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      • 의학진단과 표준간호분류체계를 기반으로 한 간호진단 및 중재관리 시스템의 유용성 검증

        이혜자,박성애,박성의 대한의료정보학회 2002 Healthcare Informatics Research Vol.8 No.2

        The nursing process, composed of diagnosis, intervention and outcome, is practical and scientific approach. In addition, many studies on the nursing process have been performed. However, the nursing process has not applied to clinical fields. Therefore, we developed a nursing information system that supports nurses' nursing diagnosis and intervention management. This system provides expected nursing diagnoses and interventions for subjective patients automatically so that nurses can make more accurate diagnoses and perform more adequate interventions. For that purpose, we have analyzed the relations of medical diagnoses and standardized nursing classifications and developed the outputs into a database system. In this study, we performed clinical tests for the system and verify the usefulness of the system with case database accumulated through the tests. We expect the system can be used in many hospitals efficiently after some upgrade based on the results of this study is completed. 제목 : 의학진단과 표준간호분류체계 기반 간호진단중재시스템의 유용성검증이혜자, 박성애*, 박성희*용인송담대학 의료정보시스템과, *서울대학교 간호대학

      • KCI등재

        요양보호사의 직무스트레스 영향요인

        이혜자 한국통합사례관리학회 2010 한국케어매니지먼트연구 Vol.5 No.-

        '스콜라' 이용 시 소속기관이 구독 중이 아닌 경우, 오후 4시부터 익일 오전 7시까지 원문보기가 가능합니다.

        본 연구는 요양보호사들의 일반적 특성과 근무환경특성을 알아보고 이에 따른 직무스트레스의 차이를 살펴보았으며, 아울러 직무스트레스 수준 및 직무스트레스의 영향요인을 파악해보고자 하였다. 이를 위해 경기지역 12개 노인요양시설에 근무하는 198명의 요양보호사를 조사대상으로 하였다. 주된 연구결과는 다음과 같다. 직무스트레스 전체 평균은 3.62로 나타났으며, 각 요인별로는 역할과다가 3.85로 가장 높게 나타났고, 역할갈등이 3.52, 역할 모호가 3.48로 나타나 비교적 높은 직무스트레스 수준을 보였다. 직무스트레스 영향요인을 살펴본 결과, 일반적 특성 변인에서는 성별, 배우자 유무, 교육수준, 건강상태로 나타났고 근무환경특성 변인에서는 이직고려경험유무로 나타났다. 이상의 연구결과를 바탕으로 요양보호사의 직무스트레스를 관리하고 줄이기 위한 몇 가지 실천방안을 제시하였으며 본 연구의 한계점도 제시하였다. This study are intended to investigate the extent of job stress and work environment characteristics of care workers and to explore factors associated with their job stress. A survey was conducted with 198 care workers from 12 nursing care institution randomly extracted and over who are living in Gyeong-Gi province. The major results were as follows: 1) The mean of job stress was 3.62 on a 5-point scale, and role excess was 3.85, role conflicet was 3.52, role ambiguity 3.48, and their job stress level was shown high. 2) The job stress was closely related with sex, existence of spouse, economy status, health status, and intention to leave from work. Based on the above results, social welfare political and institutional efforts are needed to improve the job stress of care givers, and future research is suggested.

      • KCI등재

        흰쥐 성장기간에 따른 Xylene의 독성에 관한 연구

        이혜자,이상희,전태원,이상일,윤종국 대한의생명과학회 2000 Journal of biomedical laboratory sciences Vol.6 No.3

