재활간호서비스에 대한 환자와 간호사의 인식 비교

박지원,소희영,김창희 한국장애인재활협회 2011 재활복지 Vol.15 No.1

Purpose: This study was done to compare patient need with nurse perception of importance and performance of rehabilitation nursing service. Method: A questionnaire composed of 43 items was used to collect data. Participants were 211 patients receiving care after industrial accidents and 150 nurses working at a special hospital for industrial disasters. Results: Mean score for nurse perception of importance of rehabilitation nursing service was 4.17, which was statistically significant compared to the mean score for patient need (3.78) and statistically significant for all domains of rehabilitation nursing service (physical·therapeutic, t=-8.622, p=.000; psychological·holistic, t=-3.772, p=.000; educational·informational, t=-6.409, p=.000; social·occupational, t=-4.870, p=.000). The score for patient need (3.78) was higher than for nurses' performance (3.48). Scores for nurses' performance were higher than patient need only for the physical·therapeutic domain (t=-1.207, p=.229), while scores for patient need were statistically significant for the other three domains; psychological·holistic (t=2.438, p=.015), educational·informational (t=3.474, p=.001), and social·occupational (t=7.764, p=.000) compared to scores for nurse performance. Conclusion: The findings indicate that although nurses recognized rehabilitation nursing service as important, they only perform physical and therapeutic services. Therefore special education, supplementation of human resources, and strategy to systemize medical and nursing structures are required to improve the performance of psychological, educational, and social services. 연구목적: 본 연구의 목적은 재활간호서비스에 대한 환자의 요구도와 간호사의 중요도 인식정 도 및 수행도의 차이를 비교분석하는 것이다. 연구방법: 박지원 등(2009)이 개발한 43문항으로 구성된 재활간호서비스 측정도구 설문지를 이용하여 1개 산업재해 전문병원에 입원한 환자 211 명과 같은 병원에 근무하는 간호사 150명으로부터 자료를 수집하였다. 연구결과: 재활간호서비 스에 대한 간호사의 중요도 인식(M =4.17)이 환자의 요구도(M =3.78)보다 통계적으로 유의하게 높 게 나타났다. 재활간호서비스 영역별로 차이를 비교해 보면 신체 ․ 치료(t =-8.622, p =.000), 심리 ․ 영적(t =-3.772, p =.000), 교육 ․ 정보(t =-6.409, p =.000), 사회 ․ 직업(t =-4.870, p =.000) 모든 영역 에서 간호사의 중요도 평균점수가 환자의 요구도 평균점수에 비해 통계적으로 유의하게 높았다. 반면 환자의 요구도(M =3.78)는 간호사의 수행도(M =3.48)보다 높게 나타났다. 이를 영역별로 비교 해 보면 신체 ․ 치료(t =-1.207, p =.229) 영역만 간호사의 수행도 평균점수가 더 높게 나타났고, 심 리․ 영적(t =2.438, p =.015), 교육 ․ 정보(t =3.474, p =.001), 사회 ․ 직업(t =7.764, p =.000) 영역에서는 두 집단 간에 통계적으로 유의하게 환자의 요구도 평균점수가 높게 나타났다. 결론: 간호사는 재 활간호서비스 내용에 대해 환자보다 중요하게 인식하고 있으나 신체 ․치료 영역의 수행도만 환자 의 요구를 충족하고 있다. 심리, 교육, 사회적 영역의 수행도를 높이기 위한 전문적인 교육과 인 력보충, 의료 및 간호시스템을 체계화하는 전략이 필요하다.

[V. 회원 칼럼] 박지원 서포터즈 칼럼

박지원 한국코칭능력개발원 2022 Coach Vol.27 No.3

사상체질잔단검사(ASCC Ⅱ) 설문지 간소화 연구

박지원,왕명자,김정아 지역사회간호학회 2003 지역사회간호학회지 Vol.14 No.2

Purpose : The purposes of this study were to understand the types of coping strategies that family caregivers experience during the process of caring demented elderly; to grasp the coping strategies used for resolving this problem; and to develop a substantive theory by analyzing the coping types of the family caregivers of demented elderly. Method: The methodology of data collection and analysis used in this study was grounded theory proposed by Stauss and Corbin(1990). The data was collected through in-depth interview with participants using open-ended and descriptive questions about their coping experiences. All data were audio-taped and transcribed. The data were collected from February, 2000 to February, 2001. The participants of this study were 17 women. Results: Caregiver's coping types varied according to 'family's support'. 'the condition of caregiver's health', 'the relationship with dementia elderly', 'family perception of dementia', 'fixed idea of traditional female role' and 'economic state'. In this study, five types of coping strategies were emerged: active role allotment tyle, meaning grant tyle, devotion tyle, duty defense type, and pessimism type. Among these, those who belong to the types of active role allotment, meaning grant, and devotion, including caregiver's good health were found to adapt themselves to caregiver roles. Conclusion: The results of this study may be helpful for developing effective and individualized nursing strategies suitable for idividual caregivers coping types. It is suggested to practice nursing mediation and to analyze the changes in nursing effect and family members' adaptation based on coping types of the well-adapted caregivers as we as on their affirmative coping strategy.

