일 간호대학의 지역사회 방문간호사업 사례

강윤숙,최양자,고영애,전시자,조갑출,이옥철,주혜경,신기수,안은숙 적십자간호전문대학 2000 적십자간호전문대학논문집 Vol.22 No.-

발효 온도-시간 조합이 배추김치의 품질 특성에 미치는 영향

강정화,강선희,안은숙,유맹자,정희종 한국식생활문화학회 2004 韓國食生活文化學會誌 Vol.19 No.1

In order to examine the effect of the combination of fermented temperature and time on Baechu kimchi in a kimchi refrigerator, Baechu kimchi was fermented at four different modes of the fermentation temperature and time for 16 weeks and analyzed the properties of Baechu kimchi. The pH, Baechu kimchi fermented at 20℃ for 24 hours/stored at -1℃, decreased rapidly during first week and then decreased very slowly. The hardness and the chewiness of Baechu kimchi fermented at high temperature were higher and the values were decreased when the fermentation continued. In sensory evaluation, carbonated flavor in Baechu kimchi fermented at 20℃ for 24 hours/stored at -1℃ was the best after 4 weeks, and Baechu kimchi fermented at 5℃ for 3 days or 6 days/stored at -1℃ was the best after 8 weeks. The scores for sourness were the highest on 8 weeks and 12 weeks in kimchi fermented at 20℃ for 24hours/stored at -1℃ and 5℃ for 3 days or 6 days/stored at -1℃, respectively. Total microbial count was increased as the temperature of fermentation increased. Counts of Leuconostoc spp. reached to the highest after 6 days and counts of Lactobacillus spp. seached to the highest after 5 days in kimchi fermeted at 20℃ for 24 hours/stored at -1℃. From these results, it was concluded that it required 4 weeks to eat most edible Baechu kimchi in kimchi refrigerator 20℃ for 24 hours/stored at -1℃, and 8 weeks to eat edible Baeche kimchi refrigerator fermented at 5℃ for 3 days or 6 days/stored at -1℃.

효율적인 임상 간호교육과정 개선을 위한 신규간호사의 직무분석에 관한 연구

강익화,이은자 京畿專門大學 2001 京畿專門大學 論文集 Vol.- No.29

The purpose of this study was to examine a frequency of job performance, level of urgency, index of importance experienced by new nurses of medical and surgical unit and ICU in Seoul and Inchoen. The samples were composed of 63 new nurses who worked at 6 hospitals. The data were analyzed using a SPSS program for descriptive statistics(numbers of job performance, level of urgency, Index of importance(job performance + 1/4 level of urgency)). Some of the most frequent job performance were specimen collection, v/s check, diagnostic examination, identification of hypoglycemic or hyperglycemic symptoms, aseptic technique in medical unit, application of infection control, and IM, IV, PO medication supply of and electrolyte in surgical units. In ICU the orders were the maintenance of skin integration change, identification of abnormal v/s assessment of neurologic changes, patient, observation of hydration status, and aseptic technique. That the highest degree of urgency were CPR and defibrillation for dysrrhythmia in three units. The highest index of importance were the maintenance and improvement of physiologic integration, Some of safety and effective nursing environment, psychologic and social care, and health maintenance and promotion in three units.

