강원도 거주 성인의 사전연명의료의향서에 대한 인식

홍정주,이미옥 한국컴퓨터정보학회 2020 韓國컴퓨터情報學會論文誌 Vol.25 No.5

This study was attempted to know the awareness of Advance Directives of adults in Gandwon-do province. Data was surveyed from 60 adults in Gangwon-do province by 42 item questionnaire for the awareness of Advance Directives. Subcategories of Advanced Directives questionnaire were knowledge, preference, experience for life-sustaining treatment and Advance Directives. The data was analyzed with the frequency and percentage using SPSS 24.0. 45% of Participants replied they knew the ‘life-sustaining treatment’ exactly. They preferred CPR 78.3%, mechanical ventilation 63.3% and blood transfusion 51.7% for their future special life-sustaining treatments. They did not preferred hemodialysis 8.3%, artificial respiration 6.7%, intensive care unit 6.7%, 8.3 percent of participants said that they well aware of Advance Directives. 86.6% of them hoped to write their Advance Directives. Despite such low awareness of the Advance Directives, the intention to write Advance Directives was high. Based on these results, it was found that the level of awareness of Advance Directives was very important for the intention to prepare Advance Directives. Therefore, regional programs and education on Advance Directives and periodic survey study for awareness of Advance Directives should be continued. 본 연구는 강원도에 거주하는 성인의 사전연명의료의향서에 대한 인식을 알고자 시도되었다. 연구 자료는 강원도에 거주하는 성인 60명을 대상으로 42문항의 구성된 사전연명의료의향서 설문지를 이용하여 수집되었다. 연구 자료는 SPSS 24.0 프로그램을 이용하여 빈도와 백분율을 분석하였다. 사전연명의료의향서 인식의 설문지는 연명치료와 사전의료의향서의 지식, 경험, 선호도로구성되었다. 연구 결과는 다음과 같았다. 연구 참여자의 45%가 연명치료에 대해 정확이 알고 있다고 응답하였다. 연구 참여자가 선호하는 특수연명치료는 심폐소생술 78.3%, 기계 환기 63.3%, 수혈 51.7% 이었다. 연구 참여자가 피하고 싶어 하는 특수 연명치료는 신장투석 8.3%, 인공호흡6.7%, 중환자실 입원 6.7%로 나타났다. 사전연명의료의향서에 대해서는 8.3%만 인지하고 있었으며, 그럼에도 불구하고 응답자의 86.6%가 사전연명의료의향서 작성에 호의적이었다. 본 연구 참여자의 사전연명의료의향서에 대한 인식은 매우 낮았음에도 불구하고 이를 준비하겠다는 의도는 높았다. 따라서 이러한 결과를 기반으로 사전연명의료의향서에 대한 인식 수준이 사전의료의향서작성의도에 매우 중요함을 알 수 있다. 따라서 사전연명의료의향서에 대한 지역 프로그램과 교육과 주기적인 사전연명의료의향서에 대한 인식 연구가 계속되어야 한다.

사자소학(四字小學)을 활용한 예절교육

홍정주 동양예학회 2009 東洋 禮學 Vol.21 No.-

지역사회 거주 고혈압 노인의 자가관리행위 영향요인

홍정주 한국지역사회간호학회 2021 지역사회간호학회지 Vol.32 No.3

Purpose: This study investigated the health literacy level of, the hypertension knowledge of, the self-management behaviors of, and the factors influencing self-management behaviors of the hypertensive elderly population residing in the urban and rural areas. Methods: Data were collected from November to December 2017 by the trained research staff. For two months, a total of 160 subjects in urban and rural areas who had been taking antihypertensive medications consented to participate in the project. 157 participants completed the survey. Results: The health literacy score of the hypertensive elderly subjects was at 48.38±8.13, the hypertension knowledge score at 8.90±2.01 points, and the self-management behaviors score at 52.96±8.08. The factor that influenced the self-management behaviors of the hypertensive elderly subjects the most was the health literacy, followed by the residential area, and the hypertension knowledge. Conclusion: The research findings suggest that a health promotion program for the hypertensive elderly population should be designed in consideration of the health literacy, the area of residence and the hypertension knowledge of the elderly.

