 6월 19일까지 경기도 소재의 종합병원 간호사 163명을 대상으로 구조화된 자가보고형 설문지로 조사하였다. 간호사의 학력, 근무부서, 프리셉터 경험, 향후 계획, 직무교육 참여도에 따라 간호수행능력에 차이가 있었다. 간호수행능력과 근무경력, 비판적 사고성향, 임상 의사결정능력이 순 상관관계를 나타냈다. 일 종합병원 간호사의 간호수행능력의 영향요인은 비판적 사고성향, 근무부서, 근무 경력이었고 세 요인이 간호수행능력을 50.3% 예측설명하였다. 따라서 임상간호사의 간호수행능력을 향상시키기 위해 비판적 사고성향을 향상시킬 수 있는 교육과 지속적으로 근무하면서 교육을 받을 수 있도록 격려와 지원이 요구된다. This study was conducted to investigate factors contributing to clinical competence for nurses. A descriptive correlational study design was used. Participants were 163 nurses from a general hospital. Data were collected using self-administerd questionnaire. There were significant differences in clinical competence according to scholarship, department type, preceptor experience, future plan, continuing education participation. The clinical competence had significant correlations with the clinical experience, critical thinking disposition and clinical decision making. Factors influencing clinical competence were critical thinking disposition, department type, and clinical experience, which explained about 50.3% of total variance. we suggest that continuing education program to enhance critical thinking disposition warranted for development of clinical competence for nurses.

간호의 질 평가에 관한 국내 간호연구 분석

김남영(Nam Young Kim),장금성(Keum Seong Jang),류세앙(Se Ang Ryu),김윤민(Yun Min Kim) 한국간호행정학회 2003 간호행정학회지 Vol.9 No.3

유치도뇨관 감염예방 가이드라인에 관한 체계적 문헌검색사례

김윤희(Yun Hee Kim),장금성(Keum Seong Jang),정경희(Kyung Hee Chung),최자윤(Ja Yun Choi),류세앙(Se Ang Ryu),박현영(Hyun Young Park) 한국간호행정학회 2014 간호행정학회지 Vol.20 No.1

본 연구는 근거기반간호를 지원하기 위해 펍메드를 통한 체계적 문헌검색 사례를 제시하고자 시도되었다. 연구방법: 유치도뇨관 감염예방 가이드라인을 확인하기 위하여 다섯가지 검색전략을 수행하였고, 문헌은 1980-2010년, 영어, 인간연구로 제한하여 검색하였다. 검색결과는 추출된 문헌 수, 관련 문헌 수, 검색의 민감도와 정확도를 통해 비교분석하였다. 연구결과: 다섯가지 검색전략에 따라 검색결과를 각각 다르게 나타났다. 추출된 문헌 수는 19-141개, 관련 문헌 수는 3-6개였다. 민감도가 가장 높은 검색전략은 ``기본검색``, ``MeSH 용어, textword, 및 검색필터 활용 검색``이었고, 정확도가 가장 높은 방법은 ``MeSH 용어와 제한기능 활용 검색``이었다. 결론: 펍메드에서의 ``기본검색``은 바쁜 임상현장에서 유용한 근거검색 방법이나, 간호사들은 효과적이고 효율적인 문헌검색을 위해 MeSH 용어, textword, 제한기능, 연구설계에 따른 검색필터 등을 다양하게 활용할 수 있어야 할 것이다. Effective literature searching is essential to support evidence-based nursing. The aim of this study was to present our recent systematic search experience to identify guidelines in PubMed for prevention of catheter-associated urinary tract infections. Methods: Five approaches to the literature search via PubMed were employed. The searches were restricted to items published from 1980 to 2010, for patients admitted to hospital, and in the English language. The search results were compared using the number of records and relevant items, and the sensitivity and precision of each search strategy. Results: The individual approaches retrieved 19-141 of records and 3-6 of relevant items. Sensitivity ranged from 37.5% to 75.0% with the highest values for simple searches and a search combining MeSH terms and free textwords with a methodological search filter. Precision varied from 4.3% to 21.7% and the highest precision was found for MeSH terms with limits feature. Conclusion: The simple search in PubMed is an appropriate way for nurses in a busy clinical practice to search the literature for evidence. However, several approaches using MeSH terms, free textwords, limits feature or methodological search filters are also required to have more efficient and better informed search results.

의무기록지 분석과 간호사 면담을 통한 유치도뇨관 관리에 관한 간호활동 및 환자결과

장금성(Jang Keum Seong),정경희(Chung Kyung Hee),최자윤(Choi Ja Yun),양진주(Yang Jin-Ju),박순주(Park Soon Joo),류세앙(Ryu Se-Ang),김남영(Kim Nam Young),심재연(Sim Jae Youn) 기본간호학회 2008 기본간호학회지 Vol.15 No.4

Purpose: The purpose of this study was to identify nursing activities and to analyze patient outcomes related to indwelling urinary catheterization. Method: A review was done of 628 medical records from five units for patients admitted between January 1 and June 30, 2006. Twelve nurses who worked in the same units were interviewed. Results: In the interviews, nurses reported considering several non-invasive interventions prior to catheterization but there were no medical records of this activity. Results from the in-depth interviews showed that infection control activities such as urinary bag management were conducted but again there were no medical records. Seventy-five percent of the catheters were removed without prescription. In the medical records there were no notes for approximately 15%, on the time of first voiding and 80%, on volume of first voiding after removal of catheter. There was a significant difference in hospitalization days between the group catheterized for 5 days or less and the group catheterized for 6 days or more. Conclusion: Results indicate a need to close the gap between recorded and described activities and between current and best evidence based practice. Further study is needed to develop a standard recording system and guidelines related indwelling catheterization to decrease the gaps identified in this research.

