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위절제술 환자가 한 번에 식사할 양은 어떻게 결정하는가?
양애리,김이영,조춘자,석미희,김영순,박정윤,Yang, Ae Ri,Kim, Lee Young,Cho, Choon Ja,Seok, Mi Hee,Kim, Yeong Soon,Park, Jeong Yun 한국의료질향상학회 2012 한국의료질향상학회지 Vol.18 No.1
Background : Many gastrectomy patients have experienced poor intake and it was cause of the decreasing nutritional status. The purpose of this study was to identify the amount of the intake food and the influencing factors among gastrectomy patients. Methods : A cross-sectional study was conducted with 163 patients who underwent gastrectomy. Data were collected through self-report questionnaires and chart review about demographic, clinical, nutritional status and dietary information and were analyzed with the SPSS 20.0 WIN program. Result : Among 163 patients, the group with over 3/4 intake food was 115(70.5%). The group with 1/2 intatke was 30(18.4%) and the group with the lowest intake of 1/4 was 18(11.1%). There were significant differences in single amount of intake food by patient's subjective feeling(P<.001). Single amount of intake food among three groups were no significant difference in type of gastrectomy, hospital length, body mass index and albumin level. Conclusion : The findings of the study showed that single amount of the intake food was correlated with subjective feeling of patients. Therefore, subjective feelings should be considered important factors in developing diet program for patients with gastrectomy.
A 병원 간호사의 교대근무 형태에 따른 직무만족도 비교 연구
이미선,이정신,조춘자,윤미숙,이경아,이순진,최경숙,김순영 병원간호사회 1997 임상간호연구 Vol.3 No.1
Though working in shift was indispensable for nurses who must look after patients for 24 hours, only three shifts was employed in korea so far. And, there was no comparative study on a new shift form to supplement the demerits of three-shifts. In this study, a quasi-per experiment was attempted for the purpose of serving as a basis for the change of three shifts form, by having clinical nurses work in two shifts, one of the new form, and by comparing their job satisfaction with each form and by evaluating the new form' s relative merits. The subjects in this study were 24 selected general nurses who served at two wards of the surgical department at a general hospital in Seoul. The term of this study was a month from August 1 through August 31, 1996. Questionnaire survey was conducted before and after the performance of two shifts to compare the job satisfaction level, and the self-report was used to evaluate the new shifts' strong and weak points. The following findings were acquired by analyzing the collected data : 1) The mean job satisfaction level for two shifts was 300.9(±27.2), which was 8.1 grade higher than 292.8(±18.9), that for three shifts. But no statistically significant difference existed(T=-1, 20, p=.236). 2) The comparative study was made over autonomy, mutual interaction, duty request, special position and the relationship between doctor and nurse. As a result, two shifts appeared more excellent in all aspects, but little statistically significant difference was found. 3) The largest advantages of two shifts pointed out by the self-report were the increasing opportunities to make use of spare time mentioned by 13 nurses(54.2%) and the mental comfort mentioned by 6 nurses(35.0%). Its greatest disadvantages were the growing physical fatigue pointed by 18 nurses(75.0%) and the difficulty to grasp the situation of patients after three day's off-duty pointed by 9 nurses(37.5%). 4) Among the general characteristics, no statistically significant difference was observed in the relationship of job satisfaction level to educational level by working form, career experience, or the place they lived in. The following recommendations were suggested based upon the findings : 1) Future study must be conducted by extending the number of ward and nurse to be investigated and increasing the term of study, as the small number of ward and nurse took past in this study and the term was limited to a month. 2) Repeated study was required to produce most appropriate scheduling for two shift by reflecting duty request. 3) A comparative study between three and two shifts was necessary to be done over patient's satisfaction level about nursing, the efficiency of man-power and cost effectiveness. 4) Since no significant difference in job satisfaction existed between three and two shifts, the change to two shifts would deserve to be attempted in consideration of its advantages. The findings of this study were not proper to generalize as only one general hospital was investigated, and dissimilarly to three shifts, duty request was not reflected in the scheduling of two shifts, both which counted as the limits of this study.