신장수혜자의 간호문제와 관리에 관한 고찰

조혜명(Cho Hyea Myung),박정숙(Park Jeong Sook),박명화(Park Myung Hwa) 계명대학교 간호과학연구소 2001 계명간호과학 Vol.5 No.1

This study attempted to review literatures regarding to nursing problems and management of kidney transplantation recipients. Renal transplantation has recently become recognized as a superior method of treatment and rehabilitation of the chronic renal failure patients who is receiving hemodialysis or pentoneal dialysis. Renal transplantation was increased since March 1969 in Korea when the first operation was performed. Immunosuppressive agents & Steroids are used to prevent rejection of the transplantation and to keep the normal function of transplanted kidney. So transplant patients need to comply therapeutic regimens, perform regular follow-up care and accomplish self care activities. Transplant patients were inclined to have physical, mental and psychosocial problems because of their poor adjustment. They have to control their health problems throughout their lifetime too. Review of literatures on body image of kidney transplantation recipients revealed that those patients have side effects of the therapeutic drugs such as immunosuppressive agents and steroid. These side effects are weight gain, puffy face, acne and so on. Especially steroids which are used to prevent rejection of transplantation, lead to muscle weakness and limitation of activity of daily living. If these physical problems continue for a long time, it is possible for those patients to have uncertainty of the future, threaten to keep their job, and some changes of function and relationship within family and social group. Consequently some of them couldn't comply therapeutic regiments and give up their life. Therefore, nurses should help the kidney transplantation recipients to improve physical function, physical ability and satisfaction about their own physical appearance. In order to admit and accept their matters, the nurse also should help to support the patients social adjustment and emotional satisfaction. Review of literatures on the stress of kidney transplantation recipients revealed that those patients felt anxiety and fear a lot because of rejection and complications related to immunosupressive drug. Although they were initially satisfied with their life after kidney transplantation, most of them have possibility to lost their self-confidence and experience loneliness, depressions and despair. Most of those patients also felt guilty for not being able to accomplish their appropriate roles in the family. They also had financial difficulties and social restrictions. Review of literatures on the relationship between stress and the quality of life revealed a significant negative correlation. Especially younger ones regretted of losing hope and ambition, so gradually felt lowered quality of life. In order to establish and implement an effective and comprehensive nursing interventions for transplant patients, nurses should understand their psychosocial problems such as body image, activity of daily living, stress and quality of life, compliance with follow-up care after kidney transplantations as well as physical problems.

Issues in Facilitating Nursing Effectiveness Research and Developing Clinical Databases in Korea

Park Myong Hwa(박명화),Cho Hyea Myung(조혜명),Lee Hae Ran(이혜란) 계명대학교 간호과학연구소 2005 계명간호과학 Vol.9 No.1

  간호의 결과를 가시화하고 그 효율성을 입증하는 방법은 간호 효율성 연구를 통해서 이루어져야 하며 간호 효율성 연구의 촉진을 위해서는 대단위 임상데이터베이스의 개발과 확립이 필수적인 요소이다. 본 연구에서는 간호효율성 연구의 범위와 필요한 연구설계를 확인하고 이러한 간호 효율성 연구를 위해 필요한 데이터베이스의 종류와 필수적인 간호자료를 위한 최신 연구결과를 고찰함으로써 국내에서의 간호효율성 연구와 대단위 임상데이터베이스 구축을 위한 기초자료를 제공하고자 한다. 본 연구에서 고찰된 내용은 다음과 같다. 1) 효율성 연구와 간호효율성 연구의 개념, 2) 간호효율성 연구에 유용한 연구설계와 종류, 3) 간호 효율성 연구를 위한 데이터 및 데이터베이스, 4) 간호효율성 연구를 위한 대단위 임상 데이터베이스의 종류와 기능. 본 연구의 고찰을 바탕으로 다음과 같은 제언을 하고자 한다. 첫째, 개별 간호사 수준에서 정확한 사정과 결과평가를 통해 신뢰할 수 있는 데이터를 산출하여야 하며 또한 간호효율성 연구에 직접 관여하여 연구결과의 산출이 촉진되어야 한다. 둘째, 임상자료가 축적되어 있는 데이터베이스에 대한 정보가 제공되어 개별 연구자와 실무자들의 데이터베이스에 대한 접근성을 증진시켜야 한다. 셋째, 기존 데이터베이스의 신뢰성에 대한 지속적인 평가와 필수적인 자료와 비필수적인 자료에 대한 명확한 구분이 필요하다.