        실험동물에 있어서 연령 차이에 따라서 xylene 독성이 어떠한 차이가 있는지를 검토하는 일환으로 5주령 및 12주령 흰쥐에 50% m-xylene을 체중 100 g 당 0.25 ml씩 1회 투여한 다음 24시간 후에 처치하여 다음과 같은 결과를 얻었다. Xylene 투여로 인한 요 중 methylhippuric acid 함량은 5주령군이 12주령군에 비해 현저하게 높게 나타났다. 그리고 간조직 중 cytochroms P-450 함량은 대조군에 있어서 5주령군이 12주령군 보다 약 50% 정도 낮게 나타났으나 xylene 투여로 인한 cytochrome P-450 함량 증가율은 12주령군 보다 5주령군에서 높게 나타났다. 간 alcohol dehydrogenase 활성치도 대조군에 있어서는 5주령군이 12주령 보다 약 35% 정도 낮게 나타났으나 xylene 투여로 인한 본 효소의 활성 증가율은 5주령군에서 오히려 높게 나타났다. 그러나 간 aldehyde dehydrogenase 활성치는 대조군 및 xylene 투여군 모두 5주령과 12주령간에 유의한 차이를 나타내지 않았다. 한편 xylene 투여시 체중 당 간무게, 간조직 malondialdehyde 함량 및 혈청 ALT 활성 변동을 통하여 간손상 정도를 상호 비교 관찰하였을 때, 12주령군이 5주령 실험동물 보다 간손상이 다소 심하게 나타남을 알 수가 있었다. 이상 실험결과는 연령에 따라 xylene에 의한 간손상의 차이는 이물질의 생체내 대사율이 달리 나타나기 때문일 것으로 생각된다. To evaluate an effect of aging on the xylene toxicity, 50% m-xylene in olive oil (0.25 ml/100 g body wt.) was administered to 5 week and 12 week-old rats one times intraperitoneally and sacrificed at 24 hrs afterwards. The increasing rate of urinary H-methylhippuric acid concentration was higher in 12 week-old rats than 5 week-old rats by the treatment of m-xylene. On the liver function findings, i.e., liver weight/body weight (%), serum levels of ALT activity and hepatic malondialdehyde content, 12 week-old rats showed more severe liver injury than 5 weeks those in xylene-treated rats. And the hepatic cytochrome P-450 contents was higher in 12 weeks rats than those of in 5 week-old rats, but the increasing rate of that was lower in 12 week-old rats. Hepatic alcohol dehydrogenase activity was also higher in 12 week-old rats than in 5 week-old rats whereas the increasing rate of that was higher in 5 week-old than those in 12 week-old rats by the xylene treatment. Furthermore, the hepatic aldehyde dehydrogenase activities were no differences between the 5 and 12 week-old rats both in the control and xylene-treated group, In conclusion, age may influences upon the hepatotoxicity with xylene and it may be responsible for xylene metabolism in rats.

      • KCI등재
      • KCI등재

        Effect of Integrated Personalized Health Care System on Middle-Aged and Elderly Women's Health

        이혜자,강경자,박승훈,주세진,진미화,박복남 대한의료정보학회 2012 Healthcare Informatics Research Vol.18 No.3

        Objectives: Body weight, body mass index (BMI), body fat, and blood pressure are important indicators of a person's health. In this experimental study, we evaluated the effectiveness of an integrated personalized health care system, Health Improvement and Management System (HIMS)-everyday, which instantly provides subjects with biofeedback on their measured body weight, BMI, body fat and blood pressure using a database that stores subjects-customized information. Methods: The subjects of this study used the system once or twice a week for 8 weeks. We analyzed the changes in their body weight, BMI, body fat, and blood pressure according to their respective usage of the system, and analyzed the changes in their perceived health status and health promoting behavior accordingly. Results: Subjects' body weight, BMI, and blood pressure decreased significantly with respect to their individual usage of the system. Subjects who used the system more frequently showed significant improvement in their body weight, BMI, and body fat. However, subjects' perceived health status and health promoting behavior did not improve significantly. Conclusions: The study showed that the biofeedback-based personalized health care system was effective in controlling middle-aged and elderly women' body weight, BMI, body fat, and blood pressure.

      • KCI등재

        HIMS 맞춤형 운동처방의 효과 검증

        이혜자,박복남,박승훈 대한의료정보학회 2007 Healthcare Informatics Research Vol.13 No.1

        Objective: People can accomplish their objectives of exercise only when they exercise in moderation, meaning according to the personalized exercise prescriptions that are adjusted to their health status and fitness level. In this study, we evaluated the effectiveness of the personalized exercise prescriptions generated from HIMS(Health Improvement and Management System). Methods: Subjects of experimental study exercised in their daily life according to their exercise prescriptions generated from HIMS for 10 weeks. We compared and analyzed the difference of their physical and psycho-social health status between before and after 10 weeks of exercise. Results: Subjects' heart rate and blood pressure was improved meaningfully after 10 weeks of exercise. Subjects' body fat and agility was improved meaningfully after 5 weeks of exercise. Subjects' psycho-social health was improved meaningfully after 5 and 10 weeks of exercise. Conclusion: The experimental study showed that the personalized exercise prescriptions generated from HIMS were effective to improve and maintain the health and wellness. (Journal of Korean Society of Medical Informatics 13-1,51-63, 2007)