자가관리 프로그램이 성공적 노후에 미치는 효과

박지원,유혜라,권보은 지역사회간호학회 2007 지역사회간호학회지 Vol.18 No.4

Purpose: The purpose of this study was to gain knowledge of successful aging for the Korean elderly and to identify the effects of an intervention program on the change of the knowledge Method: Data were collected from 134 elders from 3 schools for the elderly in H City. The Successful Aging Scale was used to collect data and modified CDSMP was applied as the intervention. Descriptive statistics, t-test, ANOVA and ANCOVA were used. Results: The total score of the knowledge of successful aging among the elderly cohort was 2.44 out of 3, and the scores of the factors making up old age were 2.66 for the success of children, 2.63 for self-control, 2.56 for self-efficacy, and 2.05 for happy marriage. Life satisfaction from the success of children and self-control were strongly correlated(r=0.7036, p=0.000). Conclusion: The self-management program brought positive changes to the knowledge of successful aging through the self-control parameter, and although it could not change the degree of knowledge of the overall successful aging among the elderly cohort, the program represents the first Korean nursing intervention focused on self-management techniques needed for successful aging.

국소약물송달제제가 성인형 치주염의 치료에 미치는 효과

박지원,권영혁,이만섭,박준봉,허익,Park, Ji-Won,Kwon, Young-Hyuk,Lee, Man-Sup,Park, Joon-Bong,Herr, Yeek 대한치주과학회 1999 Journal of Periodontal & Implant Science Vol.29 No.2

The present study was performed to assess and compare the clinical and microbiological effects following local application of 2% minocycline gel or 0.1% chlorhexidine subgingival irrigation to augment scaling and root planing in patients with moderate to advanced chronic adult periodontitis. 32 healthy patients with moderate to advanced chronic adult periodontitis were enrolled in the study. In each patient, the quadrants that had 2 or more teeth with $5{\sim}8mm$ probing pocket depth and radiographic evidence of alveolar bone loss were selected and divided into test side and control side according to the split-mouth design. All patients received standardized oral hygiene instructions at the beginning of the study and all remaining teeth received scaling and root planing until 0 week. The 2% minocycline gel was applied to periodontal pocket at 0, 1, 2, 3 week in the test side. The 0.1% chlorhexidine solution and the normal saline were irrigated subgingivally for about 30 seconds in the positive control side and negative control side respectively. The clinical and microbiological analysis carried out at 0, 4, 8, and 12 weeks . The results of this study were as follows; 1. In saline irrigation group, there was no adjunctive effects in probing pocket depth reduction, sulcular bleeding index and no significant changes in relative proportions of subgingival bacteria. 2. The chlorhexidine irrigation as an adjunct to scaling and root planing results in reduction in the plaque index and sulcular bleeding index, but there was not statistically significant. The relative proportion of spirochetes was significantly reduced, but the proportion of motile rods was no significant reduction. 3. The minocycline gel delivered subgingivally as an adjunct to scaling and root planing provide significant benefit in reducing probing depths and sulcular bleeding index compared to saline and chlorhexidine irrigation groups. 4. The relative proportions of spirochetes and motile rods were significantly reduced and the proportions of cocci and non-motile bacteria were correspondingly increased in the minocycline gel group. In conclusion, minocycline gel delivered subgingivally as an adjunct to scaling and root planing induces clinical and microbial responses more favorable for periodontal health than saline and chlorhexidine subgingival irrigation.

渡江錄: 熱河日記局一(7)

朴趾源,李允宰 (번역자) 文章社 1940 文章 Vol.2 No.5

발반사 마사지가 유방암 환자의 수술 후 통증과 수면만족도에 미치는 효과

박지원,유혜라,이홍숙,Park, Ji-Won,Yoo, Hye-Ra,Lee, Hong-Suk 한국가정간호학회 2006 가정간호학회지 Vol.13 No.1

