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      • SCOPUSKCI등재

        관리식도루를 동반한 선천성 식도폐쇄증 환자의 전신마취 2례 보고

        이성자,최영석,안덕보,이규순,김용혁 대한마취과학회 1973 Korean Journal of Anesthesiology Vol.6 No.2

        The authors have experienced two cases of general anesthesia for patients of congenital esophageal atresia with tracheo-esophageal fistula. Of great importance in anesthetic mangement is preventing pulmonary complications before or during operation as well as post-operation. Survival rates mostly depend upon the early diagnosis and abscence of pulmonary complications which are the most common cause of high death rates. Meticulous care of the patients to keep on airway, clearing of bronchial secreations, maintaining normal body temperature and humidity are very important in management of anesthesia. To avoid gastric distension, careful inflation of the lungs during opened chest has been recommanded. Also intermittent positive pressure ventlation during the repair may be required.

      • 복막투석 적용 만성신부전 환자의 가족지지와 우울과의 관계연구

        李星子 全北大學校 1996 論文集 Vol.42 No.-

        This study was attempted to explore the relationship between family support and depression in CRF Patients who received peritoneal dialysis. The subjects were 114 CRF Patients received peritoneal dialysis at an university hospital in Chon-Ju. The data were collected from Jan. 8 to 27, 1996 by means of an interview utilized structured questionaire. The instruments used for this study were Choi's(1983) family support scale modified by Kang Hyun Sook(1984) and Zung's self-rating depression scale modified by Sim Moon Suk(1990). The data were analyzed by Mean, t-test, ANOVA and Peason correlation coefficient using the Program. The results of this study were as follows : 1. The mean level of perceived support by peritoneal dialysis patients was 40.579±8.643 points in range from 13 to 55 points. 2. It was found that there was significant correlation between the perceived family support and depression of the subject. (γ=-.3584, P=.000) 3. In the relation between general characteristics and family support : religion (f=3.230, P=.0151), education (F=3.114, P=.0181), occupation (t=2.67, P=.011), econimic state (F=6.150, P=.0029), and duration of peretoneal dialysis (F=3.454, P=.0023) were statistically significant. 4. In the relation between general characteristics and depression : religion (F=5.722, P=.0003), econimic state (F=5.928, P=.0036), choice motive of peritoneal dialysis (F=3.424, P=.0024) were statistically significant. In conclusion, it was found that the degree of perceived family support by peritoneal dialysis patients was the important variable which affected the degree of depression.

      • 韓國型出血熱三例에 對한 臨床的 經過의 考察

        李星子 全北大學校 醫科大學附設 看護專門大學 1980 논문집 Vol.6 No.-

        Three cases of Korean Hemorrhagic Fever were studied on the standpoint of mild, moderate and severe clinical course and specific nursing care in Department of Internal Medicine, Jeonbug National University Medical School. 1. Case one showed conjuntival petechia, mild fever, leukocytosis and abdominal pain, and discharged on the 6th Hospital day after complete recovery. 2. Case two showed abdominal pain, Hicup, severe vomiting and loss of consciouness. Serum creatinine revelaed 2.0 mg%. The patient's consciousness was restored on 10th Hospital day and discharged with good condition after specific clinical treatment and nursing care On 17th Hospital days. 3. Case three showed massive hematemesis, anuria and generalized edema. Serum BUN and creatinine were 142mg%, 8.0mg%. He died on the 5th Hospital day even though two times of peritoneal dialysis and specific nursing care were performed.