퇴행성 근골격계 질환을 가진 중년여성이 지각한 가족지지의 자아존중감의 관계

강경자,이은진 대한류마티스 건강전문학회 2000 근관절건강학회지 Vol.7 No.1

Middle age for women is one of the most important stages of the whole normal life span and has unique problems concerning the psychological and physical health, specifically degenerative musculoskeletal diseases. Therefore middle age women should prepare in order to lead a healthy and fruitful life as they enter/begin old age. As the population of middle age women increase, the demands of nurses who care for this age group also continue to grow. Nurses must be interested in this middle age group of women in Korea. This study was designed to identify the extent of family support and self-esteem of the middle age women with degenerative musculoskeletal diseases and the relationship between them and nurse's contribution to middle age women's health promotion that maintain and promote quality of her life. The population of this study was 112 women aged 40-60, attending the out patient clinic one University Hospital and one Hospital, in Pusan. The data was collected from 1st August to the 30th of September, 1998 by using 36 items questionnaire. The instrument used for measuring family support was of Chai's(1983) FSS which was modified by Kang's(1984) Family Support Scale. And that for self-esteem was Rosenberg's(1965) Self-esteem Scale. The reliability of Chai's FSS and Rosenberg's instruments were tested by Cronbach's alpha and showed that they were 0.93 and 0.89 each respectively. Data was analyzed by descriptive statistics, t-test, ANOVA, and Pearson's Correlation Coefficient using the SPSS computer program. The results of the study were summarized as follows : 1. The mean score of the perceived family support was 39.31±9.42. 2. The mean score of the perceived self-esteem was 33.16±6.75. 3. Statistically significant factors influencing the family support among sociodemographic variables was satisfaction of marriage(F =-3.069, p〈0.003). 4. Statistically significant factors influencing the self-esteem among sociodemographic variables were age(F=3.992, p=0.000), education(F=2.260, p=0.026), housing(F=-1.987, p=0.049) and satisfaction of marriage(F =-2.305, P=0.023). 5. There was a significant correlation between family support and self-esteem(r=.621, p〈.000). In conclusion, perceived the family support was important for middle age women to increase their self-esteem. Nurses should be aware of the necessity of family support in the supportive nursing of middle age women and should be able to make a plan to educate the family about supporting the wife/mother. The continuing study of the health promotion of middle age women to find out variables influencing middle age women' health must continue.

간호사의 임상 실무 경험

서문자,손행미,강현숙,권성복,김주현,박영숙,이은희,임난영,조경숙,지성애 성인간호학회 2002 성인간호학회지 Vol.14 No.4

purpose: This study was conducted to describe qualitatively the entities of nurse's experiences in general hospitals and to suggest basic data guiding research on developing Standards of clinical nursing practice in Korea. Method: Fourteen nurses working at general hospitals with over 300 beds in Seoul were interviewed in-depth until saturation using tape-recorders and transcription. Result: The central theme of clinical nursing practice experienced by subjects was "being with clients" that means accepting client's personal character, solving client's needs and providing client-centered nursing. A also "being with clients" was felt to be the responsibility of nurses which was learned from their nursing schools. The nursing strategies performed in order to be with patients were proving skillful nursing techniques, accepting, educating, emotional support, advocating, and self-reflecting, the subjects experienced somewhat problematic affects such as difficulties in interpersonal relationship, work overload, negative image of nursing, deficit of self-confidence for nursing actions, poor working conditions, and unfair treatment. Nurses at the hospital practiced with pride when they felt that they were accepted by clients. Conclusion: Further research is needed to analysis problems in clinical practice and the comparison of nurses' experiences of clinical practice, with nurses' experiences in various settings.

긍정적인 행동지원이 정신지체학생과 급우의 수업시간 문제행동에 미치는 영향

윤은미,김자경,강혜진 부산대학교 과학교육연구소 2007 교사교육연구 Vol.46 No.2

본 연구는 기능평가에 근거한 긍정적 행동지원이 통합학급 내 정신지체학생과 일반학생의 문제행동에 미치는 효과를 검증하는데 목적이 있다. 이를 위하여 P시의 K초등학교 4학년 1개 통합학급에 통합된 정신지체학생 1명과 일반학생 26명을 대상으로 기능평가를 실시하고 이를 통해 얻어진 가설로 긍정적 행동지원 중재를 실시하여 얻은 결과는 다음과 같다. 첫째, 기능평가를 근거로 실시한 교사의 긍정적 행동지원은 정신지체학생의 손장난 감소에 효과적이었다. 둘째, 기능평가와 사회적 기술교수를 통한 교사의 긍정적 행동지원은 통합학급의 정신지체학생과 일반학생의 문제행동 감소에 효과적이었다. 이상의 결과를 토대로 볼 때, 문제행동에 대한 학급차원의 긍정적 행동지원은 통합학급의 정신지체학생과 일반학생의 문제행동 감소에 효과적이라는 것을 알 수 있다. The purpose of this study is to verify the effect of classroom-wide positive behavior support on the problem behaviors of mentally retardation students and their classmates. The classroom- wide positive behavior support has been done generally and individually for the students. The following issues were raised for the aim of the study. First, could the classroom-wide positive behavior support decrease the problem behaviors of mental retardation students during classmates? Second, could this kind of support decrease the problem behavior of the students of the class as a whole? To find out answers to these questions, the classroom-wide positive behavior support has been done for the mental retardation student and their classmates. The result of the study is as follows. First, multi-factors meditation based on the functional tests as an individual support for the handicapped effectively decreased the problem behaviors in classes. Second, general meditation for the whole students had an effect on decreasing the problem behaviors of them. Therefore, the study shows that the classroom-wide positive behavior support based on the functional tests take effect on decreasing the problem behaviors of the mental retardation student as well as the whole class students.