      • KCI등재후보

        XML 기반 개인건강정보 통합 모델

        이혜자,박승훈,정병수 대한의료정보학회 2004 Healthcare Informatics Research Vol.10 No.3

        Objective: For disease prevention and health promotion, it is important that individual health information is managed continuously and can be retrieved easily when necessary. We propose a model for integrated management of diverse individual health information that is generated and managed in heterogeneous Health Information System(HIS)s at hospitals or health centers.Methods: We use XML and relational database together to represent the health information structurally and manage it flexibly. In order to show the effectiveness of our method, we developed a prototype of Intermediate System for integration and analysed the result. Results: The Intermediate System for integration provides the schema of health information, represents the information in forms of XML strings by the subjects, and stores each XML string as one field of relational database. In each heterogeneous HIS, there is an adaptor that transforms the health information into XML according to the schema. The messages for transmission between each HIS and Intermediate System are represented in XML.Conclusion: The experimental study shows that using relational database and XML together provides a flexible, extensible and structured way of representing complex, time-variant and large-scale information, on the premise that the database tables are distributed according to the status of server.

      • 중학교 기술ㆍ가정 의생활 영역의 서술형 평가 문항 개발 및 적용

        이혜자,이수경 한국가정과교육학회 2011 한국가정과교육학회 학술대회 Vol.2011 No.-

        '스콜라' 이용 시 소속기관이 구독 중이 아닌 경우, 오후 4시부터 익일 오전 7시까지 원문보기가 가능합니다.