인지장애노인의 요실금에 대한 고찰

류세앙 동신대학교 2006 論文集 Vol.16 No.-

This research was performed to review on urinary incontinence of the cognitively impaired older adults. There was use of diaper or habits practice for a management of urinary incontinence that is one of major problem in nursing at the long term care facilities, which could lead to a physical and emotional problem of the patients and caregivers. Self-management strategies like pelvic muscle exercise and biofeedback were proved the effectiveness on urinary incontinence who were the cognitively intact and ambulatory adult. However it is difficult to apply those for the cognitively or physically impaired elderly as the strategies need cognitive ability for learning and performing, Because of this limitation, caregiver-dependent strategies like scheduled toileting, habit training and prompted voiding are usually recommended for management of urinary incontinence of the cognitively impaired older adults. Prompted voiding involves asking residents at regular intervals if they need to void and if so, they are helped in toileting, which is to assist them to void using appropriate toileting receptacles before the resident urinate involuntarily on the clothing, bed or diaper. So it has advantage of involving the elderly in decision making of their care, and has merit of keeping dignity of individual as they maintain almost normal voiding. Conclusively, this implies that the individual could maintain a certain level of continence if appropriate toileting opportunity given, although the elderly has impaired cognition and mobility. But, Important factors of successful implementation of prompted voiding were as followed. First, there must be a subject selection process for appropriate for prompted voiding. Second, identify subject's voiding pattern and schedule individually. Lastly, give a positive feedback, when the resident request toileting assistance, or maintain continence status, or use toileting receptacles properly. I hope to develope a practical prompted voiding protocol based on this results and to perform it for cognitively and physically dependent older adults.

뇌졸중 후 요실금이 일상생활에 미치는 영향

송미순,류세앙,김명숙 성인간호학회 2002 성인간호학회지 Vol.14 No.1

Purpose: This study was performed to identify the prevalence and type of urinary incontinence (UI) after a stroke, to find the differences in urinary symptoms according to continence or incontinence, and to find the degree of impact of UI on daily life. Method: For data collection, we had a structured interview with a questionnaire. The subjects were 239 post stroke patients. Results: Among the subjects(mean age: 65±10), 66.1 percent had an infarction, and 25.5 percent had a hemorrhage. And 26.4 percent of subjects were within 2 weeks and 28.9 percent from 1 year to 5 years since their episodes of a stroke. Forty five point six percent of subjects had various types of UI: urge 25.7 percent, stress 14.7 percent, functional 20.2 percent, and mixed 39.4 percent. There were significant differences in frequency, nocturia, decreased stream, and incomplete emptying between the incontinent and continent groups. Subjects reported UI influenced various aspect of daily life, 54.1 percent as cause of distress, 53.2 percent on overall quality of life, and 40.4 percent on sleep. The Mixed UI, including urge UI, had higher impact on daily life than others. Conclusion: There was a high prevalence of UI, mixed, urge, and functional type as most prevalent, and it had a strong impact on daily life of post stroke patients.

간호관리학 임상실습에서 협력학습이 메타인지 수준에 따라 문제해결과정에 미치는 영향

장금성,김남영,류세앙,김윤민,정경희 대한간호행정학회 2007 간호행정학회지 Vol.13 No.2

Purpose: The aim of this study was to find the effect of collaborative learning on problem-solving processes according to the level of metacognition, after adopting collaborative learning to clinical practice of nursing management. Method: Senior college students participated in this study. 90 students who was involveled in high level metacognitive group and another 88 students in low level metacognitive group. The data was collected from 2003 to 2005. The process of collaborative learning was categorised in 4 steps. The data were analyzed using t-test, ANCOVA, paired t-test. Results: 'There will be a distinction between the low and high metacognition groups after application of collaborative learning' was rejected, 'In the high level metacognitive group, the problem-solving ability will also increase after application of collaborative learning than before application' was supported. 'In the low level metacognitive group, the problem-solving ability will increase after application of collaborative learning than before application' was supported. Conclusion: The results showed that with collaborative learning, the problem-solving ability of learners with different levels of metacognition is improved.

자가간호 교육 프로그램이 지역사회 거주 당뇨노인의 자기효능, 자가간호 및 당조절에 미치는 효과

송미순,구미옥,류세앙,김명숙 노인간호학회 2002 노인간호학회지 Vol.4 No.1

The purpose of this study was to develop a self-care training program for elders with diabetes based on self-efficacy promotion resources and test the effect of the program. This 6-week long (total 12 hours) program and a diabetic self-care booklet containing self-care strategies were developed by researchers. The participants consisted of 34 elders with type Ⅱ diabetes living in the community (20 males and 14 females). They were recruited from the Gu health office registry. The results are as follows : 1. The mean age of the participants was 67.2 years, and 76.5% were being treated with oral hypoglycemic agents, 14.7% insulin, and 8.8% with a combination of oral hypoglycemic agents and insulin. 2. There was a significant improvement in self-care efficacy at week 6 compared to week 1 (t=-3.29, p= .002) and self-care behavior at week 6 compared to week 1 (t=-3.81, p=.001). 3. According to the HbAlc results, the participants were classified as having excellent (below 7%). good (7 to 8%) or poor (over 8%) control. According to the comparison of week 1 to week 6, there was no significant difference (Wilcoxon Signed Ranks Test p=.564). In conclusion, a self-care program promoting self-efficacy for elders with diabetes was effective in improving self-care efficacy and self-care behavior. Further study with a longer follow up period is necessary in order to test the long term effect of the program.