가정형 인공호흡기를 적용하고 있는 희귀, 난치성 질환자의 자가관리 교육 경험과 수행정도, 가정간호 요구도

황문숙,장수정,Hwang, Moon Sook,Chang, Soo Jung 한국가정간호학회 2013 가정간호학회지 Vol.20 No.1

Purpose: This study aimed to investigate the self-care education experience, self-care performance, and home care service needs of patients with rare and incurable diseases who use a home ventilator. Methods: From2 ventilator rental companies and 5 hospitals, records of 162 subjects were collected to obtain data regarding self-care education experience (23 items) and home care service needs (25 items). Results: Of the subjects, 65.4% were male and 55.6% had a myotrophic lateral sclerosis. The items with the highest and lowest levels of self-care education experience were "using the ventilator"(94.0%) and "community-available resource information"(27.0%), respectively. Meanwhile, self-care was performed well in terms of "personal hygiene"(59.6%) but not performed well in "community-available resource information"(23.7%). "Health status assessment" had the highest need(88.2%) of home care services. Generally, the need of home care services was higher for the patients using invasive ventilators than that for those using non-invasive ventilators. Conclusion: Home care nurses need to not only provide physical care for the patients but also strengthen their roles of enhancing patient access to and utilization of various community resources to provide systematic and individualized training and care.

가정용 인공호흡기 적용 신경근육계 희귀난치성 질환자 가족 간호제공자의 기관내 흡인 수행과 폐렴 발생과의 관계

황문숙,박진희,Hwang, Moon Sook,Park, Jin Hee 한국가정간호학회 2016 가정간호학회지 Vol.23 No.1

Purpose: This study aimed to survey caregivers of patients with Neuromuscular Rare and Incurable Disease (NRID) using invasive home mechanical ventilator (HMV), in order to compare the incident rate of pneumonia by tracheal suction procedures used. Method: Participants were 99 family caregivers of NRID patients using HMV. Participants were given a questionnaire consisting of 12 demographic items, 10 items about disease and HMV related characteristics, 11 items about tracheal suction procedures, and 2 items about the incidence of pneumonia. Data were analyzed using chi-square tests and t-tests. Results: The items that predicted the incidence of pneumonia were "change of irrigation saline every suction" (p=.047), "use of aseptic catheter every suction" (p=.004), and "instillation of normal saline before suction" (p=.027). In addition, these items were 47.4%, 51.4%, and 38.8% respectively. Conclusion: Family members caring for NRID patients with invasive HMV should be educated about tracheal suction, especially the necessity of changing irrigation saline after every suction, using the aseptic catheter for every suction, and instillation of normal saline before suction. Medical personnel such as home care nurses should periodically check tracheal suction procedures, and re-educate family caregivers when necessary.

부인암 환자의 복합항암화학요법 후 가정간호중재 효과

황문숙,송현주,전나미,노기옥,Hwang, Moon-Sook,Song, Hyun-Joo,Chun, Na-Mi,Noh, Gie-Ok 한국가정간호학회 2007 가정간호학회지 Vol.14 No.1