통증관리방법이 수술후 통증 및 통증완화정도와 산후우울증에 미치는 영향 : 제왕절개술 환자를 중심으로

홍정주 中央醫學社 1997 中央醫學 Vol.62 No.8

This study was designed to find out the effect of pain management method on pain, pain relived level and postpartum depression in Cesarean section. The subjects of this study classified two groups by pain management method, 21 patients controlled analgesia, 20 patients injected analgesia when they needed. Data were collected by means of structured questionnaire in "S" medical center from 17th of July, 10th of August in 1997. The questionnaire was constructed items of patient's general characteristics, postoperative pain and pain relived level, satisfaction degree of pain management state, side effects of analgesics, opinion of pain management, postpartum depression. Patients were checked on 3rd day after operation and PCA pump removal. Data were analyzed by frequency, percentage, means, x 2 test, T test Pearson Correlation Coefficient. The results of this study were summarized as follows: 1. The subject’s general characteristics were composed of age, marriage duration, education level, religion, job, economic state, family structure, personality, mother-in-law's relationship, husband's relationship, abortion history, brother's sequence of delivered, baby's health, pregnancy hope, consistency of baby sex hope, husband's baby loving level. Most items had little similar difference between PCA group and NON PCA group, but the items of marriage duration and husband's baby loving level were different in statistical significance. 2. Postoperative pain management state and satisfaction degree and related hypothesis Test. 1) The hypothesis 1 : "the postoperative pain level of PCA group will be lower than NON PCA group". In the mean of pain level, 7.17 of PCA group were lower than 7.93 of NON PCA group, but the difference between two groups was not significant statistically. 2) The hypothesis 2 : "The relived pain level of the PCA group will be higher than NON PCA group". In relived pain level, 6.06 of the PCA group was higher than 5.35 of the NON PCA group, but the difference between two groups was not significant statistically. 3) Sub hypothesis 1 : "Postoperative gas out time of PCA group will be faster than NON PCA group" In postoperative gas passing times, 39.16 hours of PCA group were faster than 41.89 hours of NON PCA group, but the difference between two groups was not significant statistically. 4) In the frequency of Nurse's call injected analgesics, 1.83 of PCA group was lower than 4.68 of NON PCA group, then the difference between two groups was significant statistically. 5) The side effects of analgesics appeared dizziness, vomiting, drowsiness in the order. In the mean appeared frequency of one person's side effects, 1.67 of PCA group were higher than 0.66 of NON PCA group, then the difference between two groups was significant statistically. 3. Postpartum depression level and related hypothesis test 1) The hypothesis 3 : "The depression level of the PCA group will be lower than NON PCA group". 41.1 score of PCA group were lower than NON PCA group in the postpartum depression mean score, then the difference between two groups was significant statistically. 2) In the sentence mean score, the highest score was 3.122 for the item "without difficulty in making decisions" and the lowest score was 1.093 for the item "guilty feeling". 4. The correlation of pain level and pain relived level and post partum depression. The forth hypothesis, "The correlation of Pain level and pain relived level and postpartum depression level will be related" was rejected statistically. 5. The differences on pain level, pain relived level, postpartum level by general characteristics were rejected on all items statistically. 6. The differences test of pain level, pain relived level and postpartum level by Pain management state. The difference test of pain level, pain relived level and postpartum level by pain management state was not significant statistically, in addition, the analgesics using history and other recommendation of PCA pain management method were not significant statistically. In conclusion, the depression intervention of NON PCA group in Cesarean section patient was important and Pain Assessment tool's development and PCA using method delicate education were needed in postoperative pain intervention of Cesarean section patients.

흙 개념에 대한 고등학생들의 인식 조사

홍정주 ( Jung Joo Hong ),박신규 ( Shin Gyu Park ),박영관 ( Youn Kwan Park ),김중욱 ( Jung Wook Kim ),정원우 ( Won Woo Chung ) 경북대학교 과학교육연구소 2010 科學敎育硏究誌 Vol.34 No.1

