중고령 사망자의 연명의료 경험에 영향을 미치는 요인

천주영(Jooyoung Cheon) 한국생활환경학회 2021 한국생활환경학회지 Vol.28 No.6

This study aimed to identify factors associated with the experience of using life-sustaining treatments for middle-aged and elderly people who died in hospital. This secondary data analysis used death data from the Korean Longitudinal Study of Aging. Adults aged 45 or older who died in hospital were included. Complex sample logistic regression was conducted. Among 758 adults, the prevalence of the experience of using life-sustaining treatments was 43.4%. Significant factors associated with the experience of using life-sustaining treatments were age (Adjusted Odds Ratio [AOR], 0.969; 95% Confidential Interval [CI], 0.948-0.992), gender (male) (AOR, 1.671; 95% CI, 1.061-2.632), type of insurance a month before death (medical aids) (AOR, 0.435; 95% CI, 0.226-0.838), number of chronic disease (AOR, 1.469; 95% CI, 1.218-1.771), and symptoms during one months before death (AOR, 1.158; 95% CI, 1.085-1.236). Based on the results, it is suggested to develop the education and intervention program for life-sustaining treatments and advance directives for middle-aged and elderly deceased, their families, and health care professionals.

한국 노인의 사전연명의료의향서 작성 및 연명치료 중단에 대한 체계적 문헌고찰

천주영(Jooyoung Cheon) 한국생활환경학회 2020 한국생활환경학회지 Vol.27 No.4

This study aimed to analyze factors influencing completion of advance directives(ADs) and withdrawal of life-sustaining treatments(LSTs) among older adults in South Korea. Based on the PRISMA statement and NECA systematic literature review guideline, we identified studies published in journals between 2010 and 2019, and evaluated the quality of included studies using the Mixed Methods Appraisal Tool. Finally, 16 studies were included for analysis. Nine studies published in Korean, and seven published in English. Four studies were hospital-based research, and twelve studies were community-based research. Most older adults agreed to complete ADs, had intention to complete ADs, and disagreed to receive LSTs. However, most decisions related to ADs and LSTs were made near death. Experience and attitude toward ADs and LSTs were significant factors influencing decisions to complete ADs and withdrawal of LSTs. Family function and support were important to make older adults make decisions for themselves based on their preferences at the end-of-life. It is important to provide educational programs about ADs and LSTs for older adults and their family members. Also, training programs for health care providers(HCPs) should be developed to make HCPs support older adults and their family members in the process of decision-making.

융합적 시대에서 종합병원 간호사의 임종기 치료, 연명치료, 사전의료의향서에 대한 지식과 사전의료의향서 작성에 대한 교육요구도의 관계

정지현,천주영,Jeong, Ji-Hyun,Cheon, Jooyoung 한국사물인터넷학회 2020 한국사물인터넷학회 논문지 Vol.6 No.1

본 연구는 일 종합병원 간호사의 임종기 치료, 연명치료, 사전의료의향서에 대한 지식과 사전의료의향서 작성에 대한 교육요구도의 상관관계를 확인하는데 그 목적이 있다. 연구의 대상자는 서울시 소재 일 종합병원에 근무하는 임상경력 3개월 이상의 간호사 169명이다. 자료수집기간은 2018년 7월 19일부터 7월 26일까지였고, 수집된 자료는 SPSS/WIN 23.0을 이용하여 분석되었다. 간호사의 임종기 치료에 대한 지식은 8.56±1.61점(11점 만점), 연명치료에 대한 지식은 5.11±0.94점(6점 만점), 사전의료의향서에 대한 지식은 8.02±1.33점(9점 만점)이었고, 사전의료의향서 작성에 대한 교육요구도는 4.31±0.58점(5점 만점)이었다. 사전의료의향서 작성에 대한 교육요구도는 연명치료에 대한 지식수준이 높을수록 높았고(r=.182, p=.018), 사전의료의향서에 대한 지식수준이 높을수록 높은 것으로 나타났다(r=.234, p=.002). 본 연구결과는 향후 사전의료의향서 교육프로그램 개발을 위한 기초자료를 제공하는데 그 의의가 있다. This study aimed to examine the relationship of the knowledge of end-of-life(EOL) care, life-sustaining treatment(LST), and advance directive(AD) with the educational needs regarding AD writing among nurses in convergence era. For this cross-sectional study, participants were 169 nurses at a general hospital in South Korea. Data were collected from July 19 to 26 in 2018 using structured questionnaires. Knowledge on EOL care scored 8.56 out of 11 points, knowledge on LST scored 5.11 out of 6 points, and knowledge on AD scored 8.02 out of 9 points. Educational needs regarding AD writing scored 4.31 out of 5 points. There were statistically correlations between knowledge on LST and educational needs regarding AD writing (r=.182, p=.018), and between knowledge on AD and educational needs regarding advance AD writing (r=.234, p=.002). The findings can be used to develop the educational program regarding AD.

청소년의 올바른 항생제 사용을 위한 웹 기반 교육프로그램 개발 및 평가

김소선(Kim, So-Sun),천주영(Cheon, Joo Young),권인숙(Kwon, In Sook),조윤미(Cho, Yoon Mi),문성미(Moon, Seongmi) 기본간호학회 2011 기본간호학회지 Vol.18 No.3

Purpose: This study was done to develop a web-based education program on appropriate antibiotic use and test the effects of the program on knowledge and attitudes towards antibiotic use in Korean adolescents. Methods: The web-based education program was developed through an extensive literature review and professional advisory meetings including technical assistance from a web-based education programmer and content experts. A convenience sample of 851 students from middle and high schools participated in the assessment of effects of the program. Knowledge and attitudes of the students towards antibiotic use and satisfaction with the web-based education program were measured. Descriptive statistics and paired t-test were used to analyze the data. Results: There were significant improvements in knowledge and attitudes towards antibiotic use following self-learning via the web-based education program in both middle and high school students. High school students demonstrated higher scores in knowledge and attitudes than middle school students. Conclusion: The results of this study indicate that this web-based education program on appropriate antibiotic use is a convenient and effective medium for self-learning in adolescents. Therefore the web-based program should be put into wide use as an effective and convenient teaching method for health education in secondary schools.

