수용개작방법을 활용한 당뇨인의 발관리 실무지침 개발

정인숙 ( Ihn Sook Jeong ),박경희 ( Kyung Hee Park ),송복례 ( Bok Rye Song ),심강희 ( Kang Hee Sim ),한은진 ( Eun Jin Han ),홍은영 ( Eun Young Hong ),정영선 ( Young Sun Jung ),이선희 ( Seon Heui Lee ),박동아 ( Dong Ah Park ),정재심 병원간호사회 2015 임상간호연구 Vol.21 No.2

This study was done to use a guideline adaptation process to develop a Korean evidence-based diabetic foot care clinical practice guideline for diabetic foot prevention and management. Methods: The guideline adaptation process was conducted according to the guideline adaptation manual developed by the National Evidence-Based Healthcare Collaborating Agency. The process consists of three main phases, with 9 modules including a total of 23 steps. Results: The newly developed diabetic foot care clinical practice guideline consisted of an introduction, description of diabetic foot, summary of recommendations, recommendations, references, appendices, and glossary. There were 165 recommendations in 4 sections (risk assessment for diabetic foot ulcers, prevention of diabetic foot ulcers, wound assessment of diabetic foot ulcers, and management of the diabetic foot). In grading by recommendations, for A there were 30 (18.2%), B, 8 (4.8%), C, 30 (18.2%) D, 97 (58.8%). Conclusion: This guideline can be used as educational material for healthcare workers and diabetic patients. It can also be utilized as a practice guideline for healthcare workers in the hospital and community setting.

연구논문 : 의사결정능력 도구인 University of California, SanDiego Brief Assessment of Capacity to Consent (UBACC)의 타당도와 신뢰도 평가

정인숙 ( Ihn Sook Jeong ),김성곤 ( Sung Gon Kim ),이진성 ( Jin Seong Lee ),정봉주 ( Bong Ju Jung ) 한국의료윤리학회 2011 한국의료윤리학회지 Vol.14 No.3

This study aimed to validate one of the tools for assessing decision-making capacity: the University of California at San Diego`s Brief Assessment of Capacity to Consent (UBACC), which is composed of a 10-item scale that includes questions focusing on the understanding and appreciation of information concerning research protocol. The subjects in the study were 30 inpatients and 30 outpatients with schizophrenia or schizoaffective disorder and, for comparison, 30 healthy subjects, all of whom received information about a simulated clinical drug trial. Using the MacArthur Competency Assessment Tool for Clinical Research (MacCAT-CR) as a gold standard, inter-rater reliability with intra-class correlation coefficient (ICC) was measured. The ICC for inter-rater reliability ranged from 0.987 to 0.994. The UBACC was found to be a useful and valid instrument for the screening of decision-making capacity before obtaining informed consent. We recommend that it be used not only for schizophrenia patients but also for various vulnerable groups including the elderly or cognitively impaired subjects.

체온측정시간 및 고막체온계의 정확도와 신뢰도에 관한 연구

정인숙(Jeong Ihn Sook),유은정(Yoo Eun Jung) 기본간호학회 1997 기본간호학회지 Vol.4 No.1

보건소 방문간호사의 타부서로의 이동 의도

정인숙(Jeong, Ihn Sook),김이순(Kim, Yi Soon),이정희(Lee, Jung Hee) 한국보건간호학회 2003 韓國保健看護學會誌 Vol.17 No.1

보건소 방문간호사의 직무만족 관련요인

김이순,정인숙,이정희,박형숙,Kim, Yi-Soon,Jeong, Ihn-Sook,Lee, Jung-Hee,Park, Hyoung-Sook 한국가정간호학회 2002 가정간호학회지 Vol.9 No.2