류마티스 관절염환자의 피로에 대한 조사

박정숙(Park, Jeong Sook),조혜명(Cho, Hyea Myung) 한국간호교육학회 2001 한국간호교육학회지 Vol.7 No.2

일 지역 임상간호사의 Preceptor제도에 대한 견해조사

박정숙(Park Jeong Sook),조혜명(Cho Hyea Myung) 계명대학교 간호과학연구소 2003 계명간호과학 Vol.7 No.1

The Purpose of this study was to identify clinical nurses' view on preceptorship and develop of preceptor program for nursing students and newly hired nurses. The subjects of this study were 183 nurses who have worked in 5 general hospitals located in Daegu Data were collected from October 1, 2000 to June 30, 2001 and were analyzed by descriptive statistics with SPSS/WIN. The research instrument have 51 questionnaires, which were developed by researchers on following areas socio-demographic characteristics, preceptor's qualities and competencies, rewarding preceptors, learning content. The results of tins study were summarized as follows 1. The highest level of self-assessment as preceptor was "1 value learning(4.52)", and the lowest level of self-assessment as preceptor was "1 am consistent in my words, actions and feeling(3.75)". 2. The best education level as preceptor was "baccalaureate (49.7%)" and the most appropriate nursing career as preceptor was "above 4years (51.9%)". 3. The highest level of preceptor's learning method was "I learn by doing(4.49)", and the lowest level was "I learn by hearing(3.61)" and "My apprentice learns by reading(3.61)" 4. What the most Important learning content to teach preceptee was "Clearly organized around the exploration of problems(4.46)", and the least important learning content was "I ask questions to help the apprentice reflect on similarities and differences between patient situations, symptoms and responses(3.86)". 5. Professional and educational rewards, especially "attending special education(4.34)", "make handle of duty schedule for teaching(4.25)", "involving relative research and program(4.15)", were better than economical rewards for preceptor. 6. The most importances of preceptor's quality were "educational consideration(4.70)", "truth(4.70)", "expert nursing performance(4.69)", "leadership(4.59)", "professionalism(4.57)" 7 In preceptor program, the most importances of teaching content for preceptor were "methods of problem solving(4.82)", "interpersonal and communication skill(4.58)", "role and responsibility as teacher(4.46)" Through the results of this study, It seems that the content of effective preceptor program, the principle of adult learning, scientific problem solving, communication, feedback, and direct teaching experience affect the individual nursing performance of the preceptor. Also, this study recommended a systematic reward system for the preceptors to increase the motivation to teach preceptee is needed.

노인의 지속적인 운동행위 실천에 영향을 미치는 요인

박정숙(Park Jeong-Sook),장순양(Jang Soon-Yang),조혜명(Cho Hyea-Myung) 계명대학교 간호과학연구소 2005 계명간호과학 Vol.9 No.1

  Purpose: Purpose of this study was to identify factors influencing on performance of exercise in the elderly. Method: The design of this study was focus group research method. Data were collected from November 9, 2002 to December 7, 2002. through 4 focus groups(26 elderly) interviews with participants" consent. Result: 12 Themes were extracted from total 364 significant statements. Factors influencing on performance of exercise in the elderly were internal facts and external facts. The reason disturbing on performance of exercise in the Elderly were physical states, psychological states, eyes of other people, circumstances, environment. Conclusion: This study provides knowledge to assist in development of exercise intervention program for elders which reflected the characteristics of the elders.

임상간호사의 간호권력신장활동인식, 조직몰입과 직무만족에 대한 조사연구

박정숙(Park Jeong Sook),양혜주(Yang Hae Ju),조혜명(Cho Hyea Myung) 계명대학교 간호과학연구소 1999 계명간호과학 Vol.3 No.1

This descriptive study was designed to measure the degree of perception of empowering activity, organizational commitment and job satisfaction in clinical nurse as an attempt to provide their basic data to improve job satisfaction and to develop efficient nursing management. There data were collected from 368 nurses working in 9 nation-wide different hospitals from May 1, to June 30, 1998. A structured questionnaire was used for data collection. The questionnaire included Lee's perception of empowering activity scale, Kim' s organizational commitment scale and Minesota satisfaction questionnaire. Data analysis was done by the use of SPSS computer program with descriptive statistics, t-test, ANOVA, Duncan test, Pearson correlation coefficient and Cronbach- The results were as follows 1. The item mean score m degree of perception of empowering activity for subject was 392(SD=0.54). The degree of power perception m clinical nurse was different significantly depending on official position(F=5.96, P=0.00l) 2. The item mean score in degree of organizational commitment for subject was 3.26(SD =0.49). The organizational commitment in clinical nurse was different significantly depending on age(F=12259, P=0.000), work career(F=10648, p=0.000) and official position(F=10.084, p=0.000). 3. The item mean score of job satisfaction of the subject was 3.03(SD=043). The Job satisfaction m clinical nurse was different significantly depending on age(F=7.257, p=0.000), education(F=4.162, p=0.006), official position(F=14.748, p=0.000), work career(F=8.871, p=0.000), scale of hospital(F=3.553, p=0.030) 4. The result of the analysis of relationship among the perception of empowering activity, organizational commitment and job satisfaction in clinical nurses were as follows. There was a correlation between the perception of empowering activity, organizational commitment(r=0.118, p=0.027), and job satisfaction(r=0.115, p=0.032). There was a correlation between organizational commitment and job satisfaction(r=0.593, p=0.000) The above results are important in the aspect of the development of strateges for retention of qualified clinical nurses performing quality of nursing care and organizational efficacy.