학교의 안전사고 및 안전관리 실태

박성은,정연강,박은자 중앙대학교 간호과학연구소 2001 중앙간호논문집 Vol.5 No.2

Recently, Society to be confusing by degress, it is increased students to stay school also, the risk of accident to raise is increased to cause of boyhood's specific property. School musts be a guard station of happiness and healthy environment for education. The Purpose of the study is to examine of School Safety Accident and The status of School Safety Management for application of basic data of school Accident Present Guide. The status of School accident are studied on 300 schools of a large city, an middle city, an small city, 186 questionaires were returned and analysis. The study is distribute to causes of School accident occured man, objectives, environment. To look into safety scale carefully, causes that is origin of a school house, an exercise ground a gymnasium, an school life were to examine with Likert's 6 scale and make the number of mark. The statistical treatement used excels and the SAS System for Window Version 6.12 program Research data analysis used frequence, t-test, χ2(chi-square) analysis, Analysis of Valiance, Analysis of Correlation. Followings are conclusions of the study : 1. Be1ow 5 of School Safety Accident at 2000 is 145 schools are to be high pint(77.9%) in School Safety Accident of 186 schools, School accident occured man is 624 piece to be high point(78.9%) in Total School accident 791 place. 2. An average School accident of 186 schools is 4.25 piece at 2000, A Score average of a school house is 82 point, A Score average of an exercise ground is 49 point, A Score average of school life is 77 point. 3. To raise of school accident occured man, objective, environment, has difference from a boundary of land(P value 0.043) and a kind of school(P vague 0.001). 4. Look into Correlation Gymnasium's being or not being and An accident occured man, Gymnasium's being or not being state, An average accident(P value 0.0284) and An accident occured man(P value 0.0367) has a difference. 5. To raise of school accident occured school house, exorcise ground, school life, has without difference from a boundary of land and a kind of school. This Result is to be base the status of school accident, Conclusion of this study, we must be bodily effect the following problem solution. 1. Almost school accident's cause is man's carelessness, so teachers must be careful in school life leading and development safety education program. 2. Because middle school accident occur more than them. So a man middle school must be careful in safety education in regulations instruction as health education and safely control.

Skin entrance dose for digital and film radiography in Korean dental schools

Cho, Eun-Sang,Choi, Kun-Ho,Kim, Min-Gyu,Lim, Hoi-Jeong,Yoon, Suk-Ja,,Kang, Byung-Cheol 대한구강악안면방사선학회 2005 Imaging Science in Dentistry Vol.35 No.4

Purpose : This study was aimed to compare skin entrance dose of digital radiography with that of film radiography and to show the dose reduction achievement with digital systems at 11 dental schools in Korea. Materials and Methods : Forty six intraoral radiographic systems in 11 dental schools were included in this study. Digital sensors were used in 33 systems and film was used in 13 systems. Researchers and the volunteer visited 11 dental schools in Korea. Researchers asked the radiologic technician (s) at each school to set the exposure parameters and aiming the x-ray tube for the periapical view of the mandibular molar of the volunteer. The skin entrance doses were measured at the same exposure parameters and distance by the technician for each system with a dosimeter (Multi-O-Meter : Unfors instruments, Billdal, Sweden). Results : The median dose was 491.2 μGy for digital radiography and 1,205.0 μGy for film radiography. The skin entrance dose digital radiography was significantly lower than that of film radiography (p<0.05). Conclusion : Fifty-nine percent skin entrance dose reduction with digital periapical radiography was achieved over the film radiography in Korean dental schools.