      • 수술실 간호사의 소진경험정도와 직무만족도에 관한 연구

        李星子,鄭承姬 全北大學校 1994 論文集 Vol.37 No.-

        The purpose of this study was to determine the relationship between burnout and job satisfaction of the nurse in operating roon. The data were collected from June 1, 1993 to June 15. 1993, by means of a questionnaire. The instruments used for this study were the questionnaire based on the burnout scale developed by Pines et al, and adapted to the Korean situation by Peek and the job satisfaction scale developed by Slavitt et al. The analysis of data was done by Percentage, Mean, Standard Deviation. T-test. ANOVA, and Pearson Correlation Coefficient in SPSS/PC^+. The results of this study were as follow : 1. The hypothesis, "the relationship between burnout and the job satisfaction may be negative correlation", was accepted(r=-.5520, p < .001). 2. The mean score for burnout was 2.928 against the maximum score 5. The physical burnout indicated 3.167, emotional burnout 2.745 and mental burnout 2.873. The mean score for job satisfaction was 2.668 against the maximum 5 and highly rated areas were orderly "autonomy" 3.269, "human relation" 3.225, "job period" 3.006, "control of social status" 2.957, "reward" 2.529 and "working condition" 2.381. 3. An analysis of the relationship between operating room nurses' burnout degree and general characteristics showed statistically significant difference for : marital status (t=1.93, P < .05), expected working period (F=8.3143, P < .001). 4. An analysis of the relationship between job satisfaction degree and general characteristics showed statistically significant difference for : marital status (t=-2.53, P< .05), period of nursing experience in operating room (F=2.946, P < .05), reward(F=3.064, P < .05), expected working period(F=3.400, P < .05). Therefore to perform harmoniously peculiar service of nurse in operating room as nurse and to still more develope that, this study was suggested that the research about plan to diminish the burnout and to raise job satisfaction as the result was needed. Also, it was thought that executive support was needed.

      • SCOPUSSCIEKCI등재

        교정력이 골유착성 티타니움 임프란트의 초기 고정에 미치는 영향에 관한 실험적 연구

        이성자,정규림 대한치과교정학회 2001 대한치과교정학회지 Vol.31 No.2

        본 연구는 경희대학교 치과대학 교정과와 BiosstechR이 개발한 교정용 골유착성 티타니움 임프란트를 이용하여 임프란트 매식 후 가해지는 교정력이 임프란트의 골유착에 미치는 영향과 임프란트 제거 후 손상된 치조골의 치유를 알아보기 위해 시행되었다. acid-etched type, sand-blasted type, sand-blasted & acid-etched type, 3종류의 교정용 임프란트 24개를 2마리 실험 동물의 구강 내에 식립하였다. dog1의 상하악 좌측에 식립한 6개 임프란트에는 식립 후 교정력을 주지 않았고, 우측에 식립한 6개 임프란트에는 식립 즉시 200-300gm의 교정력을 가하였다. dog2에서는 임프란트 식립후 4주의 치유기간을 기다린 후, 골 내에 고정되어 있는 모든 임프란트에 4주 동안 200-300gm의 교정력을 가하였다. 4주, 8주의 관찰 기간이 지난 후 실험 동물을 각각 희생시켜 임프란트와 주위 조직을 포함하는 비탈회 표본을 제작하여 광학 현미경하에서 검경하였다 이 실험을 통해 다음과 같은 결과를 얻었다. 1.골내 고정에 성공한 임프란트들의 식립 4주 후 조직 소견에서, 식립 즉시 교정력을 가한 임프란트와 교정력을 가하지 않은 임프란트 사이에 조직학적 차이가 없었다. 두 군 모두에서 미성숙 소주골이 임프란트 식립시 손상된 부위로 생성되고 있었으며 부분적인 골유착이 보였다. 2.임프란트 식립 부위의 골손상이 완전히 치유되기 전에 가해진 교정력은 골유착의 진행을 방해하지 않았다. 4주의 치유기간 후 4주간 교정력을 가한 임프란트의 조직소견에서 골조직과 임프란트 계면 사이의 접촉은 더 넓은 부위로 진행 되었고 나사골을 채우고 있는 신생골은 기저골의 구조와 형태를 닳은 층판골로 성숙되어 있었다. 3.식립 후 임프란트 주위 연조직 염증이 심했던 임프란트는 대부분 탈락되거나 동요가 있었으며,실험 동물 희생시 동요가 있었던 임프란트의 조직 소견에서 임프란트 주위는 연조직으로 둘러 쌓여 골조직과 분리되어 있었다. 4.골내 고정에 실패한 임프란트의 식립 부위에서는 잉프란트 제거 2주 후 염증 소견없이 왕성한 골형성을 나타내는 조직학적 소견이 관찰되었다. The orthodontic osseointegrated titanium implant, a kind of intraoral skeletal anchorage can be an alterative to tooth-borne anchorage, in case that the conventional tooth-borne anchorage is not available or the anchorage is critical. This study was conducted to elucidate the effect of early loading on the osseointegration of the orthodontic titanium implant and the healing process of the impaired bone at the site of implant after removing it. In two adult beagle dogs 24 osseointegrated titanium implants were inserted into the alveolar bone, with 12 Implants placed in each dog. In dog1, 6 out of 12 implants were loaded with 200-300gm of force immediately after placing, and the remaining 6 implants were not loaded for 4weeks. In dog2, all 12 implants had healing period of 4weeks, and then were loaded with 200-300gm of force for another 4weeks. Following an observation period of 4 and 8 weeks, the animals were sacrificed. Then the Implants and the surrounding bone of doll and dog2 were removed, respectively. Undecalcified sections along the long axis of implant were made and the degree of osseointegration was examined under the light microscope. The results were as follows. 1.In the histologic features of tissues around implants anchored in doll, there was no difference between immediately loaded implants and unloaded implants. Immature woven bone was ingrowing into the thread spaces from the original compacta and in direct contact with the implant surface in part. 2.The premature loading just after 4weeks healing period did not halt the progress of the osseointegration between bone and implant surface. The woven bone around the implants was maturing into the lamellar bone which resembled the structure of the original compacta at the end of 8weeks observation period. 3.Most implants with the inflammed surrounding mucosa were lost or mobile. The mobile implants were encapsulated by fibrous connective tissue which separated the Implant surface from the bone. 4.The impaired bone at the site of the impant failed to anchor was showing recovery without inflammatory reaction 2weeks after removing, with the immaure woven bone lined by active osteoblasts and osteoid. Based on the results of this study, the integration of this orthodontic implant seemed to be impaired by the inflammation of the tissue surrounding the implant rather than by early loading on implant, and increased with time lapsed after placing the implant. The use of implant described in this report can be recommended as an orthodontic anchorage unit immediately after insertion under the careful control of orthodontic force applied and plaque.

