산모의 모유수유에 대한 지식수준정도와 산모가 인지한 간호사의 모유수유 관련 간호활동 정도

성미혜,Sung Mi Hae 한국아동간호학회 2000 Child Health Nursing Research Vol.6 No.1

The purpose of this study was to investigate the mother's knowledge level of breast feeding and nursing activities related to breast feeding perceived by mothers. The subjects were 77 mothers who within 3 days after child birth in 2 Obstetric Clinic in Seoul and P city from Dec 1 to 31, 1999. Data were collected by a questionnaire developed Jung et al.(1994). This study was statistically analyzed according to Frequency, t-test and ANOVA. The results are as follows : 1) The characteristics of subjects : The majority of subjects were aged 30-34 years(44.2%), high school & college graduate(93.6%), had one child(51.9%), had no religion(42.9%), jobless(72.7%) and had no experience of breast feeding(59.7%). 2) Mean score of mother's knowledge level of breast feeding was ranged from 7-16. Mean score of breast feeding was 11.56 points out of possible 20 points meaned that it was a low level. 3) General characteristics were significantly related to mother's knowledge level of breast feeding as follow : age(F= 3.99, P < 0.001) and religion(F= 4.30, P < 0.05). 4) Mean score of nursing activities related to breast feeding by mothers was ranged from 30-146. Mean score of nursing activities related to breast feeding perceived by mothers was 100.05 points out of 150 points meant that it was a high level.

신증후군 환아 어머니의 부담감에 대한 연구

성미혜,Sung Mi Hae 한국아동간호학회 1998 Child Health Nursing Research Vol.4 No.2

This study was designed to identity the degree of burden felt by mothers of children with nephrotic syndrome. Also, relations between the subject characteristics and burden were investigated to provide basis data for their family health and nursing intervention. The study subjects were composed of 70 mothers of nephrotic syndrome patients whose children were hospitalized in 2 Pediatric wards of University Hospital in Seoul and 1 in Pusan from Mar. 2nd, 1998 to May. 30th in the same year The questionnaires were used which dealt with burden of mothers. the questionnaires for this study designed and used by researcher placed their basis in Burden Measurement Instrument developed by Montgomery et. al (1985) and the reliability of the used instrument was .78. The data analysis was done by SPSS, t-test, ANOVA and Stepwise Multiple Regression. The results of were as follows. 1. Mean score of burden of subjects was 60.82(Maximum 86, standard deviation 1.244). 2. Of the mothers characteristics, the score of burden was high in case of no religion and low income. 3. Of the patients characteristics, the score of burden ranked as high in MCNS, doing oral therapy and injection therapy at the same time, and negative perceived patients' condition. 4. The degree of burden felt by mothers of children with nephrotic syndrome was significantly predicted by the level of pt's diagnosis(11%), pt's condition(8%), economic state (6%) and pt's sex (5%), respectively. In conclusion to above study, the researcher suggests that the development of instrument for measurement of burden is in much need. Relations between burden and social support should be studied to lessen burden of mothers of children with nephrotic syndrome.

일 병원에서의 신생아 감염 감소를 위한 활동사례

성미혜,백승남,홍혜성,위현주,안지원,김순희,김효미,Sung, Mi Hae,Baik, Seung Nam,Hong, Hae Sung,Wee, Hyun Joo,An, Ji Won,Kim, Soon Hee,Kim, Hyo Mi 한국의료질향상학회 1999 한국의료질향상학회지 Vol.6 No.1-2

Background : This study was conducted to reduce the neonatal infection rate in nursery. Methods : 50 items, structural problems in NICU were selected by open questionnaire and categorized into 11 similar items. 38 items were picked out among them and then categorized into 6 similar items. We carried out quality improvement focusing around 6 items. Results : The high achievement of goal in CQI Activities was shown in hand washing for reducing infection of NICU after July. The local infection in IV site was not found and hand washing and gowning of protectors were achieved by 100%. Conclusion : Neonatal infection rate was reduced through the quality improvement activities, but structural problem of Hospital still remained.

