아름다운 자연이 숨쉬는곳, 포레도(foredo)

함은미 인간식물환경학회 2020 인간식물환경학회 학술대회 Vol.2020 No.추계

축평원 리포트 - 명절 성수기, 축평원의 축산물 수급 전시 상황보고서

함은미,Ham, Eun-Mi 축산물품질평가원 2016 KAPE누리 Vol.234 No.-

응급의료센터에 질환으로 내원한 노인요양시설 환자와 일반 노인 환자의 역학적 특징 분석

함은미,김한범,표창해,박상현,박근홍,곽명관,신승열,오수빈,최한조 대한응급의학회 2017 大韓應急醫學會誌 Vol.28 No.1

Purpose: In recent years, the number of elderly patients visiting from residential aged care facilities (RACFs) has been increasing. We analyzed a comparison of characteristics between patients who visited the ER with diseases from RACFs and those who visited from home. Methods: A retrospective study was conducted in a public hospital between January 2013 and December 2014. The subjects included patients who visited the ED from RACFs and elderly patients who visited the ED from home. Comparisons of the following parameters were made between the two groups: gender, age, mode of insurance, mode of ED visit, mobile status, Charlson comorbidity index (CCI), chief complaint, final results in the ED, and length of stay (LOS) in the ED and hospital. Results: A total of 7,603 patients were enrolled during the study period. There were 6,401 elderly patients who visited from home and 1,202 patients who visited from RACFs. Patients from RACFs were older than those from home (79.90± 8.01 vs. 75.78±7.26, p<0.001). More patients from RACFs were on Medicaid (56.6% vs. 27.9%, p<0.001), took more ambulance (86.3% vs. 49.4%, p<0.001), more bedridden (68.2% vs. 6.4%, p<0.001), and higher CCI (2.38±1.99 vs. 1.45±1.84, p<0.001). Compared with patients from home, those from RACFs showed a significantly higher proportion of admission (63.2% vs. 32.9%, p<0.001), ED LOS (403.03±361.77 vs. 277.07±258.82, p<0.001), and hospital LOS (19.65±18.58 vs. 15.67±15.63, p<0.001). Patients from RACFs showed especially longer ED LOS from discharged ED than those from home (388.87±422.88 vs. 221.90±215.30, p<0.001). Conclusion: Compared with elderly patients from home, patients from RACFs also had higher admission rate and longer ED LOS, as well as hospital LOS. Patients from RACFs had long ED LOS. The findings in this study suggest that there could be ED overcrowding in the near future.

입원환자의 불확실성 지각에 영향하는 변인들에 관한 연구 : Related Variables on Uncertainty of Hospitalized Patients

함은미,김수옥,박영숙 대한간호학회정신간호학회 2000 정신간호학회지 Vol.9 No.2

The purpose of this investigation was to identify the degree of uncertainty, credible authority, symptom consistency, severity of illness and event familiarity in hospitalized patients and to examine the relationships among those variables. Research data were collected for 8 weeks from 26 October to December 24, 1998. Subjects of the study constituted 166 patients who hospitalized patients in one university hospital in Ulsan. Self report questionnaires were used to measure the variables affecting uncertainty in illness. The collected data were analyzed using the SPSS/WIN program. The results are as follows. 1) Mean Scores for the degree of uncertainty in illness were 65.98. 2) Mean Scores for severity of illness were 3.47 on a 1-4 point scale. 3) Mean Scores for symptom consistency were 2.28 on a 1-4 point scale. 4) Mean Scores for event familiarity were 3.01 on a 1-4 point scale. 5) Mean Scores for credible authority were 3.51 on a 12-4 point scale. 6) Uncertainty in illness was significantly highly correlated with severity of illness(r=.373, P<0.01). 7) Uncertainty in illness was significantly related to the event familiarity(r=-.231, P<0.01). 8) Uncertainty in illness was significantly related to the credible authority(r=-.156, P<0.05). From the above results, the significance of this study can be delineated as follows : 1) credible authority, severity of illness and event familiarity are the major factors which affect the perceived uncertainty in hospitalized patients. 2) It is suggested that hereafter a new trial in nursing intervention considering the effects of these variables is needed.