This study, a quasi-experimental study using a nonequivalent control group pretest-posttest design. conducted a survey on 30 patients test group and control group of IS patients sampling an adjacent population at random - who are operated on the breast cancer and are in the A University Hospital located in Suwon, to examine into the effects of foot reflex zone massage on their pain and sleep satisfaction through the nursing interventions. It gave them a foot reflex zone massage for the total 30 minutes-basic massage 10 minutes and reflex massage 20 minutes required to alleviate their pain day in day out covering a two-month period from the first of July to the first of September 2004. for the purpose of collecting data. It launched into a two-round foot reflex zone massage at 6 and 24 hours since mastectomy through a direct visit at the hospital room to measure pain intensity, physiological index(pulse and blood pressure) and sleep satisfaction of them. The results are as follows. First, it showed that there is all the difference between pain intensity of test group and that of control group. In result, the first hypothesis, pain of test group. which measure at 6(p=.000) and 24 hours(p=.001) since mastectomies, will be bigger than that of control group, was established. Second, it showed that there is all the difference between physiological index of test group and that of control group. In result. the second hypothesis, pulse(p= .025, p= .002), systolic blood pressure(p= .004, p=.012) and diastolic blood pressure(p=.004. p= .003) of test group, which investigate at 6 and 24 hours since mastectomies, will be bigger than that of control group, was established. Third, it showed that there is a significant difference between sleep satisfaction of test group and that of control group(p=.000). In result, the fourth hypothesis, sleep satisfaction of test group. which examine in the morning after mastectomies, will be bigger than that of control group, was established. In the result. a foot reflex zone massage is seen to be effective in the pain reduction and sleep promotion of patients who are operated on breast cancer, and in providing them with more qualitative care by improving confidence between them and nurses through a physical touch. Also, it can be applied to a clinical examination through an independent nursing intervention.

일 지역 취약가구 독거노인의 건강상태에 따른 가정지원과 도움요구

박지원,김용순,김기숙,Park, Ji-Won,Kim, Yong-Soon,Kim, Ki-Sook 한국가정간호학회 2009 가정간호학회지 Vol.16 No.2

Purpose: To identify the health condition, home care support, support requirement of poor and elderly people living alone. Method: Data was collected through self-administered questionnaires and analyzed by descriptive statistics, t-test, ANOVA and correlation. Survey involved 269 conveniently selected who have a social support in H city. Result: Perceived health condition of subjects was bad to moderate (mean score: 2.22). There were significant home care support differences according to gender, religion, education level and dwelling pattern. Support requirement was influences only by the dwelling pattern. Perceived health condition showed a positive correlation with home care support of friends and neighbors, and a negative correlation with support requirement (medical, material, economic emotional support). Conclusion: These findings are expected to make a positive contribution to create an ideal intervention for public visiting nurses and social workers to improve the quality of life in poor and elderly people who live alone.

가정간호교육생의 보완요법에 대한 태도와 인지정도 조사 연구

박지원,임난영,Park, Jee-Won,Lim, Nan-Young 한국가정간호학회 2002 가정간호학회지 Vol.9 No.2

Purpose: Home health nurses could affect patients' choice of alternative therapy. This study was carried out to investigate home health nurses' attitudes and cognition toward alternative therapy. Method: The subjects were 92 nurses who preparing the home health nurses at 2 university in Seoul and Suwon. Using the questionnaire. we measured the subjects' attitudes and cognition toward alternative therapy. Result: The mean score of attitudes about application was 3.14. and the score of attitudes about therapeutic effect was 2.57. The score of attitudes about therapeutic effect were significantly positive correlation to the score of cognition about alternative therapy. The attitudes about therapeutic effect were different significantly according to number of working years. But they commonly wanted to apply the soojichim. aroma-therapy. massage. danjon breathing. music therapy. plant therapy. and foot reflexology to their home health care subjects. Conclusion: Alternative therapies became a popular source of health care in Korea. This study showed pre-home health nurses had positive attitudes toward alternative therapies and they had wide variations of knowledge in how to use each therapy. But they acknowledge the value of alternative therapies as useful nursing interventions. so we all nurses should pay attention to develope the nursing intervention using alternative therapy.

병원내 안전관리 향상을 위한 항목 및 지침 선정

박지원,김용순,진혜영 한국의료QA학회 1996 한국의료질향상학회지 Vol.3 No.1

Background : The goal of this study was to establish the QA items and guidelines for preventing and improving of safety management. Therefore we investigated the nurses' recognition and knowledge of the safety and risk procedures and policies, and the agreement between the nurses beliefs on the degree of miportance of those procedures and policies, with actual implementation in hospitals. Method : The subjects of this study were 201 nurses who participated in a program called continuing education for nurses, which held in December, 1993. Result : The results of this study were as follows: 1. Among 18 types of hospital risks, the items that scored highest or the need of closer attention in safety management was the needle stick, medication errors, falling, and bed sores. 2. In most questions of the 18 incidences, the nurses showed that the estimated result would have positive signs except for hospital infections, burns, and bed sores. 3. Even though the survey shows that incidences and types of occurences varies according to the person's age and the time of incident, they mostly occur between midnight to 6AM. Falls and bed sores can be seen more in the elderly. Medication errors, hospital infections and bums are frequently found between the ages of one through twenty. 4. There was a higher mean score for recognizing the importance of those items than the importance of implementing them. Conclusion : In summary, nurses did perceive the need of safety management but the hospital policy for proper safety management was not established. So we recommended that the hospital administration would undertake an early detection and proper management system for hospital precautions, based on QA items & guidelines presented in this study.