Purpose: This study was aimed to investigate predictors of job satisfaction of home visiting nurses at the 16 public health centers in Busan. Method: There are two groups of independent factors: non-work related (age. educational level. working duration as nurses in hospitals. certificate). and work related (working duration as nurses in public health centers. working duration as home visiting nurse. position. number of households visited per week, workload, cooperation among staff, support by supervisors, supply of vehicles, supply of materials). The participants were 88 home visiting nurses from 16 public health centers in Busan. Data were collected with self-administrated questionnaires and analysed using an univariate logistic regression and multiple logistic regression analysis. Result: support by supervisors (good vs not-good, OR=3.70. p=0.025), and supply of materials (good vs not-good, OR=3.33, p=0.038) had significants effects on job satisfaction. Conclusion: The results were similar to those of other studies on the predictors of job satisfaction of clinical nurse at hospitals, and were helpful in developing nursing interventions to increase job satisfaction among home visiting nurses in public health centers. Busan.

범이론적 모형 (Transtheoretical Model)에 근거한 청소년의 금연변화단계 예측요인

김정순,정인숙,천병철,박남희,Kim, Jung-Soon,Jeong, Ihn-Sook,Chun, Byung-Chul,Park, Nam-Hee 대한예방의학회 2003 예방의학회지 Vol.36 No.4

Objectives : The purpose of this study was to investigate the predictor associated transitions with each stage of smoking cessation based on the Transtheoretical Model, and to provide basic data for smoking cessation programs for adolescents. Methods : The participants were 297 current and former smokers, obtained from stratified random sampling of 2nd graders from 127 high schools in B cities. The data were collected between April 6th and 16th 2002, using a structured self-report questionnaire, and analyzed using a multiple logistic regression, with the SPSS program for Windows (Version 10.0). Results : The predictors of transition from precontemplation to contemplation were consciousness raising (OR=1.22, 95% CI:1.07-1.40), coping pros (OR=.84, 95% CI:.70-1.00) and attitude of parents to smoking (OR=2.97,95% Cl: 94-9.24). The predictors of transition from contemplation to preparation were helping relationships (OR=.83, 95% CI:.72-.96), self-liberation (OR=1.15, 95% CI: 99-1.33) and nicotine dependence (OR=.76, 95% CI: 56-1.03). The only predictor of transition from preparation to action was the social pros (OR=.66, 95% CI:.57-.82). The predictors of transition from action to maintenance were self-reevaluation (OR=.81, 95% CI:.71-.92) and negative affective situation (OR=.85, 95% CI:.72-1.00). Conclusion : Adequate examination on the factors for predicting the transitional stages of change for smoking cessation in Koreans are presented in this study. The results of this study will become the pillar of smoking cessation Planning and application programs.

도시지역 노인의 치매 위험요인에 관한 단면연구

김정순,천병철,초의수,정인숙,Kim, Jung-Soon,Chun, Byung-Chul,Cho, Eu-Soo,Jeong, Ihn-Sook 대한예방의학회 2002 예방의학회지 Vol.35 No.4

Objectives : To identify the risk factors of dementia among the elderly in a large city. Methods : A cross-sectional study was conducted in July 2001, with potential participants selected by stratified two stage cluster sampling of the elderly population of Keumgog dong, Busan. A total of 452 elderly people aged 65 years and over, underwent a two phase diagnostic procedure. Mini-mental State Examination-Korean (MMSE-K) and Samsung Dementia Questionnaire were used for the 1st stage, and the Clinical Dementia Rating Scale (CDR), the Bartel ADL, and IADL Index, the Korean Geriatric Depression Scale (KGDS), the Modified Hatchinski Ischemic Scale (MHIS), and other laboratory tests were used for the 2nd stage. Results : Of the 446 participants finally chosen, 45 were confirmed with dementia, and 363 as normal, with the rests not confirmed with dementia or as normal, were excluded from the analysis. According to the logistic regression analysis, the risk of dementia was significantly higher In: people aged 80 and above (OR=4.36, 95% CI=1.97-9.62), illiterate (OR=3.58, 95% CI=1.71-7.46), who had a history of strokes (OR=6.35, 95% CI=2.71-14.87), or who had 3 history of hyperlipidemia (OR=4.74, 95% CI=1.65-13.61), compared to their counterparts. Conclusions : These results suggest that efforts to prevent strokes and hyperlipidemia can significantly decrease the risk of dementia.

