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미국 NGC<sup>TM</sup> 배뇨자극요법 근거중심 가이드라인의 국내 적용가능성 평가
박명화,김명애,Park, Myonghwa,Kim, Myung Ae 한국성인간호학회 2005 성인간호학회지 Vol.17 No.4
Purpose: The purpose of this study was to evaluate the applicability of the evidence based guideline for prompted voiding by Lyons & Specht (2001) in National Guideline $Clearinghouse^{TM}$ for use in Korea based on the experts' opinions. Method: The target expert group consisted of 8 registered nurses, 6 physicians, and 5 nursing professors who are experts in urinary incontinence. This study used a questionnaire survey. The appropriateness, applicability, and the present application of each recommendation in the guideline were analyzed with descriptive statistics using the SPSS program, with content analysis based on the experts' opinions. Result: The scores on each recommendation's appropriateness showed the high degree of agreement among nurses, physicians, and nursing professors. However, the recommendation for 'use of oxybutinin' showed the lowest score as 5.89. It was notable that the most recommendations scored lower for applicability compared with appropriateness. The reasons for lower scores for applicability were the lack of clinicians' knowledge of assessment and management, and the lack of resources in clinical settings in Korea. Conclusion: This study will augment the understanding of the actual urinary incontinence management in Korean clinical settings and can be used as the baseline data for further study of tailoring international guidelines into local and national clinical settings.
경도인지장애노인과 정상노인의 인구학적 특성, 동반질환 및 건강습관 비교
박명화(Park, Myonghwa),성미라(Sung, Mi Ra),김선경(Kim, Sun Kyung),이동영(Lee, Dong Young) 한국간호과학회 2014 Journal of Korean Academy of Nursing Vol.44 No.4
Purpose: This study was done to compare demographic characteristics, comorbidity, and health habits of elders with mild cognitive impairment (MCI) and elders with cognitively normal function (CNF). Methods: Secondary data analysis was conducted using data from the Database of the Seoul Dementia Management Project for 5,773 adults age 60 and above. Results: The MCI group showed an older age distribution, but there was no significant education difference between the two groups. Elders with MCI had more diabetes and stroke than elders with CNF. In subgroups, the same findings were observed in women, but not in men. While more men with MCI had hypertension compared to men with CNF, there was no significant difference in hypertension between the two groups for women. Elders with MCI, men in particular, had a lower prevalence of obesity than men with CNF. MCI individuals did less exercise compared to individuals with CNF. While there were no significant differences in alcohol consumption and smoking between MCI and CNF groups, the over 80’s subgroup with MCI reported more alcohol consumption. Conclusion: Findings from this study could be helpful in designing communitybased dementia prevention programs and health policies to reduce the prevalence of dementia or related cognitive impairments.
노인 낙상 예방을 위한 국외 가이드라인의 국내 적용 가능성 평가
박명화(Myonghwa Park),신영희(Younghee Shin),이병숙(Byungsook Lee),구윤정(Yoonjung Goo) 계명대학교 간호과학연구소 2011 계명간호과학 Vol.15 No.1
Purpose: The purpose of this study was to evaluate the applicability of the internationally developed evidence based guideline for fall prevention for use in Korea based on the experts’ opinions. Method: The target expert group consisted of 8 registered nurses, 4 physicians, and 5 nursing professors who are experts in fall problem. This study used questionnaire survey. The appropriateness, applicability, and the present application of each recommendation in the guideline were analyzed with descriptive statistics using the SPSS program and content analysis for the experts’ opinions. Result: The scores on the appropriateness of each recommendation showed the relatively high scores among nurses, physicians, and nursing professors. It was notable that some recommendations were scored lower for applicability compared with appropriateness. The reasons for lower scores for applicability by expert group included the lack of clinicians’ knowledge of assessment and management, and the lack of resources in clinical settings in Korea. Conclusion: This study will augment the understanding of the actual fall prevention practice in Korean clinical settings and can be used as the baseline data for a further study of tailoring the international guidelines into local and national clinical settings.