학령전기 입원 아동의 건강 및 질병 개념에 관한 연구

성미혜,Sung Mi Hae 한국아동간호학회 2000 Child Health Nursing Research Vol.6 No.3

The purpose of this study was to explore the health and illness concepts of hospitalized preschoolers. The subjects were 52 hospitalized preschoolers from 3 to 6 grade in one general hospital. Data were collected through semistructured interviews by author. this study was conducted from Mar 2, 2000 to Jun. 30, 2000. Data were coded and categorized by content analysis. The results were as follows : 1. Hospitalized preschoolers's answers about health concepts were coded and then classificated to 7 categories(physical well-being, food, powerfulness, exercise, obedience to authority, cleanliness, sleep.) 2. Hospitalized preschoolers's answers about health behavior to maintenance health were coded and then classificated to 8 categories (food, obedience to authority, treatment, exercise, cleanliness, powerfulness, sleep, psychological stability). 3. Hospitalized preschoolers's answers about prevention of illness were coded and then classificated to 9 categories(food, treatment, obedience to authority, powerfulness, emotional stability, psychological stability, exercise, physical well-being, ability of social adaption). 4. Hospitalized preschoolers's answers about cause of illness were coded and then classificated to 3 categories(illness, trauma, food). 5. Hospitalized preschoolers's answers about treatments of illness were coded and then classificated to 9 categories(treatment, rest, emotional stability, sleep, psychological stability, food, obedience, exercise, powerfulness). 6. The levels of health and illness concepts in this sample were higher than those of the physical causality.

신증후군 환아 어머니의 교육요구와 간호사가 인지한 교육활동의 중요도에 관한 탐색적 연구

성미혜,정연,Sung Mi Hae,Jung Yun 한국아동간호학회 1997 Child Health Nursing Research Vol.3 No.2

This is descripitive study conducted to identify educational needs of mothers of nephrotic syndrome patients and the degree of the importance of educational activity perceived by nurses who look after nephrotic syndrome patients. The study subjects were composed of 60 mothers & 63 nurses of nephrotic syndrome patients whose children were hospitalized in 2 Pediatric wards of University Hospital in Seoul and 1 in Pusan from Mar. in 1997 to July 1997. A questionaire for this study was item Kikert type 5 point scale, developed on the basis of previous literature and researcher's clinical experience and the reliability of the used instruments was α=.97. The data analysis was done by SAS. t-test, and ANOVA were done to determine the effect of general characteristics of subjects on their educational needs. T-test was done to measure relations between the degree of educational needs and importance of educational activity. The results were as follows. 1. The Educational needs of mothers ranked as the highest in home care. 2. In character of mothers, the degree of education, economic state, the number of child and occupation was significant in statistically. 3. The importance of educational activity of nurses ranked the highest in diagnosis and treatment of the disease. 4. The educational needs of nephrotic syn. children' mother and importance of nurses were different in diagnosis and treatment of the disease and home care. On the basis of these results, we suggest as follows. 1. It is proposed that nurses use these results of the study actively for the educational program for Nephrotic Syndrome patients and their mothers. 2. It is suggested to make a comparative study of the degree of nurses' understanding of the importance on educational items with the instruments of this study.

신증후군 환아 어머니의 부담감과 삶의 질

성미혜,백승남,Sung Mi Hae,Paik Seung Nam 한국아동간호학회 1999 Child Health Nursing Research Vol.5 No.2

The purpose of this study was to identity the level of burden and quality of life of the subjects. The subjects of this study were 68 mothers of nephrotic syndrome patients who children hospitalized in 2 Pediatric wards of University Hospital in Seoul. The data were collected through a questionnaires and the period of the data collection was from August 1st to September 30th ,1998. The instruments for this study were Burden Measurement Instrument developed by Montgomery et. al (1985) and Quality of life scale designed by Ro, Yoo JA(1988). The statistical analysis was used by SPSS, t-test, ANOVA and Pearson correlation coefficient. The results of were as follows. : 1. The level of burden showed a mean score 54.47 and the level quality of life, a mean score 140.20. 2. The level of burden differed according to s religion, pt's purpose of admission and perceived patient's condition by mothers. 3. The level of quality of life differed according to perceived pt's condition by mothers. 4. There was a negative correlation between burden and quality of lifer =-3.97, p<.001).

