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고지혈증 환자 교육을 위한 코스웨어 설계 및 개발과정에 대한 분석적 연구
송미라 이화여자대학교 교육대학원 2003 이화교육논총 Vol.13 No.-
The purpose of this study was to develop courseware for the education of the increasing number of patients with hyperlipidemia, a major risk factor for The purpose of this study was to develop courseware for the education of the increasing number of patients with hyperlipidemia, a major risk factor for coronary artery disease. Through this courseware the patient will be able to do individual study and practice according to his/her capacity, level of demand and learning style. Patients will develop motivation to learn and increase knowledge, and thus be able to better promote self-care. "Care of Hyperlipidemia" Courseware was developed between February and May, 2002 based on 4 stages of the CAI Design Model of Hannafin & Peck, instructional design theory of Gagne & Briggs, and Keller's ARCS theory. The development process was as follows. In the stage of needs assessment, analysis was done of the education needs related to treatment and care of patients with hyperlipidemia, character of the learners and preferred education style. In the stage of design, a flow chart for selected learning content and storyboard were developed. In the stage of development and implementation, an order map was drawn and programming was done using the flowchart to restructure learning content In the stage of evaluation and modification, the courseware was modified and supplemented through an evaluation by experts and a formative test Summative tests, post-reaction tests were done by 22 outpatients with hyperlipidemia. In conclusion, varying and extending the content through up-grading in relation to screen composition, such as additional pictures and reduced text would further improve the courseware. I think, this course would be an effective instrument to increase knowledge and promote self care in these patients.
청소년 흡연자의 금연의도 및 금연행위 예측을 위한 계획적 행위이론(Theory of Planned Behavior)의 검증
송미라,김순례 지역사회간호학회 2002 지역사회간호학회지 Vol.13 No.3
Objectives: The purpose of this study was to test the Theory of Planned Behavior (TPB) in the prediction of smoking cessation intention and smoking cessation behavior among adolescent smokers, in order to provide basic data to develop a future smoking cessation program as a nursing intervention. Method: The study subjects were 80 adolescent smokers who had smoked one cigarette and attended a five-day school smoking cessation program. The data were collected from October 24 to December 21, 1999. The instruments used in this study were the tools developed by Jee (1994) to measure TPB variables such as attitude toward smoking cessation behavior, subjective norm, perceived behavioral control, smoking cessation intention, and smoking cessation behavior. The data were analyzed with the SAS/PC program using descriptive statistics, hierarchical multiple regression, and logistic multiple regression. Results: 1. Attitude toward smoking cessation behavior, subjective norm, and perceived behavioral control were partially significant in predicting smoking cessation intention. 2. Smoking cessation intention and perceived behavioral control toward smoking cessation behavior did not significantly predict smoking cessation behavior. 3. There were partial interaction effects among the attitude toward smoking cessation behavior, subjective norm, and perceived behavioral control in the prediction of smoking cessation intention. 4. There were partial interaction effects between smoking cessation intention and perceiver behavioral control toward smoking cessation behavior in the prediction of smoking cessation behavior. Conclusion: This study partially demonstrated support for the TPB model that was partially useful in predicting smoking cessation intention and smoking cessation behavior among adolescent smokers. Therefore, it is recommended that attitude toward smoking cessation behavior and perceived behavioral control should be considered in developing smoking cessation programs and implementing nursing interventions to change the smoking behavior of adolescent smokers.
Characterization of amorphous granular starches prepared by high hydrostatic pressure (HHP)
송미라,최승현,오선민,김희윤,배지은,박천석,김병용,백무열 한국식품과학회 2017 Food Science and Biotechnology Vol.26 No.3
Amorphous granular starches (AGS) and nongranular amorphous starches (non-AGS) of corn, tapioca and rice were prepared using high hydrostatic pressure (HHP) treatment with ethanol and water washing, respectively and their physicochemical properties were investigated. Water holding capacity and apparent viscosity of AGS and non-AGS were higher than those of native one in all starches. In RVA pasting properties, AGS and non-AGS showed higher pasting temperature and lower peak viscosity than those of native one. Furthermore, non-AGS showed distinctively lower peak viscosity compared to that of AGS possibly due to its non-granular structure. Apparent viscosity of non-AGS revealed relatively lower than commercial pre-gelatinized starch because of heat and pressure-induced gelatinization. Maintaining granular structure in HHP treated pre-gelatinized starch provide a distinctive physicochemical characteristics compared to native starch and preparation of gelatinized starch with different gelatinization and washing methods could cause big differences in their physicochemical properties.
송미라,박금주 한국간호과학회 간호행정학회 2011 간호행정학회지 Vol.17 No.4
Purpose: The purpose of this study was to explore emotional labor experienced by nurses in ambulatory care setting. Method: The phenomenological method developed by Giorgi was used for this study. The participants were 9 nurses who had experienced emotional labor. Data were collected between May and August 2010 by face‐to‐face interviews. The interview was recorded and then transcribed. Results: The constituents associated with the meaning of the nurses' experiences of emotional labor in ambulatory care setting were as followings: bearing down of suffering emotions coming up from the bottom, feeling loneliness when having to undertake care alone by oneself, having conflict between nursing professional and services, managing mind by means of both internal and external resources, getting ridding oneself of conflict with forced emotions over time. Conclusions: The results of this study should contribute to a deeper understanding of the meaning of emotional labor experienced by nurses in ambulatory care. The results also highlight the need to develop programs for nurses in ambulatory care setting to help them express their real action.