박명화(Park, Myonghwa) 한국간호교육학회 2011 한국간호교육학회지 Vol.17 No.3
Purpose: This study examines the effects of integrating Evidence Based Practice (EBP) into a critical care clinical practicum on nursing students access and use of information resources and EBP competency. Methods: A one-group pretest-posttest design was used. Fifty senior nursing school students from a university participated. A critical care clinical practicum combined with EBP consisted of six full days of clinical practicum in intensive care units with EBP education. Group and individual training in EBP skills, lectures, small group discussion and conferences were provided. Data were analyzed using paired t tests for 50 participants. Results: The scores of evidence based practice competency increased significantly (p<.001) showing significant improvement in searching and classifying the evidence. Nursing students access and use of research evidence improved (p=.004). Conclusion: This study showed that the integration of EBP into a clinical practicum was effective in improving accessibility and usefulness in research evidence such as guidelines and research articles, and increasing EBP competency in undergraduate students.
치매환자를 돌보는 가족부양자의 부양부담 위험도와 영향 요인
박명화 ( Myonghwa Park ),고영혜 ( Younghye Go ),정미리 ( Miri Jeong ),이송자 ( Songja Lee ),김선화 ( Seonhwa Kim ),김진하 ( Jinha Kim ),이동영 ( Dongyoung Lee ) 한국가족복지학회 2017 한국가족복지학 Vol.22 No.3
To reduce the caregiver burden, there is a need to understand caregiver risk in caring for patients with dementia and factors related to the risk. The purposes of this study are to examine comprehensive caregiving risk of family caregivers for patients with dementia and to investigate associations between characteristics of family caregivers and caregiver risk. Family caregivers from dementia centers in a metropolitan city were assessed and 220 samples were used for data analysis. Risk appraisal, personality, and characteristics of family caregivers were measured using self-administered questionnaires. Descriptive statistics and hierarchical multiple regression analyses were conducted. The burden on caregiving skill was the highest risk and safety was the lowest risk. Significant factors of overall risk were subjective health, certified care worker, and monthly income. Neurotic personality was one of main factors that attribute to caregiver risk. Based on the comprehensive assessment of caregiver risk and the related factors, this study suggests that family caregiver`s characteristics can influence caregiver risk differently and individually tailored support with a family-centered approach is beneficial for family caregivers.
박명화(Park, Myonghwa),최소라(Choi, Sora),신아미(Shin, A Mi),구철회(Koo, Chul Hoi) 한국간호과학회 2013 Journal of Korean Academy of Nursing Vol.43 No.1
Purpose: The purpose of this study was to develop a prediction model for the characteristics of older adults with depression using the decision tree method. Methods: A large dataset from the 2008 Korean Elderly Survey was used and data of 14,970 elderly people were analyzed. Target variable was depression and 53 input variables were general characteristics, family & social relationship, economic status, health status, health behavior, functional status, leisure & social activity, quality of life, and living environment. Data were analyzed by decision tree analysis, a data mining technique using SPSS Window 19.0 and Clementine 12.0 programs. Results: The decision trees were classified into five different rules to define the characteristics of older adults with depression. Classification & Regression Tree (C&RT) showed the best prediction with an accuracy of 80.81% among data mining models. Factors in the rules were life satisfaction, nutritional status, daily activity difficulty due to pain, functional limitation for basic or instrumental daily activities, number of chronic diseases and daily activity difficulty due to disease. Conclusion: The different rules classified by the decision tree model in this study should contribute as baseline data for discovering informative knowledge and developing interventions tailored to these individual characteristics.
박명화(Park, Myonghwa) 계명대학교 간호과학연구소 2010 계명간호과학 Vol.14 No.1
Purpose: The purposes of this study were to investigate the medication related terms in medication instruction which are difficult to be understood by the lay person and to identify the difference between consumer vocabulary and medical vocabulary. Method: A total of 112 medication instructions were reviewed by 162 college students. The medication-related terms were collected as objects of this study and these terms were analyzed for their difficulty and frequency (the repeated number of a term). Results: The high rate of difficulty was found in the terms related to the name of disease, sign & symptom, side effect, anatomy, and pathophysiology. The difference between the consumer vocabulary for the medical vocabulary was not high. However, foreign words or chinese words were appreciated as a difficult word and replaced by more friendly and easier terms to the lay persons. Conclusions: The results of this study support that the medical terms need to be customized to the health care consumers and it is essential to investigate further various age group's understanding of medical terminology.