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      • KCI등재

        핵심간호역량 기반 교육과정 개선 전략

        박정모(Park, Jeong-Mo),김정숙(Kim, Chung-Sook),김재희(Kim, Jae-Hee),안지연(An, Ji-Yeon),표은영(Pyo, Eun-Young) 한국간호교육학회 2015 한국간호교육학회지 Vol.21 No.3

        Purpose: The purpose of this study was to identify the core competencies of nursing students and to improve competency-based nursing education. Methods: A triangulation method was used. A literature review and focus group interviews (FGI) were used to identify nursing core competencies. The present level of nursing competencies of students was identified through the nursing core performance questionnaire. Results: 1) Nursing core competencies, including 23 different competencies, were categorized into seven areas through a literature review and qualitative research. These competencies included: desirable personality, attitude & interpersonal skills, professionalism, nursing knowledge & basic nursing skills, ability to cope with nursing situations, basic ability in nursing research, coping ability with changes in the healthcare environment, and leadership. 2) Core nursing skills, nursing research, and nursing leadership were the three lowest ranking competencies. Some courses in the curriculum were to be newly established in an e-learning system, student’s portfolio in non-curriculum. Conclusions: Further research is needed in order to show effects of the changes. Changes after applying the strategy of a nursing education program will be measured. Continuous research in competency-based nursing education is needed.

      • KCI등재

        지역사회 거주 노인의 규칙적 운동, 신체적 기능, 건강수준, 우울이 건강관련 삶의 질에 미치는 영향

        박정모(Park, Jeong-Mo),김정숙(Kim, Chung-Sook),김미원(Kim, MI-Won) 한국보건간호학회 2016 韓國保健看護學會誌 Vol.30 No.2

        Purpose: This study was to examine the factors (depression, level of health status, physical function, depression) influence health related quality of life (EQ5D) in community dwelling elderly according to sex. Methods: A total of 226 elderly subjects over the age of 65 years in community were included. Data were collected by measuring the physical function (muscle endurance, flexibility, balance, and cardiovascular endurance) and by using a questionnaire about EQ5D, depression, health status. Data were analyzed by SPSS 18.0 and AMOS 18.0. Results: The major findings of this study are as follows. Explained variance of EQ5D by regular exercise, physical function, and level of health status was 19% for male elderly subjects and 26.0% for female elderly subjects. The effect was different according to sex. Depression has the effect on EQ5D (β=-.356, p<.001) in females, while the level of health status has the effect (β=.314, p=.027) in males. Conclusion: The results of this study indicate that the effect of regular exercise, physical function, and level of health status were different on EQ5D according to sex. Thus, different health programs according to sex are necessary to increase the quality of life in elderly individuals.

      • KCI등재후보

        괴사성 간경변증에서의 골이영양증

        조성래(Sung Rae Cho),박경아(Kyung Ah Park),여준기(Joon Kee Yoe),박정모(Chung Mo Park),박근용(Geun Young Park),이인규(In Gyu Lee),허정욱(Jeong Wook Hur),안성훈(Sung Hoon Ahn),박승국(Soong Kook Park) 대한내과학회 1994 대한내과학회지 Vol.47 No.6

        N/A Objectives: Patients with chronic liver disease are at increased risk to develop metabolic bone disease. Although the etiology of the osteopathy in patients with primary biliary cirrhosis has not been defined, vitamin D deficiency and calcium malabsorption have been suggested as possible pathogenetic factors. In Korea, Patients with postnecrotic liver cirrhosis due to chronic hepatitis B are numerous, however, data on the prevalence and severity of osteopenia in these patient are rare. This study was performed to elucidate the mechanism of osteopenia and to examine its severity in postnecrotic liver cirrhosis. Methods: Thirty four patients with postnecrotic liver cirrhosis and thirty controls matched in age and sex were included in this study group. To obtain bone mineral density of lumbar spines in postnecrotic liver cirrhosis and control groups, measurements and comparisons of following tests were performed: Dual energy xray absorptimetry, serum calcium, serum osteocalcin, and serum 25 (OH) vitamin D. In addition, initial morning urine sample was collected to measure pyridinoline crosslinks. Results: 1) The average bone density of lumbar spines was 1.03±0.03 gm/cm² in postnecrotic liver cirrhosis group and 1.15±0.02 gm/cm² in normal controls (p<0.01). 2) The prevalence of osteopenia in the lumbar spine was 50% in postnecrotic cirrhotics compaired to 13% in controls. 3) The levels of serum calcium, 25 (OH) vitamin D and serum osteocalcin were 2.12±0.04 mmol/L, 7.38±1.00 ng/ml and 1.92±0.18 ng/ml in postnecrotic liver cirrhosis, 2.54±0.05 mmol/L and 21.68±1.90 ng/ml and 3.31±0.31 ng/ml in control group (p<0.05). 4) The levels of urinary pyridinoline crosslinks in postnecrotic liver cirrhosis and control were 82.87±7.50 nM/mM and 43.48±3.52 nM/mM, respectively (p<0.05). Conclusion: This study suggests that the incidence of lumbar osteopenia is more common in postnecrotic liver cirrhosis patients. In addition, its pathogenesis is related to vitamin D deficiency, decreased osteoblastic activity, and increased osteoclastic activity. Further studies including several hormones and histopathology of bones are needed to clearly define the mechanisms of osteopenia in postnecrotic liver cirrhosis.

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