간호실무에서 신봉이론(Espoused theories)에 대한 탐색적 연구

서문자,김혜숙,이은희,박영숙,조경숙,강현숙,임난영,김주현,이소우,조복희,이명하,지성애,하양숙,손영희,권성복,김희진,추진아 성인간호학회 2001 성인간호학회지 Vol.13 No.1

As a nursing practice involves nurses' actions in a specific context of health care, this study has focused on exploring the espoused theories in nursing practice within the action science perspectives, Espoused theories are the belief, principles, and rationale expressed by the practitioner as guiding her/his actions in a situation of practice. The data were analysed qualitatively and 25 elements of espoused theories of nursing action were identified and clustered into 6 categories. The 25 elements of espoused theories are as follows: The clinical nurse worked in wholistic and individual nursing, focussed on the patient's needed, comfort and supportive nursing (5 theories of nursing goal) ; excellent skills, knowledge based, assessment and data collection, explaining, educating or a scientific basis(6 theories of nursing intervention): advocacy, value oriented, treatment, account- ability and commitment(4 theories of nursing ethics) ; human respect. partnership, trust(3 theories of patient-nurse relationship) : knowledgable, accumulated clinical experiences and personally lived experiences. positive perspectives(4 theories of nurse), role of intervention. rewarding peer relationship(3 theories of situations) The above mentioned espoused theories are similar to that of nursing textbooks which students learned through basic nursing education and almost the same as the Acts ofa Nurse in Korean. However, we are doubtful whether nurses actually do as they think. Therefore. it is recommended to review the theories-in-use in order to and any discrepancies between the espoused theories and the reality of nursing actions

암환자의 삶의 질 도구개발

태영숙,강은실,이명화,박금자 성인간호학회 2000 성인간호학회지 Vol.12 No.4

This study was undertaken to develop an instrument to be used for measuring the concept of duality of life of Korean patients with cancer multidimensionary and correctly. It can contribute in holistic nursing care for Korean cancer patients and also provide and validate basic data to help oncology nurses measure the outcome of nursing intervention correctly. To develop this instrument, the researchers first estabilished a conceptual framework based on the results of qualitative data analysis and indepth interview method Development of the scale was conducted using a method in which 31 items were assessed by subjects' self report using linear analogue scales. The subjects were 79 D.M. Patients. 103 patients with acute illness, and 91 cancer Patients residing in Busan, Korea. Data were collected during the period from July, 24 to August 14. 2000. This instrument consisted of 31 items with a self report stale. This instrument covered 4 dimensions of cancer patients : 1) Physical wellbeing 2) psychological wellbeing 3) social wellbeing and 4)spiritual wellbeing. Each item had a possible score of 10. The reliability of the scale was tested with Cronbach's alpha. Validity was evaluated by examining the relationships of this scale. Youn's Quality of Life Questionnare scores and the Simple Quality of Life scale. Two separate runs of multiple regression were used to predict scores on the Simple Quality of Life measuremend. Further validation was obtained by examining the correlation between the instrument subscores and Youn's Quality of Life measurement subscore for convergence of this scale. Examination of the discriminant. power of the instrument was done using ANOVA test. The results are summarized as follows : 1.The reliability of the instrument for the quality of life was 0.8321 (Cronbach's alpha.), physical wellbeing dimension 0.6343. Psychological wellbeing dimension 0.6501, spiritual wellbeing dimension 0.5883. 2.This instrument had a high correlation with Youn's Quality of Life measurement(r= 0.636) in cancer Patients, whereas it had a low correlation with Simple Quality of Life measurement(r= 0.455) in cancel patients. In the D.M. patients, the instrument correlated with both the Youn's Quality of Llfe measurement and Simple Quality of life measurement(r=0.313. r= 0.407) and in the acute stage patients. the instrument had no correlation. 3.Multiple regression of individual Items on the Simple Quality of Life scores accounted for 56.8% of the variance in the Simple Quality of Life measurement, whereas, Youn's Quality of Life measurement scores accounts for 31.7%. The correlations collected from the three group had the same patterns of variations but especially the instrument developed in this study had higher disciminant power than that of Youn's Quality of Life Measurement.