이 연구의 목적은 고등학생들을 대상으로 흙에 대한 흥미도와 이해도 및 그 특징을 알아보기 위한 것이다. 연구대상은 대구지역 고등학생(교) 남학생 72명과 여학생 82명이었다. 설문지는 학생들의 흥미도 8문항과 이해도 10문항이 개발 되었다. 흙 개념에 대한 학생들의 흥미도는 남학생의 경우 5점 중 3.2점(64.9%)이고 여학생의 경우 5점 중 3.2점(64.6%)을 보이고 있다. 한편 학생들의 이해도는 평균 47.4%이며, 남학생과 여학생의 이해도는 각각 48.2%와 46.6%로 남학생이 여학생보다 이해도가 조금 높게 나타났다. 그리고 학생들은 흙 개념을 가시적 측면에서 이해하고 있으며 지질학적 관점이라기보다 생물학적 관점으로 접근하고 있다. 학생들은 흙에 대한 개념을 지질학적 관점에서 광물 및 암석 개념과 관련지어 생각하지 못했다. 흙 개념에 대한 흥미도와 이해도의 상관계수는r=.170(p<.05)로서 매우 약하게 나타났다. The purpose of this study was to investigate the high school students` interests and and perceptions about the soil concepts. The data were obtained from 72 boys and 82 girls at a high school in Daegu area. The questionnaires were developed 8 questions for students` interest and 10 questions for students` understanding. The results of this study were as follows. In the examination of students` interest on the soil concepts, boys showed 3.2point(64.9%) out of 5point and girls showed 3.2point(64.6%) out of 5 point. Furthermore, a percentage of correct answers for understanding on the soil concepts was 47.4%. In detail, Boys had 48.2% and girls had 46.6%, boys showed higher understanding about soil concepts than girls. And students understood soil concepts by a visible side, to approach the soil concepts from a biological point of view, rather than a geologic one. Also high school students didn`t think soil concepts to consist of minerals and rocks from a geologic point of view. Correlation between interest and understanding on the soil concepts was very weak by showing r=.170(p<.05)

간호대학생의 핵심기본간호술 지식수준과 임상실습만족도

홍정주(Jeong-Ju Hong),송충숙(Chung-Sook Song) 한국컴퓨터정보학회 2016 韓國컴퓨터情報學會論文誌 Vol.21 No.12

In this paper, we propose basic materials for effective education of essential basic nursing skills and empirical base supporting the strengthening of essential basic nursing skills. An investigation was conducted with nursing college students ready for an employment on the relationship between the students’ knowledge level of essential basic nursing skills and their satisfaction level against the clinical practice. The collected data were analyzed using descriptive statistics, t-test, one-way ANOVA, scheffē test and Pearson"s correlation coefficients. in SPSS WIN 21.0 program. The findings of this study were as follows. 1) The knowledge level of essential basic nursing skills received a score of 88.95. "Admission management" item received the highest score of 4.96 point on a 5 point scale while "Retention urinary catheterization" item received the lowest score of 3.06. The higher the difficulty level of essential basic nursing skills was, the lower the knowledge level of it was. 2) The satisfaction against the clinical practice received a score of 3.28. In the clinical practice area, the satisfaction against the curriculum received a score of 3.84, the satisfaction against clinical practice contents a score of 3.39, the satisfaction against clinical practice environment a score of 3.17, the satisfaction against clinical practice time a score of 3.15. There was a significant correlation between the knowledge level of essential basic nursing skills and clinical practice satisfaction. These findings indicate that a systematic education of essential basic nursing skills could improve nursing students’ satisfaction against the clinical practice.

아가미귀 증후군 1예

홍정주(Jeong Joo Hong),신유섭(Yoo Seob Shin),김윤태(Yun Tae Kim),김철호(Chul-Ho Kim) 대한두경부종양학회 2011 대한두경부 종양학회지 Vol.27 No.1

Branchio-otic syndrome(BOS) is a relatively uncommon genetic malformation associated with dysmorpho-genesis of the first and second branchial arches and is characterized by branchial fistulae, congenital preauric-ular fistulae, and anomalies of the pinnae, external, middle, and inner ears, accompanied by hearing loss. Recently, we experienced a case of BOS in a 10 years old female patient and report this case with a review of literature. 10-year-old girl presented with hearing impairment, bilateral preauricular fistula and cervical fistula. The pure tone audiometry revealed that she had 60dB sensorineural hearing loss on right side and 90dB mixed hearing loss on left. Bilateral branchial fistula was found on the neck CT scan and bilateral ossicular and cochlear ab-normality combined with enlarged internal auditory canal was noted on the temporal bone CT scan. To inves-tigate the association with EYA1 gene, we performed DNA sequncing with peripheral white blood cell and found the point mutations on Exon 7, 12 and 16 of EYA1 gene. The preauricular fistula and branchial fistula was excised surgically and hearing aid was applied on her left side. There was no sign of fistula recurrence for sev-en years after the surgery.