안락사에 대한 간호사의 인식 및 태도에 관한 연구

성미혜(Sung Mi Hae),전종철(Jeon Jong Cheol),모형중(Mo Hyung Joong) 대한종양간호학회 2007 Asian Oncology Nursing Vol.7 No.2

Purpose: The purpose of this study was to investigate nurses' perceptions and attitudes towards euthanasia. Method: The subject consisted of 345 nurses from the four general hospitals above 500 beds. Measurement tools were the Ryu's perceptions towards euthanasia, and Park's attitudes toward euthanasia. The data were analyzed using descriptive statistics, t-test, and ANOVA by using SPSS WIN 10.0 program. Results: The approval rate of passive euthanasia was 62.6%. Main reason of approval for the passive euthanasia was that euthanasia was “act of mercy”. On the other hand, main reason of opposition was that “life is invaluable”. 81.2% of subjects responded saying that they would ask for passive euthanasia. The approval rate of active euthanasia was 15.7%. 54.8% of subjects responded saying that they will not ask for active euthanasia. General characteristics significantly related to attitudes to euthanasia were the units, nursing degree, and meaning of euthanasia. The mean score for attitudes to euthanasia was 2.36 and it was negative attitudes. Conclusion: Man has the right to live within his life with dignity. What is most important here seems to be the legalization of euthanasia which still remains unresolved.

임상간호사의 전문직 자율성과 임상적 의사결정능력과의 관계

성미혜(Sung Mi-Hae),엄옥봉(Eum Ok Bong) 기본간호학회 2010 기본간호학회지 Vol.17 No.2

Purpose: The purpose of this study was to identify the correlation between level of professional autonomy and clinical decision making abilities in clinical nurses, and to provide basic information for promoting competency nurses in making independent decisions. Method: Data were collected from July 1 to July 18, 2008, and participants were 202 clinical nurses in general hospitals. Collected data were analyzed using descriptive statistics: frequency and percentage and Pearson correlation coefficients with the SPSS WIN 14.0 program. Results: The professional autonomy index for the nurses was 159.63 points. The clinical decision making ability index was 119.79 points. The most highly ranked factor in clinical decision making was search for information and unbiased assimilation of new information. There was a statistically significant difference in professional autonomy according to age, clinical experience, and type of duty. Relation between level of professional autonomy and clinical decision making showed a positive correlation. Conclusion: As a results show a significant correlation between professional autonomy and clinical decision making in clinical nurses, improvement in professional autonomy of clinical nurses, would be promoted through continuous support and training.

응급실 간호사의 폭력경험, 소진 및 직무만족도간의 관련성

성미혜 (Sung, Mi Hae) 병원간호사회 2008 임상간호연구 Vol.14 No.2

Purpose: This study was done to identify the relationship between experiences of violence, and burnout and job satisfaction of emergency department (ED) nurses and to provide basic information to improve quality of life for nurses and quality of nursing care by increasing the ability of nurses to deal with violent situations and thus, improve job satisfaction. Method: Participants (n=153) were recruited in S and B cities from October 16 to December 22, 2007. Descriptive statistics, t-test, ANOVA, and Pearson correlation coefficient were used to analyze the data. Results: Level for ED nurse burnout was 2.54 out of a possible 4, and for ED nurse job satisfaction, 2.81 out of a possible 5. There were significant differences according to sex (t=-3.217, p=.002), total clinical career (F=5.805, p<.05), and clinical career in the ED (F=1.640, p<.01). There was a significant positive correlation between violence experience and burnout (r=.500, p<.001), and significant negative correlations between violence experience and job satisfaction (r=-.300, p<.001), and between burnout and job satisfaction (r=-.492, p<.001). Conclusion: The findings from this study indicate that experiences of violence in the ED decrease work efficiency of the nurses and increase burnout. So, it is important to reduce occurrences of violence in ED and to prepare programs for dealing with violence and providing emotional support in cases of violence directed at nurses.