      • 「일부 폐결핵환자의 치료지시 이행군과 비이행군의 건강신념에 대한 비교 연구」

        이성자 의과학연구소 1989 全北醫大論文集 Vol.13 No.2

        The Purpose of this study was to compare the health beliefs between in compliance group and in noncompliance group with medical recommendation in pulmonary tuberculosis patients. Subjects were 73 pulmonary tuberculosis patients who consisted of 37 compliers and 36 non-compliers registered from Mar. '88 to Dec. '88 in Chonju City District Public Health Center. Data were collected from 4 Jan. '88 to 31 Jan. '88 by home visit interview, using the Choi's health beliefs instrument. The findings revealed statistically significant difference in the scores on the perceived benefits and knowledge in preference to the compliance group(P<.01), and on the perceived barriers in preference to non-compliance group(P<.05). From the above results, it requires that the programs of health education which can enhance the level of knowledge on pulmonary tuberculosis are developed to make the non-compliance comply with medical recommendation well.

      • 혈액 투석 환자의 자가간호에 관한 조사연구

        李星子 全北大學校 1995 論文集 Vol.39 No.-

        This study was attempt to identify the correlation between the intellectual abilities of self-care and the practice of self-care of the patients on hemodialysis for the purpose of providihg basic data for effective nursing intervention. The subject of this study were 72 patients received hemodialysis of two general hospitals in Chon-Ju. The data were collected from May 1st to May 30th, 1994 through questionnaire. The instruments for this study used were the scale of practice of self-care, the scale of intellectual abilities of self-care in patients on Hemodialysis designed by Kim(1987) and translated by Rho(1988). The data were analyzed by percentage, means, t-test, ANOVA, Pearson correlation coefficient. The Result of this study were as follows: 1. The intellectual abilities of self-care and the practice of self-care of the subjects were generally low(m=2.771, 2.715). 2. In the relation general characteristics and intellectual abilities of self-care of the subject, intellectual abilities were statistically significant difference in sex(T=4.79, P< .05), education(F=2.25, P< .05), and the practice of self-care was statistically significant difference in education(F=2.21, P< .05). 3. In the relation between characteristics related to illness treatment and intellectual abilities of self-care, the practice of self-care, the number of hemodialysis was only statistically significant(F=2.29, P< .05), (F=2.78, p< .05). 4. There was a significant correlation between the intellectual abilities of self-care and the practice of self-care, therefore the higher the intellectual abilities of self-care, the higher the practice of self-care(r=.7236, P< .05).

      • 腎徵候群 患者의 看護症例硏究

        李星子 全北大學校 醫科大學附設 看護專門大學 1979 논문집 Vol.5 No.-

        This report is a study for proper nursing care of the Patient with Nephrotic syndrom which has a variety of Symtoms and take a long period for treatment. for the comprehensive nursing care to such a disease following items should be considered. 1. study to psychologic nursing care for the emotional stabilization. 2. effective conference for comprehensive Nursing care. 3. Living planning of adjust physiolgic, developmental psychologic need to patient and should be guided hospital living.

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