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- 저자 : Eui Geum Oh (검색결과 64 건)
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오의금 연세대학교 간호정책연구소 2002 간호학탐구 Vol.11 No.2
Symptom management becomes one of the most challenging health care issues for patients, family, and health care professionals in these days. Healthcare providers have difficulty managing and developing symptom management strategies that can be applied across acute and home-care settings. This article offers an introduction to the various nursing models of symptom management applicable to symptoms and patient population in a variety of practice and study settings. Five models were reviewed in terms of conceptual definition of symptom, basic assumption and the elements model, and the discussions: Symptom Management Model; Integrated Approach to Symptom Management; Symptom Interpretation Model; Unpleasant Symptom Theory; Holistic symptom management. These five models are generic model to provide direction for selecting clinical interventions, conducting research in symptom management. The several common attributes are in these models: symptom is a multidimensional and subjective experience; symptoms represent more than clues to an underlying disease process. Thus it is required to understand physiological, socio and psychological, and cultural/environmental factors associated with symptom. In addition, it has been strongly suggested that effective symptom management can be achieved when health care professionals utilize holistic and interactive nursing care approach, avoiding medico-disease centered approach. Although the models are needed further empirical verification process within the various clinical settings and patient groups, these models could be useful when nurses deals with complex phenomena of the symptom.
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오의금 성인간호학회 2002 성인간호학회지 Vol.14 No.4
Purpose: To exam how functional status varied according to age, gender, stage, treatment protocols, and pathologic types of cancer in lung cancer patients. Method: A Cross-sectional and descriptive study was used. Functional status was measured with the Medical Outcome Study Short Form-36. A total of 106 lung cancer patients participated. Their mean age was 61 years. Majorities were male, in advanced stages, and receiving chemotherapy. Result: Functional status of the subjects were relatively low compared to the results of previous studies. Women had more severe functional limitations in Role-Emotion(t=2.17, p<.05). Generally, older patients(> 60 yrs.) had relatively more severe limitations in all subcategories, but the difference was not statistically significant. Subjects in late lung cancer stage(stage III & IV) had more severe functional limitation in all subcategories. But the statistical difference was found only in General Health(t=2.10, p<.05). In terms of treatment protocol, no-current treatment group had lower General Health than those of the chemotherapy group(F=3.42, p<.01). There were no statistical differences in functional status among pathological cancer cell types. Conclusion: The results of this study suggest that effective management may be achieved when these factors are considered on individual basis in the clinical management of lung cancer patients.
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오의금,김소희,김순희,박희옥,이춘화 성인간호학회 2002 성인간호학회지 Vol.14 No.3
Purpose: The purpose of this study was to analyze the trend of research on the use of home-based pulmonary rehabilitation. Method: Using Medline and CINAHL search engine, experiemental research, titled as 'home-based pulmonary rehabilitation' and 'chronic lung disease', statistics were collected. The total 29 experimental studies published between 1981 to 2000 were selected and analyzed according to the ATS guidelines. Result: 1) The study samples in research were mostly of men, whose lung function was moderate to severe. 2) The total period of the intervention program varied from 5 to 12 week. The program included excercise intervention and educational intervention. Psychosocial intervention was minimal. 3) The outcome of the home-based pulmonary rehabilitation had been measured mostly by physical aspects. Quality of life and cost were less frequently measured. 4) In terms of effectiveness of the home based pulmonary rehabilitation program, physiologic outcome, such as lung function and hematologic markers, there was more 'no effect' than 'positive effect', whereas there was more 'positive effect' in decreasing dyspnea, improving excercise capacity, and improving quality of life. Conclusion: Based on these findings, future research on home-based pulmonary rehabilitation should be emphasized and provide standardized protocol, including psychosocial intervention, and analyses on cost and quality of life.