가족간호 연구논문 분석

김정남(Kim Chung Nam),오윤정(Oh Yun Jung),이혜란(Lee Hae Ran),조혜명(Cho Hyea Myung),이은주(Lee Eun Ju) 계명대학교 간호과학연구소 2003 계명간호과학 Vol.7 No.1

Purpose : This study is aimed to analyze the trend of research on family nursing in Korea and suggest direction for future family nursing. Method: 372 studies published from 1970 to 2002 were examined according to the time of publication or presentation, degree thesis or non-degree research, research design, characteristics of subjects used in early study, research places, family assessment tool, conceptual frameworks, correlated concept and nursing intervention. Result: 1) The number of studies related to the family has rapidly increased since the 1995' s. Researches are included in 23.7% non-degree research, 94% doctoral degree thesis and 66.9% master's degree thesis 2) The most popular research design was a descriptive study(45.3%). 3) On the research subjects, 220 papers dealt with the family and 191 papers dealt with the family member of a patient or single person. 4) On the places of studies, 68.8% of the studies were done in hospitals, 15.1% in the communities and community facilities, 9.1% in schools, 6.7% m the home and 0.3% in occupational settings. 5) The frequently used family assessment tool were Family support (developed by Kang), FACES(developed by Olson et al), FES(developed Moos & Insel), Family burden scale(developed Montgomery et al) and STAI (developed by Spielberger). 6) The most frequently used family concept of the studies was family support 7) Nursing intervention, including nursing education, social support, nursing information, rehabilitation nursing, communication etc, used in experimental studies mostly showed positive effects. 8) 5 papers built conceptual framework based on various theories of researchers, 16 papers applied family theories and 4 papers applied nursing theories. Conclusion: The following suggestions are made based on the above findings: 1) More replicated family research is needed to prove the effect of program and try apply clinical setting 2) Family assessment tool should be developed for the Korean family. 3) Qualitative research should be used for family nursing research and interview and participant observation should be used for effective assessment of family 4) Family research is needed to be not only cross-sectional research but also longitudinal research.

류마티스 관절염환자와 일반인의 일상활동, 피로 및 우울에 관한 비교 연구

조혜명,박정숙,박명화 성인간호학회 2001 성인간호학회지 Vol.13 No.2

This study was conducted to compare activities of dally living. fatigue and depression between rheumatoid arthritis patients and healthy persons. The subjects consisted of 53 rheumatoid arthritis patients and 53 healthy persons at a university hospital in Daegu City. Data were collected by means of structured interviews with questionnaires from July 20, 1999 to August 25, 1999. The instrument used in this study were the activities of daily living scathe developed by Katz et al. (1970) and Barthel(1973), Multidi-mensional Assessment of Fa샤� by Belza et al.(1995) and CES-D(Center for Epidemiologic Studies-Depression) scale. Analysis of data was done by use of descriptive statistics, Pearson Correlation, Chi-square test, t-test, ANOVA, MANCOVA and Duncan with the SPSS program. The major finding are summarized as follows : 1. The first hypothesis that the rheumatoid arthritis patients will have a lower decree of activities of dally living than the healthy persons was supported (F=4.584. p= .035). 2. The second hypothesis that the rheumatoid arthritis patient will have a higher decree of fatigue than the healthy persons was supported (F=7.799, p= .006). 3. The third hypothesis that the rheumatoid arthritis patients will have a higher degree of depression than the healthy persons was supported (F=4.7y8, p= .031). With the above results, it can be concluded that rheumatoid arthritis patients had a lower degree of activities of daily living and a higher degree of fatigue and depression than the healthy persons. Therefore, by providing appropriate nursing intervention, activities of and depression would be alleviated.