국내 의학 관련잡지 및 논문집의 투고규정에 나타난 윤리기준

백정미,장인진,신상구,정인숙,Baik, Jung-Mi,Jang, In-Jin,Shin, Sang-Goo,Jeong, Ihn-Sook 대한임상약리학회 1998 臨床藥理學會誌 Vol.6 No.2

연구배경 : 인간을 대상으로 하는 임상의학적 연구는 윤리적 배려 하에 과학적 연구가 이뤄질 수 있어야 하므로, 이런 논문이 게재되는 의학 관련 잡지와 의대논문집의 편집규정에 윤리적 타당성을 보장하는 기준이 제시되어 있는 지와 구체적인 기준의 기술에 대해 검토하였다. 연구방법 : 의학회 정회원학회지(51개) 및 준회원학회지(41개), 간호학회지(4개), 의과대학 논문집 및 학술지(20개), 학위논문지침서(6개), 기타(2개) 등 총 124개의 투고규정을 검토하였다. 윤리적 기준으로는 IRB 또는 이와 유사한 윤리위원회의 승인, 헬싱키 선언, 피험자 서면 동의서, 피험자의 비밀 또는 익명성 보장, 국제의학잡지 편집인회의에서 제시된 공통 요구 사항(Uniform Requirements 이하 UR)에서 제시된 윤리성 등으로 분류하여 검토하였다. 연구결과 : 전체 검토 대상(124개)의 약 12개(9.7%)에서만 이 윤리적 기준을 제시하고 있었다. 이 중 IRB 또는 기타 윤리위원회의 승인을 요구한 것이 4개였고, UR에 따른 환자의 익명성 보장(사진을 게재하는 경우 피험자를 식별할 수 없게 하거나 인적사항이 노출되지않도록 함)을 언급한 경우가 8건이었다. 이 8개를 조사대상의 종류를 구분하여 볼 때 정회원학회지가 3개, 준회원학회지가 4개, 의대논문집 1개였다. 이 외에도 3개의 잡지에서 UR을 참고사항으로 제시하고 있으나 윤리적인 측면에 관계없이 단지 투고양식만을 따르도록 하는 것이어서 윤리적 기준에서 제외하였다. 한편 헬싱키 선언을 윤리적 기준으로 제시한 잡지 및 논문집은 없었다. 결 론 : 극히 일부 잡지에서 제한적인 윤리적 기준이 제시되어 있었으며, 이것이 그 잡지의 질이나 가치를 반영하는 것은 아니지만 인간을 포함하는 연구를 하는 경우 그 윤리성이 보장될 수 있도록 관련 잡지의 투고 및 편집규정에 명백하고 상세하게 윤리기준을 제정해야 할 것이다. . Background : Clinical researches in which human subjects are involved should be conducted scientifically under ethical considerations. We surveyed editorial guidelines of medical journals and related publications in which these kinds of studies are published, and reviewed the presence/absence of guidelines for ethical justifications. Methods : Editorial/author guidelines in 51 journals of member societies of the Korean Medical Association, 41 journals of quasi-member societies of the Korean Medical Association, four journals of the member societies of the Korean Academy of Nursing and 20 medical school journals, and eight related journals were examined. Contents of ethical guidelines were classified as 1) approval of IRB (Institutional Review Board) or an ethics committee, 2) Declaration of Helsinki, 3) written informed consent, 4) assurance of subject confidentiality, 5) DR (Uniform Requirements) and 6) no guidelines. Results : Only 12 (9.7%) of the 124 journals reviewed comprised an ethical guideline in their editorial guide­lines. Of these 12, four required an approval of IRB or an ethics committee; eight required confidentiality of subjects itself or according to UR. None of the journals included the Declaration of Helsinki as a guideline. Conclusion : Ethical guidelines were stated only in a limited small number of journals. The ethical guidelines it­self cannot be said to directly reflect the journal's overall quality, but journals publishing studies which involve human subjects should have clear and detailed ethical guidelines in order to guarantee the ethical aspects of those studies.