전자간증 진단에 수용성 fms-Like tyrosine kinase 1, endoglin, 태반성장인자의 유용성

이함박 ( Ham Bak Lee ),길기철 ( Ki Cheol Kil ),남선영 ( Sun Young Nam ),신재은 ( Jae Eun Shin ),천주영 ( Ju Young Cheon ),이영 ( Young Lee ) 대한산부인과학회 2011 Obstetrics & Gynecology Science Vol.54 No.5

목적 전자간증 여성에서의 soluble fsm-like tyrosine kinase 1 (sFlt-1), soluble endoglin (sEng)와 placental growth factor (PIGF)의 임상적인 효용성을 알아보기 위하여 연구하였다. 연구방법 임신 제3삼분기의 전자간증 여성 30명과 정상임신 여성 30명의 혈청에서 sFlt-1, sEng, PIGF를 측정한 환자-대조군 연구를 시행하였다. 우리는 각각의 펩티드를 이용하여 전자간증을 진단함에 있어 민감도, 특이도, 양성예측도 및 음성양측도를 계산하였다. 결과정상 임신에서보다 전자간증 여성에서 혈청 sFlt-1과 sEng의 중간 값이 의미 있게 증가되어 있다. 그러나 PIGF는 그 그룹 간의 의미 있는 차이를 보이지 않았다. 이 연구에서 sFlt-1, sEng의 판정 기준치는 각각 26.3ng/mL와 21.1ng/mL이었다. 이에 따른 sFlt-1, sEng의 민감도, 특이도, 양성예측도 및 음성양측도는 모두 80% 이상이었다. sFlt-1, sEng은 전자간 여성에서 태아성장지연을 보인 군과 그렇지 않은군 사이의 유의한 차이를 나타내지 않았다. 결론 sFlt-1, sEng의 혈청값은 전자간증 환자를 진단하는 데 유용하게 사용될 수 있으나 주산기의 좋지 않은 예후를 예측할 수는 없었다. Objective To evaluate the clinical significance of soluble fms-like tyrosine kinase1 (sFlt-1), soluble endoglin (sEng) and placental growth factor(PlGF) in preeclampsia. Methods We conducted a case-control study analyzing serum levels of sFlt-1, sEng and PlGF in women with preeclampsia (n=30) and normal pregnancy (n=30) in the third trimester. We calculated the sensitivity, specificity, positive, and negative predictive values of each peptide in diagnosing preeclampsia. Results The mean serum level of sFlt-1 and sEng in women with preeclampsia was significantly higher than normal pregnancy. But the mean serum level of PIGF had no significant difference between two groups. The cut-off values of sFlt-1 and sEng showing differential significance were 26.3ng/mL and 21.1ng/mL each. Then the sensitivity, specificity, positive predictive value, negative predictive value was all over 80%. Serum levels of sFlt-1 and sEng were not significantly different between intrauterine growth restriction (IUGR) and non-IUGR group among preeclamptic women. Conclusion Serum levels of both sFlt-1 and sEng may be useful in diagnosing patients with preeclampsia. The serum levels of these factors may not correlate with poor perinatal outcomes.

지역금연지원센터 등록 남자 대학생의 니코틴 의존도 관련요인

허혜경(Hur, Hea Kung),김기연(Kim, Gi Yon),송희영(Song, Hee-Young),고상백(Koh, Sang-Baek),천주영(Cheon, Jooyoung),김기경(Kim, Ki Kyong) 한국보건간호학회 2020 韓國保健看護學會誌 Vol.34 No.3

Purpose: This study aimed to identify factors influencing nicotine dependence among male college students intending to quit smoking on the basis of the PRECEDE model. Methods: A cross-sectional survey of smokers, enrolled at the Smoking Cessation Support Center in W city in Korea was conducted between September 2015 and December 2016. Data was analyzed using the SPSS program for descriptive statistics, bivariate analyses, and hierarchical multiple regression. Results: The mean score of nicotine dependence was determined to be 2.9. Tobacco craving (β =.34, p<.001), social smoking (β =-.23, p=.004), allowance (β =.22, p=.010) and age of smoking initiation (β =-.20, p=.022) were factors that predicted nicotine dependence of male college students. The final model explained 28.3% of the variation in nicotine dependence (adjusted R²=.28), and was significant (F=7.22, p<.001). Conclusions: We determined that to support smoking cessation, it is necessary to develop anti-smoking programs that consider the social and cultural factors of male college students as well as their personal psychological characteristics.

코로나19 이후 간호연구자들의 연구수행 실태조사

김수현(Kim, Soo Hyun),문성미(Moon, Seongmi),오세은(Oh, Seieun),손연정(Son, Youn-Jung),박영례(Park, Youngrye),장수정(Chang, Soo Jung),김기숙(Kim, Kisook),천주영(Cheon, Jooyoung),장은희(Jang, Eun Hee),조정현(Cho, Jeonghyun),유성희(Yoo, 한국성인간호학회 2021 성인간호학회지 Vol.33 No.4