Purpose: This study was designed to evaluate the effect of home care nursing intervention with parenteral hydration and IV anti-emetic therapy on distress, nutritional status, anxiety, depression and QOL in gynecologic cancer patients who were undergoing combination chemotherapy. Methods: Quasi-experimental design was used to test the intervention. Changes of result variables were measured to evaluate effects of the intervention. variables consisted of serum lab results(auto analytic equipment for lab), symptom distress Scale(McCorkle & Young, 1978; Song et al., 2000), nutritional status(body weight, circumference of upper arm, serum protein, serum albumin, oral intake per day), anxiety(Spielberger, 1972; Kim & Shin, 1978), depression(Zung, 1965; Kim, 1995) and QOL(Padilla et al., 1983; Lee & Jo, 1996). Subjects were selected among gynecologic cancer patients(EG 15 patients and CG 15 patients) by convenient sampling. Data collection was done from June to Nov. in 2000. Data were analyzed by Chi-test and Mann-whitney U test using SPSS Win 10.0. Result: Hypothesis 1, the EG receiving this intervention equals to lab test(Hb & ANC, GOT & GPT, BUN & Cr) the CG, was supported(u=69.50 p=.074; u=94.50, p= .455; u= 89.50, p= .339; u=106.50, p= .803; u=75.00, p= .119; u=97.50, p= .523). Hypothesis 2, the EG has less symptom distress than the CG, was also supported(u=43.50, p= .004). Hypothesis 3, the EG has higher nutritional status than the CG, was partially supported on daily oral intake (u=59.00, p= .025). Hypothesis 4, the EG has less anxiety than the CG, was rejected(u=86.50, p= .280). Hypothesis 5, the EG has less depression than the CG, was rejected(u=203.50, p= .228). and the last hypothesis 6, the EG has higher QOL than the CG was supported (u=51.50, p= .011). Conclusion: Home care nursing intervention undergone in this study was found to be effective to reduce patients' symptom distress and to improve their oral intake and QOL.

재가 가정용인공호흡기 적용 신경근육계 질환자의 호흡곤란, 수면장애, 불안 및 우울에 관한 연구

황문숙(Hwang, Moon Sook),이미경(Lee, Mi Kyung),송종례(Song, Jong Rye) 한국성인간호학회 2016 성인간호학회지 Vol.28 No.5

근위축성 측삭증후군 환자에게 적용한 가정 호흡관리 프로그램의 효과

황문숙(Hwang, Moon Sook),이미경(Lee, Mi Kyung),송종례(Song, Jong Rye) 한국성인간호학회 2017 성인간호학회지 Vol.29 No.4

제2형 당뇨병 환자에서 피부두겹두께의 측정부위 예측 및 비만지표들 간의 관련성

황문숙(Hwang, Moon Sook) 한국기초간호학회 2020 Journal of korean biological nursing science Vol.22 No.1

Purpose: The purpose of this study was to predict measuring site suited for abdominal skin fold thickness (ASFT) by measuring the distribution of abdominal subcutaneous fat thickness (AScFT) and ascertain the correlations among obesity indicators. Methods: The size of analysis materials was 124 secondary data measured by ultrasonic device, bioelectrical impedance analyzer and caliper. Data were analyzed using t-test, and Pearson’s correlation. Results: The average of AScFT was 10.63±6.79mm with its range 1.39-36.16 mm, and AScFT of female and of central parts were thicker than those of male and outer parts in the abdomen. The average of ASFT was 29.26±12.59 mm. Site 5 on Figure 1 was most similar to the average of AScFT in both sexes. Body mass index (BMI) and waist hip ratio (WHR) were 23.65±3.98 and 0.88±0.05 respectively. The body weight, BMI, WHR, visceral fat, ASFT vs AScFT revealed in significant correlation (r=.29, r=.55, r=.39, r=.33. r=.29). Conclusion: BMI and WHR seem more useful than other obesity indicators, when obesity control is necessary for Type 2 diabetes patients. Site 5 on Figure 1 is most suitable site to measure ASFT.

가정용 인공호흡기를 적용한 희귀·난치성질환자를 돌보는 가족간호자의 부담감과 삶의 질 영향요인

황문숙(Hwang, Moon Sook),이미경(Lee, Mi Kyoung),송종례(Song, Jeong Rye) 한국성인간호학회 2014 성인간호학회지 Vol.26 No.2

무태구성을 위한 기본 형태에 관한 연구 ( 1 )

황문숙(Hwang Moon Sook) 한국여성체육학회 1992 한국여성체육학회지 Vol.6 No.-

To provide referntial information on dance choreographies, I have conducted and analysed a survey of 250 college students on their preferences for the types of stage formation. I have reached following conclusions. 1. It shows that college students liked a circle formation best and hotably preferred a star-shaped formation on a P$lt;0.001 level. 2. It appears that they disliked semi-cincled, hiangular and rectangular formations. 3. College students preferred either a one continuous line formation or highly complex multi-line compositions.