당뇨병성 발궤양 발생 위험 예측모형과 노모그램 개발

이은주(Lee, Eun Joo),정인숙(Jeong, Ihn Sook),우승훈(Woo, Seung Hun),정혁재(Jung, Hyuk Jae),한은진(Han, Eun Jin),강창완(Kang, Chang Wan),현수경(Hyun, Sookyung) 한국간호과학회 2021 Journal of Korean Academy of Nursing Vol.51 No.3

Purpose: This study aimed to identify the risk factors for diabetic foot ulceration (DFU) to develop and evaluate the performance of a DFU prediction model and nomogram among people with diabetes mellitus (DM). Methods: This unmatched case-control study was conducted with 379 adult patients (118 patients with DM and 261 controls) from four general hospitals in South Korea. Data were collected through a structured questionnaire, foot examination, and review of patients’ electronic health records. Multiple logistic regression analysis was performed to build the DFU prediction model and nomogram. Further, their performance was analyzed using the Lemeshow–Hosmer test, concordance statistic (C-statistic), and sensitivity/specificity analyses in training and test samples. Results: The prediction model was based on risk factors including previous foot ulcer or amputation, peripheral vascular disease, peripheral neuropathy, current smoking, and chronic kidney disease. The calibration of the DFU nomogram was appropriate (χ² = 5.85, p = .321). The C-statistic of the DFU nomogram was .95 (95% confidence interval .93~.97) for both the training and test samples. For clinical usefulness, the sensitivity and specificity obtained were 88.5% and 85.7%, respectively at 110 points in the training sample. The performance of the nomogram was better in male patients or those having DM for more than 10 years. Conclusion: The nomogram of the DFU prediction model shows good performance, and is thereby recommended for monitoring the risk of DFU and preventing the occurrence of DFU in people with DM.

병원중심 가정간호사업에 대한 의사, 간호사의 인식과 태도에 대한 조사연구

김정순,고영희,김대숙,김정화,신재신,이길자,정인숙,황선경,Kim, Jung-Soon,Ko, Young-Hee,Kim, Dae-Suk,Kim, Jeung-Hwa,Shin, Jae-Shin,Lee, Jil-Ja,Jeong, Ihn-Sook,Hwang, Sun-Kyung 한국가정간호학회 2001 가정간호학회지 Vol.8 No.2

Purpose: This study is to investigate the attitudes on the Home Health Care among the physicians and nurses in P University. Method: Data were gathered from 71 physicians and 264 nurses. working at P University Hospital. from May 1 to May 15, 2001 and analyzed using descriptive statistics and Fisher exact test. Results: 1) As to the previous information about home health care program, those who have been familiar to it were 100% of physicians, and 99.6% of nurses, and 39% of the physicians and 66.1% of the nurses. were found to have responded with right answers, 2) As to the acceptance of the home health care program, 87% of physicians and 98.5% of nurses were found to be positive and there showed a significant difference(p= .019), 3) The main reasons for accepting the system were: the alleviation of the family burden of time, the maintenance of continuity of care, and the reasons for opposing the system were incomplete legal assurance. the possibility of providing illegal medical services. 4) The physician's intention rate of patient referrals to home care program reveled 49.2%. 5) According to the services related to Home Health Care. the orders of acceptance rates were medical tests related services (77.8%, 92%); therapeutic nursing interventions(69.0%, 88.2%): and services for medication(68.3%, 82.5%) among physicians and nurses. respectively. Conclusion: For the stabilization and successful implementation of home health care system. it should be accompanied with education for physicians about home care. setting specific laws and regulations for home care. legal assurance of home care business. outcome research for home care recipients. and support systems of hospital administration.