갱년기 여성의 폐경지식정도와 폐경관리에 관한 연구

성미혜 ( Mi-hae Sung ) 한국모자보건학회 2002 한국모자보건학회지 Vol.6 No.1

본 연구는 갱년기 여성의 폐경지식정도와 폐경관리정도를 알아보고, 갱년기 여성의 폐경지식정도와 폐경관리정도간의 관계를 정확히 규명함으로써 갱년기 여성의 폐경에 대한 올바른 인식과 폐경관리의 효율성을 높이기 위한 방안 마련에 필요한 기초자료를 제공하기 위하여 시도되었다. 연구자료는 2001년 9월 1일부터 10월 31일까지 B시에 소재한 일개 보건소 내소자 중 40~60세 사이의 여성을 대상으로 설문지를 배부하여 자료를 수집하였다. 분석대상은 100명이었다. 연구도구 중 폐경지식도구는 Polite와 Larocco (1981)의 연구를 중심으로 송인숙(1983)이 개발한 폐경지식척도를 송애리(1997)가 14문항으로 수정 보완한 도구를 사용하였다. 폐경관리도구는 송애리(1997)가 개발한 주관적 폐경관리 17문항에 최남연 등(1998)이 4문항을 추가한 21문항으로 구성된 도구를 사용하였다. 수집된 자료는 SPSS/PC⁺를 이용하여 전산통계 처리하였고, 본 연구를 통해 얻은 결과는 다음과 같다. 1) 대상자의 폐경지식정도는 14점 만점에 평균 10.13점으로 높게 나타났다. 폐경지식정도가 높은 문항으로는 폐경기 증상, 골다공증 발생 가능성, 월경의 불규칙성 등이었고, 낮은 문항으로는 폐경연령, 정신질환 발생 가능성, estrogen 호르몬 효과 등이었다. 2) 폐경관리 정도는 84점 만점에 평균 51.54점이었다. 자가조절관리(2.75점) 범주가 가장 높았으며, 성생활관리(1.97점) 및 전문적인 건강관리(2.15점) 범주가 낮았다. 3) 일반적 특성별 폐경지식정도는 폐경치료를 받고 있거나 받은 적이 있는 경우와 대상자가 지각하는 현재 건강상태가 양호하다고 인지할수록 높았다. 4) 일반적 특성별 폐경관리정도는 연령이 낮은 경우와 높은 경우, 월수입이 많을수록 높았다. 5) 폐경지식과 폐경관리정도와의 상관관계는 폐경지식이 높을수록 폐경관리점수도 높게 나타나 순상관관계(r=0.584, p<0.001)가 있음을 나타내었다. 이상의 결과를 보면, 갱년기 여성의 폐경지식은 갱년기 증상을 최소화할 수 있는 폐경관리에 영향을 미치므로, 우선적으로 갱년기 여성을 대상으로 폐경지식을 전달하는 것이 필요하다고 본다. 또한 갱년기 여성의 폐경지식과 폐경관리에 영향을 미치는 요인들에 대한 연구결과가 상이한 부분이 많이 있으므로, 반복적인 연구를 통해 이를 규명할 필요가 있다. Objectives : The purpose of this study was to examine the level of knowledge of menopause and menopausal management of the climacteric women, and to investigate the relationship between knowledge and management of the climacteric women. Methods : The subjects were 100 climacteric women, aged 40~60 years, living in B city. The instruments used for this study were the menopausal knowledge scale developed by Song and Song(1997) and the menopausal management scale developed by Song(1997). Data were collected between Sep. 1st and Oct. 31th, 2001 by a structured questionnaire. Data were analyzed by SPSS/PC program. Results : The mean score for knowledge of menopause was 10.13 where maximum score was 14. The items of high score of knowledge of menopause were menopausal symptoms, irregularity of menstruation and the possibility of osteoporosis. The mean score for menopausal management was 51.54 where maximum score was 84. The highest score was marked in self control category. The scores for sexual management and management by health professional were low. Knowledge of menopause was positively associated with menopausal treatment and perceived good health condition. High level of menopausal management was associated with young and old age groups and high income. There was a positive correlation between the knowledge of menopause and menopausal management of climacteric women(r=0.584, p<0.001). Conclusions : This study revealed that the knowledge of menopause is important for climacteric women to improve menopausal management. This finding suggests that it is necessary to develop a program to improve the level of knowledge of menopause for climacteric women.