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      • 노인돌봄 행위의 전승에 관한 문화기술적 연구

        조명옥 동의대학교 기초과학연구소 2000 基礎科學硏究論文集 Vol.10 No.1

        Culture is the patterns of and for human behaviors, and defined norms and rules for the society. Caring behaviors are based on social rules, and they are a cultural phenomenon. Culture has several characteristics, that are learned by socialization, shared with member of society, passed on from era to era. Culture is a dynamic process, that is changing by diffusion of other cultural traits, invention or discovery of new cultural traits, and abandonment of inadequate traits and replacement by more suitable ones. Caring, as a cultural trait, is also changing along with these process. The purpose of this cultural process is social equilibrium and human survival. Nursing is a caring. So, Caring as a culture, is an essential component of human life and nursing practice. Caring is composed of two systems, which are folk and professional caring. The quality of nursing care depends on the harmonious relationship of these two systems. This study is aimed at making a description of the regulating rules for succession of folk caring behaviors for the elderly. Ethnographic fieldwork was conducted in a agricultural clan in Namwon city, from Jan. 1990 to Feb. 1997. The key informants were 12 elderly individuals. Research data were composed of sociocultural context, research information, and basic data. These data were collected using participation as observer techniques and ethnographic interviews of Spradley. The data were analysed by use of the taxonomic technique, flow and decision, and proxemics. Caring behaviors for the elderly are leaned and passed on by several rules and reinforcement techniques. The desirable behaviors were reinforced by the acknowledgement of caring behaviors and personal or familial dignity using praise and award. The undesirable caring behaviors were controlled with social pressure, cynical expression, extending social and physical distance, excluding person from the village community life, severing kinship, and expelling the family from the village. These rewards and punishments were carried out collectively by all of residents, and the effects were extended from actor to his family, ancestors and descendents. The basic ideas which ruled out these behaviors were: reciprocal retribution, hierarchial, cohesiveness. Results of this study could be a basis for culture-care practice and theory for gerontological nursing. Comparative ethnographic research in the modern urban community would be made useful knowledge for gerontological nursing.

      • 일 간호전문대학생의 양호교사역할에 대한 인식조사 연구

        조명옥 中央醫學社 1987 中央醫學 Vol.52 No.5

        This survey was attempt to evaluate the effects of educational program and obtain a basic data for the next program. The Subjective was 110 sophomore participated a course of school Nursing. The data was collected in the dates from Parch 3 to July 28, 1986. Analysis of the data was done by use of t-test, F-test, Cronbach's alpha reliability test. The results of study are summarized as follow. 1) The first aid, among the school Nurse's function relating to delivering health service, has been appeared as the most importance both before and after program. 2) The education on communicable disease prevention has been appeared as the most important in the function relating to Health education both before and after program. 3) The water supply sanitation was got the highest score in the function relating to managing school environment. 4) Among the function relating to service in school health clinics, the most im-portant activity before the program has been the reporting to home of abnormal student in their health and after program the health counseling. 5) The activities of establishing public relation ship with the school health personnel and admitting of teacher-school nurse conference have been relatively highly reported in the function relating to administering the school health organization. 6) In the comparison of the role of school nurse according to their function, school health education has been the most highly appeared both before and after program and the lowest the administrating school environment. 7) The significant change carried by program was the increasement of physical examination, and the traditional role such activities as that of wound care, of medication, of education on usage of medical facilities, of water supply sanitation, of record & report and that of reporting to home of abnormal student in their health have been lowered.

      • KCI등재후보

        통합적 림프부종 간호중재 개발 연구

        조명옥,정향미,전점이,손수경,우영자,노미영,박순 성인간호학회 2003 성인간호학회지 Vol.15 No.2

        The purpose of this study was the development of a comprehensive nursing intervention program for the client with acute lymph stasis and stage I lymphedema. Method: The Quasi-experimental design using a non-equivalent control group was used. The subjects were 22 stroke patients with lymph stasis in the control group and 23 patients in the experimental group. The complex physical therapy of Casley-Smith was carried out to the control group for 0 hours, and comprehensive nursing intervention for the experimental group was carried out for 60 minutes. The data for this study was gathered from Feb. 2002 until June 2002 and pertains knowledge about lymphedema, self-care for managing lymphedema, and circumferences of affected limbs. Data was analyzed by mean, standard deviation, x^2-test. And t-test. Result: The changes in knowledge about lymphedema, self-care practices, and circumference of affected limbs after nursing intervention did not show significant differences between control group and experiment group. Conclusion : It can be concluded that comprehensive nursing intervention had more efficiency than complex physical therapy in the treatment of edema for stroke patients because of it’s simplicity and time saving. Thereby, the comprehensive nursing intervention program developed in this study would be a useful therapy for the clients with lymph stasis and early stage lymphedema.