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인지행동 요법 적용 스트레스 중재 연구의 동향 : 국외 논문을 중심으로
유지수,오가실,오의금,이숙정,손선영 연세대학교 간호정책연구소 2003 간호학탐구 Vol.12 No.2
This study was carried out to describe and analyze stress intervention studies applied cognitive behavioral therapy. Of 104 studies conducted between 1994 and 2003, 43 studies were available, including biobehavioral variables. This study examined their general characteristics, detailed research methods, intervention methods and results. The results were as follows : 1. The cognitive behavioral researches about stress relief intervention have been systemized since 2000. 2. The majority subjects were the patients with AIDS, Post Traumatic Stress Disorder etc. Firstly, chosen subjects have problem both cognition and behavior. 3. Most of the studies adopted a randomized controlled trial. 4. The subjects were mostly adults and the number of subjects for intervention was usually from 21 to 40 patients. Intervention program duration range was from 9 weeks to 12 weeks. 5. The technique of intervention were cognitive restructuring, behavior practice, self control, mindfulness, relaxation training, assertive training, support, systemic insensitivity etc. Most researches used multiple techniques than simple technique. The technique mostly used were cognitive restructuring, behavior practice and relaxation training. 6. Dependent variables were categorized biological variable and behavioral variable. Biological variable were physical symptom, immune, hormone. Behavioral variable were psychological symptom, fear, depression, anger, stress, social support, cognition, behavior and quality of life. 7. The most study results showed that the cognitive behavioral intervention was effective to relieve physical and psychosocial symptom, improve quality of life and coping skills. There are also effective in immune system and stress hormone system. But the results are not consistent. For generalizing this results, we need more repetitional research. In comparative study, experimental group should be more than 2 for verifying effect. More strategical intervention should be developed for cost effective and more helpful stress relief.
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성인간호학회지 논문(1989-2000)의 내용과 경향 분석
서문자,김소선,송미순,이명선,오의금,신경림,김옥수,이숙자,이영자,오효숙,정재심,김철규 성인간호학회 2001 성인간호학회지 Vol.13 No.4
"Journal of Korean Academy of Adult Nursing" has been published since 1989 and more than 330 articles have been published up 2000. We reviewed all the articles published in this journal to analyze the contents and trend of published articles and to find out the way of improvement both in quantity and quality of studies in this area. The results are as follows : 1) Ninety percent of articles were quantitative studies. Experimental design was used in 16.1% and quasi-experimental design was adapted in 73.6% of articles. Qualitative research were 10.3% of total articles reviewed. 2) Only 5.1% of articles described theoretical framework and 73.6% of experimentally designed articles included research hypotheses. 3) Among experimental studies, only one was true experimental studie design. Eighty nine point three persent had descriptive survey method among non-experimental studies. Amog the thirty four qualitative studies, phenomenologic(73.5%), grounded theory(14.7%), and ethnographic (11.8%) design were used. 4) Most of research subject were patients and few healthy people, healthcare worker, and patient family. 5) Psychosocial data collection method which used questionnaire were 53.7% and interview. physical measurement, observation were used in 22.8%. 8.2% 5.4% of articles respectively. 6) Total number of keywords were 692, and average number of key words per article was 2.2. Health-related keyword was the most frequently used according to four metaparadigm of nursing (human, health, nursing, and environment). Environment related keyword was rarely appeared. The number and quality of nursing research in "Journal of Korean Academy of Adult Nursing" have been improved continuously. It is difficult to find out special trend or characteristics which is unique in this journal because of relatively short history of adult nursing studies. This review study was performed to analyze adult nursing studies only in the view of quantitative aspect, but it is needed to analyse qualitatively to find philosophical or theoretical trend in nursing.
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Oh, Eui Geum,Chu, Sang Hui,Bang, So Youn,Lee, Mi Kyung,Kim, Soo Hyun,Hyun, Sa Saeng,Jeon, Justin Y,Jeon, Yong Kwan,Im, Jee Aee,Lee, Jung Eun Sage Publications, Inc 2011 Biological research for nursing Vol.13 No.2
<P>Although therapeutic lifestyle modification (TLM) effectively improves the values of diagnostic biomarkers of metabolic syndrome, less is known about its effects on inflammatory chemokines and insulin resistance (IR) in patients with this syndrome. Objectives. To examine the effects of a short-term TLM program on inflammatory chemokines (monocyte chemoattractant protein-1 [MCP-1], retinol binding protein-4 [RBP-4]) and IR in subjects with metabolic syndrome.</P>
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