노인생애체험학습이 간호학생의 노인에 대한 태도 및 지식에 미치는 영향

함은미(Ham, Eunmi) 한국웰니스학회 2016 한국웰니스학회지 Vol.11 No.3

본 연구의 목적은 노인생애체험학습 전, 후 간호학생의 노인에 대한 태도 및 지식의 변화를 비교하기 위함이다. 연구 설계는 단일군 전후 설계(one-group pretest-posttest)의 유사 실험 연구이다. 연구대상자는 S시 소재 4년제 간호교육기관 두 곳에 재학 중인 학생 70명을 대상으로 하였으며, 자료 수집은 2015년 7월~8월에 걸쳐 시행하였다. 각 학생당 약 3시간동안 노인생애체험복을 착용 후 공공생활체험, 개인생활체험 및 보행체험을 하게 하였고, 체험 전후로 노인에 대한 태도 및 지식을 자가 보고식 설문지를 이용하여 측정하였다. 연구결과, 노인생애체험학습 후 간호학생의 노인에 대한 태도 점수는 낮아졌으나 노인에 대한 지식은 차이가 없는 것으로 나타났다. 즉, 노인생애체험학습은 간호학생의 노인에 대한 태도를 긍정적으로 변화시킨 효과를 가져왔으나 노인에 대한 지식의 변화는 없음을 확인하였다. 이에 인지적 측면을 고려한 노인생애체험학습 프로그램의 개발을 통해 간호학생들의 노인에 대한 이해와 지식을 높여 미래 노인 간호의 질을 향상시킬 수 있는 방안을 모색하여야 할 것이다. The purpose of this study was to verify the effect of senior simulation on undergraduate nursing students’ attitudes and knowledge about older adults with one group pretest-posttest design. The subjects of this study were the 70 undergraduate nursing students who are studying in two universities in Seoul, Korea and who were well informed about the purpose of this study and allowed to join the study. The data were collection from July to August, 2015. The experimental procedure was to do activities for daily living for 3 hours wearing senior simulation suit. Self-administered questionnaires were used to ask the undergraduate nursing students’ attitudes and knowledge about older adults before and right after senior simulation. According to the results of this study, there were significant changes in the undergraduate nursing students’ attitudes about the elderly and after aging simulation implying that senior simulation is an effective intervention to facilitate nursing students to do quality care for the elderly with sympathetic understanding and attitude. Senior simulation needs to be applied to gerontological nursing education for the nursing students and health care providers who are involved in care for the elderly. The experience of senior simulation is a meaningful learning opportunity in gerontological nursing curriculum. The simulation experience can be further developed to raise its quality.

[P3-211129] COVID-19로 인한 한국형 치유농업 경영체의 운영 현황 - 온실정원‘포레도’

함은미(Eun-Mi Ham),홍종환(Jong-Hwan Hong),김찬중(Chan joong Kim) 인간식물환경학회 2021 인간식물환경학회 학술대회 Vol.2021 No.추계

디스코 춤을 이용한 간호중재가 정신질환자의 행동에 미치는 영향

함은미,김금순 서울대학교 간호대학 간호과학 연구소 1993 간호학 논문집 Vol.7 No.1

The purpose of this study was to identify the effect of the disco dance therapy on psychiatric patient's behavior. The subjects of this study were selected from the 2 neuropsychiatric wards of Seoul National University Hospital. The experimental group was 19 patients, who received the disco dance therapy of 45 minutes twice a week for 3 weeks. The control group was 18 patients, who did not receive the disco dance therapy. An adapted Wyatt and Kupper's Behavior Rating Scale was used as a tool for this study. Wyatt and Kupper's Behavior Rating Scale consisted of 26 items, including 6 factors: anxiety, bizarre behavior, suspicious behavior, anger, depression and withdrawal behavior. The data were collected from July,2,to August, 2,1992. The collected data were analyzed using the SPSS/PC+ program. It was confirmed by Cronbach's αanalysis that Wyatt and Kupper's Behavior Rating Scale was a suitable tool to analyze the psychopathic behavior of the subjects (Cronbach's α=.9088). Chi-Wquare Test, Fisher's Exact Test, and T-Test were used to test the homogeneity of the general characterstics, therapeutic related variables, and the behavioral score before treatment between the two groups. There was no significant difference in homogeneity test between the ??groups. Therefore, it was proved that the experimental and the control group were homogeneous. The results of the study were as follows: There was significant difference in psychiatric behavior between the experimental and the control group. In datail, there was significant difference in anger, depression and withdrawal behavior between the experimental and the control group. But there was no significant difference a anxiety, bizarre behavior and suspicious between the two groups. On the basis of these findings, the following suggestions are proposed. 1. It is necessary to implement the dance therapy as nursing intervention to improve psychiatric patient's behavior because it was proved that disco dance therapy was effective to improve(??) general behavior of psychiatric patient's by this study. 2. Another study will be needed to test the effectiveness of disco dance therapy on not only to psychiatric behavior but also the physical conditions such as vital signs and muscular tension the psychiatric patient.