      • KCI등재

        G. Hauptmann 의 희곡 『직조공들(Die Weber)』 에 있어서의 서사적 요소

        이혜자 한국독어독문학회 1986 獨逸文學 Vol.37 No.1

        Diese Arbeit hat einen Aufgabe, ie Weber" als das soziale Drama im Zusammenhang mit den epischen Elementen zu untersuchen. Dieser Untersuchung gemaB gliedert sich diese Arbeit beider epischen Struktur des Dramas and der Episierung des Sprachstils. Die dramatischen Vorgange spielten die Not der Weberbevolkerung in den schlesischen Orten um die Mitte 19, Jahrhunderts ab. Keim der Dichtung war-wie der Autos in seines Widmung des Weber-Dramas an seinem Vater Robert Hauptmann schreibt -seines Vaters rzahlung vom GroBvater, der in jungen Jahren, ein armer Weber, wie die Geschilderten. hinterm Webstuhl gesessen,"(Text, 5.224) Das Wort wird hier zitiert, weil es zugleich in die Formproblematik des Werkes einfuhrt. An dessen Ursprung steht die unausloschliches Bild: die Weber hinter ihren Webstuhlen, and das Wissen um ihr Elend. Das scheint eine bildliche Gestaltung zu fordern. Fur die dramatische Darstellung stellt sich hier die Frage nach der Moglichkeit einer Handlung. Weder das Leben der Weber, die nur Arbeiten and Hungern kennen, noch die politisch-bkonomischen Zustande lassen sich in dramatische Aktualitat verwandeln. Die einzige Handlung, die unter solchen Daseinsbedingungen moglich ist, ist die gegen sie: der Aufstand. Die epische Schilderung der Zustande als Motivation der Revolte scheint dramatisiert werden zu kdnnen. es Aufstand der Weber entbehrt des zwischenmenschlichen Konflikts, er entwickelt sich nicht im Medium des Dialogs, sondern als Ausbruch von Verzweifelten, jenseits des Zwiegesprachs and kann deshalb nur dessen Thema sein. So fallt das Werk wieder ins Epische zuruck. " (P. Szondi, S. 69) - Es setzt sich aus Szenen zusammen, in denen verschiedene Mbglichkeiten des epischen Theaters benutzt. werden, daB die Beziehung Epiker-Gegenstand in die dramtische Szene thematisch eingebaut ist. Jede einzelne Szenen der funf Aufzuge Bind nur locker miteinander die epische Situationen verbunden: Revue, Darstellung vor einem Fremden, Bericht, Beschreibung. Das alles deutet auf die epische Grundstruktur des Werkes hin. Es druckt aus, daB Handlung and Werk hier nicht, wie im Drama, identisch Bind, der Aufstand ist vielmehr Gegenstand des Werkes. Dessen Einheit wurzelt in dem unsichtbaren epischen Ich, das die Zustande un Ereignisse vorfuhrt. Die szenische Fuhrung im naturalistischen Drama ist das Aufterten von Personen, die als Fremde von auswarts in einen geschlossen Kreis eintreten and aus der hier vorgefundenen Spannung gleichSam den Funken des Widerstandes schlagen. Es ist das Motiv �des Boten aus der Fremde" (R. Cowen, S. 193) , das hier an den Figuren des entlassenen Reservisten Moritz Jager (2. Akt) and des Reisenden in der Schenkstube (3. Akt) gestaltet wird. Die Erscheinung des Fremden besagt, daB die durch ihn zu dramatischer Darstellung gelangen, von sich aus dazu nicht fahig warm. Schon seine Gegenwart druckt so die Krise des Dramas aus, and das Drama, dessen Entstehung er ermoglicht, ist kein echtes mehr. Es wurzelt in der epischen Subjekt-Objekt-Beziehung, in der sich der Fremde and die anderen gegenuberstehen. Den Ablaut der Handlung bestimmt nicht die zwischenmenschliche .Aufeinandersetzung, sondern das Vorgehen des Fremdenao wird auch die dramatisch Spannung aufgehoben. 'Das Weberlied' hat den ausgezeichneten Einfall gehabt, die innere Einheit des Ablaufs dadurch leitmotivisch auszudrucken, daB der Dramatiker das historisch uberlieferte Lied vom Blutgericht im Anfang erwahnen and dann immer wieder strophenweise auftauchen lasst, wenn die Wut and die Verzweiflung sich stufenweise zur Siedehitze steigern. Ein Beispiel fur die Tendenz der Episierung ist die. Leitmotivfunktion des Weberliedes. Die Buhnenanweisungen der naturalistischen Dramen geben bis in alle Einzelheiten hinein exakte Beschreibungen der Buhnenraume mit dem Anspruch, die realen Lebensbedingungen and Lebensweisen der handelnden Personen darzustellen. Hauptmann gibt in seinen Buhnenund Regieanweisungen eine deutliche epische Einfuhrung nicht nur zur auBeren, sondern auch zur inneren Situation, in der seine Gestalten auftreten sollen: die Vorbemerkungen zum ersten Akt der eber" ist wohl das beste Beispiel dafur. Das `Milieu' der auf der Buhne agierenden Gestalten spielt eine wesentliche Rolle; das, was sie sagen and tun, soil als in hohem Masse von ihrer Herkunft, von der Gesellschaft darin bedingt erscheinen. Deshalb dienen die ausfuhrlichen Szenenanweisungen diesem Zweck. So gelingt die mimische Verlebendigung der Rede. Alles Reden bleibt hier letztich Gebarde gegennber der Macht des Milieus; je mehr die Sprache zur ohnmachtig wird, um so weniger behauptet sie sich als Wort. Bei Hauptmann scheint die Ohnmacht der Sprache immer vorausgegeben zu sein. Der Affektausbruch ist das deutlichste Zeichen dafur, daB die Sprache an ihre Grenze gekommen ist and nichts mehr zu klaren vermag. Als Gebarde des Affekts gibt die Sprache nur noch ihre Ohnmacht zu erkennen. ,1e mehr der Dialekt in die Rede eindringt, je mehr die Sprache zur blossen Affektausserung wird, um so mehr kann sie als Gebarde aufgefasst werden; sie geht in Gesten caber, die in Szenenanweisungen ausfuhrlich erlautert werden and den Dialog illustieren. So die Verwendung von Dialekt unterstutzt die Hinneigung zu grosseren Objektivierung and damit Distanzierung vom Dargestellten.

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