      • KCI등재후보

        림프부종 환자의 자가관리에 관한 실태 조사

        조명옥,정향미,전점이,손수경,우영자,노미영,박순 성인간호학회 2003 성인간호학회지 Vol.15 No.3

        Purpose : The purpose of this descriptive study was to gain basic data to develop a self-care protocol for the lymphedema patients. Method : The subjects of this study consisted of 115 patients with lymphedema from 8 hospitals and two community health and welfare centers in Busan and Seoul. The data was collected with questionnaire by self reporting of patients between March 2001 and December 2001. Data was analyzed by mean and percentage. Result : For self-care activities in daily life, compliance of 'use skin care preparations', 'use heat and cold', 'protect from local compression on affected limbs', 'protect from insect biting', 'use aids to protect affected limbs', 'take diuretics and take protein diet' did not reach to 50%. For self-care activities related to complex physical therapy, 28.7% of subjects complied with compression garment, 14.8% with manual lymph drainage and 13.0% with exercise, 20.0% of subjects tried to treat with acupuncture and 13.9% with heat therapy. Conclusion : From this study, it is suggested that patients need to get a self-care education with correct information about self care activities and health care professionals need to develop more convenience self-care techniques of massage and exercise.

      • 한국인의 죽음 의식에 관한 연구

        조명옥 동의대학교 기초과학연구소 1997 基礎科學硏究論文集 Vol.7 No.1

        This study was conducted to explore the world view about the death and dying holistically and deepley. To accomplish this object, the text was investigated by it's structure of the living world and after world and meaning of death. The text was ordinary folk tales which collected from 75 volums of Korean folk story. Text was investigated by structural and content analysis using 279 folk tales. In the first step, the text was classified by motif and underlying meaning as to seperation of soul from the body, returning from after world, transition to another world, rebirth world another body, and going and back between two world. In second step, the content of element of individual tales and the structure of text was analysed. By the results of this study, the after world are same as living one in the spatial structure, social structure, and nature of beings. The after world is divided two world, which is paradise and hell. The paradise is a living fields of good ones and the hell is of evil ones. The meaning of death is discontinuation and leaving the living world, seperation of soul from body and living world, transition from one world to another one, shifting from physical world to metaphysical one, returning from after world, and changing the patterns of relationship from ordinary one to special one. Death is a means to meet one's desire and reborn with another body. The basic ideas underlying this views is that death is not end of life but a chance for another life. This means that koreans more valuing to living than death. The religous ideas underlying world views of death were mingled with such as Confusianism, Buddhism, Ideas of reincarnation, Shamanism, and Taoism. The problems of death has two dimension, which is biological and idealogical one. Professional nurses need to approach to these two dimensions. The biological death is inevitable, but the ideological one is able to overcome. Today, Nurses are in front of challenge to manage the problems of dying and death. I hope to this study serve as cornerstone for this challenge.

      • SCOPUSKCI등재

        노인의 민간치유관행에 나타난 질병의 의미

        조명옥 성인간호학회 2001 성인간호학회지 Vol.13 No.4

        This ethnography was conducted to describe the meaning of illness of the elderly in traditional folk healing performance. Method : This study was guided by Klienman's explanatory model of health care systems. The fieldwork was conducted in an agricultural clan of Namwon City from January of 1990 to Feburary of 2001. Research data were collected by Ehnographic interview and participant observation. Participants of this study were 10 elders aged 74 fears old to 96 years old: two of them were male. The data were analysed with the techniques of taxanomy, flow and decision, and proxemics. Result: The meaning of illness was categorized with four components, that is, ritual for life, defeat and failure in power game, humiliating punishment for guilt, and Tal. Concussion : These meanings were constructed on physical and socio-cultural environment of this clan. The healing strategies were determined based on the meanings of illness. These results can be used to understand the health behavior of the elderly and thus ensure the quality of nursing for the elderly.

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