생활사건 스트레스와 우울간의 관계에서 사회관계망의 효과

함은미(Ham Eun-Mi),이소우(Lee So-Woo),임숙빈(Im Sook-Bin) 대한스트레스학회 2002 스트레스硏究 Vol.10 No.2

응급의료센터에 내원한 급성 비대상성 심부전 환자의 초기 적혈구 분포 계수를 이용한 30일 사망률 예측의 유용성

안태규,함은미,표창해,최한조,박상현,박근홍,김한범,오상희 대한응급의학회 2019 대한응급의학회지 Vol.30 No.3

Objective: This study evaluated the efficacy of the initial red blood cell distribution width (RDW) level in the emergency department (ED) to predict the 30-day mortality in patients with acute decompensated heart failure (ADHF). Methods: A retrospective analysis study of patients who visited the ED and were diagnosed with ADHF from January 2015 to December 2016 was conducted. The patients were divided into the 30-day survival group and non-survival group. The data were obtained from the medical records of the patients, and the blood test results were taken from the initial blood test at the ED. The data and blood test results were compared between the 30-day survival and non-survival groups. Multivariate logistic regression analysis was performed to determine the risk factors for mortality. Results: A total of 626 patients were included. The mean age was 78.5 years and the overall mortality was 15.5%. The non-survival group had higher RDW levels than the survival group (18.0% vs. 14.6%). In a multivariate logistic regression analysis, RDW (odds ratio, 2.242; 95% confidence interval [CI], 1.673-3.005; P<0.001) were considered to be a useful factor for predicting the prognosis. The area under the receiver operating characteristic curve of RDW to predict mortality was 0.848 (95% CI, 0.811-0.886; P<0.001), and the sensitivity and specificity of predicting mortality was 76.3% and 78.1%, respectively, after setting the RDW cutoff value to 15.95%. Conclusion: The initial RDW level is a useful prognostic marker for predicting the 30-day mortality in ADHF patients.

‘주취자 원스톱 응급의료센터’제도를 통해 내원한 환자들의 역학적 특징 분석

박상희,함은미,표창해,박현경,박근홍,김한범,박진형,이우성 대한응급의학회 2020 대한응급의학회지 Vol.31 No.3

Objective: This study described the effectiveness of the one-stop treat system (OTS) and the improvements characterizing the patients who come to an emergency medical center via the one-stop treat system for heavily drunken people Methods: An observational retrospective study was conducted on patients, aged 19 years or older, who visited the emergency department (ED) from January 2014 to December 2017 with alcohol intoxication (AI). The subjects were divided into two groups, that is, AI patients who come to ED directly or those who came via OTS. We compared and analyzed the characteristics of two groups including gender, age, date, mode of the ED visit, level of consciousness, diagnosis, ED length of stay (LOS), hospital LOS, and final outcomes. Results: A total of 8,144 patients were enrolled in the study. There were 2,221 AI patients who visited ED directly and 5,923 AI patients who visited ED via OTS. Patients arriving via OTS had more medical or surgical problems than the patients who came directly from the ED. Discharged patients via OTS showed a longer ED LOS (312 minutes [range, 169-520 minutes], P<0.001). Compared with patients who came directly from ED, the patients via OTS showed a higher admission rate (10.7% vs. 3.4%, respectively; P<0.001), and a higher death rate in ED (0.6% vs. 0%, respectively; P<0.001). Conclusion: Compared the characteristics of the patients from ED directly in 2014-2017, the patients via OTS had higher severity and admission rate, and a longer ED LOS. Our findings suggest that we should pay attention to patients via OTS because the patients have high severity of illness.