간호대학생의 간호실무역량과 자기효능감에 대한 통계분석

홍정주(Jeongju Hong) 한국컴퓨터정보학회 2018 韓國컴퓨터情報學會論文誌 Vol.23 No.8

The purpose of this study is to investigate the clinical nursing competence and self-efficacy of 4th and 2nd semester nursing college students who completed most of the performance-based nursing education curriculum. It was attempted to develop competency evaluation and competency-based curriculum. The collected data were analyzed using descriptive statistics, t-test, one-way ANOVA, scheffē test, Pearson"s correlation coefficients and Stepwise multiple regression in SPSS WIN 24.0 program. The findings of this study were as follows. 1) The knowledge level of essential basic nursing skills received a score of 88.95. The overall average score of clinical performance was 3.15 out of 5. The mean score of self-efficacy was 4.14 ± 0.57 points on 6 points 2) Among the general characteristics of subjects, "motivation of major selection" and "satisfaction of practice time" differed in the knowledge of essential basic nursing skills, "religion" and "health status" differed in clinical performance ability and "interpersonal relationship", "motivation of major selection", "major satisfaction", "satisfaction of practice time", "nursing satisfaction", "desired working period" and "average rating" differed in self-efficacy. 3) The self-efficacy showed a significant positive correlation with the clinical nursing competency including the knowledge of essential basic nursing skills and clinical performance ability. The nursing satisfaction, clinical performance ability, the knowledge of essential basic nursing skills, interpersonal relationship and average rating influenced significantly and explained 23.7% of the subjects" self-efficacy.

Pathogenesis and host defence in acute model of macaques infected with SARS-CoV-2

Jung Joo Hong(홍정주) 한국실험동물학회 2020 한국실험동물학회 학술발표대회 논문집 Vol.2020 No.7

치료계획용 4D MDCT와 치료 시 획득한 4D CBCT간 영상정합 및 종양 매칭을 이용한 방사선 치료 시 종양 움직임 추적

정주립(Julip Jung),홍헬렌(Helen Hong) 한국정보과학회 2016 정보과학회논문지 Vol.43 No.3

폐암 환자의 영상유도 방사선 치료의 경우 환자의 호흡 및 심장박동에 따라 종양의 움직임이 변화할 수 있으므로 치료 시 종양의 움직임을 추적하는 것이 필요하다. 본 논문에서는 치료계획용 4D MDCT 영상과 치료 시 획득한 4D CBCT 영상의 3차원 영상 정보를 기반으로 종양 움직임을 추적하는 방법을 제안한다. 첫째, 효율적으로 치료 시 종양의 움직임을 추적하기 위해 치료계획용 4D MDCT 영상에서 획득한 종양 움직임 모델을 통해 종양의 전역적 움직임을 예측한다. 둘째, 종양 움직임 추적의 정확성을 높이기 위해 4D CBCT 영상에서 종양 주변의 구조적 정보를 이용해 세부적 움직임을 보정하여 종양의 지역적 움직임을 예측한다. 제안방법의 성능 평가를 위해 디지털 팬텀을 이용해 실험한 결과, 지역적 움직임을 고려했을 때 전역적 움직임만 보정한 경우보다 종양 위치화 오류가 45% 감소하였다. During image-guided radiation treatment of lung cancer patients, it is necessary to track the tumor motion because it can change during treatment as a consequence of respiratory motion and cardiac motion. In this paper, we propose a method for tracking the motion of the lung tumors based on the three-dimensional image information from planning 4D MDCT and treatment 4D CBCT images. First, to effectively track the tumor motion during treatment, the global motion of the tumor is estimated based on a tumor-specific motion model obtained from planning 4D MDCT images. Second, to increase the accuracy of the tumor motion tracking, the local motion of the tumor is estimated based on the structural information of the tumor from 4D CBCT images. To evaluate the performance of the proposed method, we estimated the tracking results of proposed method using digital phantom. The results show that the tumor localization error of local motion estimation is reduced by 45% as compared with that of global motion estimation.