복지시설 이용노인의 생동성 영향요인

정미라,황문숙,Jung, Mi Ra,Hwang, Moon Sook 한국가정간호학회 2014 가정간호학회지 Vol.21 No.1

Purpose: This study aimed to identify on the factors that influence vitality, by surveying the level of vitality, perceptive health condition, depression, family support, leisure activities, and religious activities of the elderly people using the welfare facilities for the aged. Methods: The subjects were 200 elderly people using welfare facilities for the aged such as senior welfare center or silver hall in Y city. Data was collected from December 1, 2012 to January 31, 2013, using a self-report structured questionnaire. Data was analyzed using the SPSS 20.0 for Windows, and analyses such as frequencies (percentage), means(standard deviation), t-test, Pearson's correlation coefficient, and Multiple Linear Regression, were conducted. Results: The participants exhibited a mean vitality score of $3.36{\pm}0.65$ out of 5. Means for the other measures were as follows: perceptive health condition, $3.32{\pm}0.65$; depression, $3.25{\pm}0.84$; family support, $3.64{\pm}0.64$; leisure activities, $2.97{\pm}0.65$; and religious activities, $3.05{\pm}0.92$ points. These factors explained 73.2% of the total variance. Conclusion: Further research is needed on vitality of the elderly people using care facilities for the aged. Moreover, I suggest that vitality and depression are examined as psychological aspects in the operational elements of elderly care facilities.

산욕초기 초산모의 모성 정체성과 영아돌보기 활동 자신감에 관한 연구

김혜원,황문숙,홍경자,Kim, Hae-Won,Hwang, Moon-Sook,Hong, Kyung-Ja 한국여성건강간호학회 1998 여성건강간호학회지 Vol.4 No.1

In this study the levels and influencing characteristics of maternal identity and self confidence for caring the baby were identified during the immediate postpartum period. 114 primiparous women who delivered vaginally normal baby participated in the survey from August 1 to October 31, 1996. SD scale was to measure maternal identity which consisted of 11 items for mother and 6 items for baby. Likert scale was to measure self confidence for caring the baby (38 items). Cronbach's alphas for evaluating internal consistency as follows : .86 for maternal identity and .96 for self confidence scale for caring the baby. The study showed these results : 1. Mean score of maternal identity(82.03 : 52.65 for mother, 29.38 for baby) was considered relatively low. 2. Mean score of self confidence for caring the baby(113.91) was considered relatively low. 3. There were significant influencing characteristics of primiparous to maternal identity : age(total ; F=3.53, p=.0329, for mother ; F=2.60, p=.0719, for baby ; F=3.12, p=.0481), prenatal infant care preparation(total ; t=2.31, p=.0306, for mother ; F=2.62, p=.0160), knowledge about infant care during the hospitalization(for baby ; F=3.94, p=.02222), colostrum feeding(total ; t=1.95, p=.0541, for baby ; t=2.71, p=.0080), frequency of breast feeding during the hospitalization(for baby ; F=3.91, p=.0228)and feeding type after discharge(for baby ; F=3.18, p=.0456). 4. There were significant influencing characteristics of primiparous to self confidence for caring the baby : routine husband support(F=6.09, p=.0031), prenatal infant care preparation(t=2.04, p=.0574), knowledge about infant care during the hospitalization(F=3.15, p=.0467), education of breast feeding during the hospitalization(t=-1.79, p=.0850). 5. Correlation between maternal identity and self confidence for caring the baby was r=.37608(p=.0001). This study implies that special education programs for primipara are needed. For the future, this study suggest that maternal role variables need to be monitored through the home visiting follow up. Also intervention programs related to prenatal care, discharge education, home visiting follow up need to be developed and then evaluated their effectiveness.