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구조화된 환자교육에 대한 연구논문 분석 : 고혈압 환자를 중심으로 forcused on the patients with hypertension
박청자,이경희,고효정,권영숙,김정남,박영숙 대한보건협회 2003 대한보건연구 Vol.29 No.2
This study was conducted to analyze the nursing research methodology and the key concepts used in articles related hypertension published in the RICH. The purpose of this study was for reflecting the trends of the research on the structured patient education focused the hypertensives. The results were as following. 1. There were 119 research studies related hypertension in RICH from 1994 to 2002. The number increased in 1997. Research studies of 98 have done since 1997 and it is 82% of the total research studies. 2. The most of the research studies are non-degree research studies. Research studies with fund have been rapidly increased in 2000 year. 3. The prevailing research design were the non-experimental design, quasi-experimental and pre-experimental designs in order. 4. The data collection method used most often physiologic measures(32.8%). 5. The domain of the key concepts that prevailed was health domain(51.8%), nursing domain(22.9%), and human being domain(20.5%) in order. And environmental domain (4.8%) were relatively low.
신영희(Shin Yeong hee),고효정(Koh Hyo Jung),권영숙(Kwon Young Sook),김정남(Kim Chung Nam),박영숙(Park Young Sook),박정숙(Park Jeong Sook),박청자(Park Cheong Ja),이경희(Lee Kyung Hee),이병숙(Lee Byung Sook) 계명대학교 간호과학연구소 2001 계명간호과학 Vol.5 No.1
The purpose of this study was to investigate how night-shift nurses spend their time based on work sampling. A total of 9 med/surg nursing units in a large teaching hospital were evaluated during the period of February 10-16,1997. Data from 96 night shifts were analyzed. Nurses were mostly young, unmarried, and experienced females. The percentage of time spent in four separate nursing activities by night-shift nurses are as follows: 1 Nurses spent only 23% their time for direct care activities, 53% for indirect care activities, 6% for Unit-related activities and 18% for personal. 2. Of the direct care activities, 37% was used for medication, 30% for observation and assessment, 13% for procedure, 8% for helping patient transfer or exercise. Little time was used for patient education, counseling or patient's hygiene. 3. Of the indirect care activities, 74% was used for charting, 10% for preparation of medication, 9% for staff session, and 7% for supply administration. 4. Of the unit-related activities, 81% was used for reporting and meeting, 9% for facility and supply inspection, 5% for ward management, 3% for review and reading, and 2% for manpower management. This study identified that night shift nurses spend most of their time for indirect care activities.
이병숙(Lee Byung Sook),고효정(Koh Hyo Jung),권영숙(Kwon Young Sook),김정남(Kim Chung Nam),박영숙(Park Young Sook),박정숙(Park Jeong Sook),박청자(Park Cheong Ja),신영희(Shin Yeong Hee),이경희(Lee Kyung Hee) 계명대학교 간호과학연구소 2001 계명간호과학 Vol.5 No.1
The purpose of this study was to analyze the activities of head nurses and charge nurses of a general hospital in Taegu, Korea, Subjects of this study were 24 head nurses and charge nurses from 8 medical, and surgical nursing units. Instrument for the analysis of the activities was developed by authors based on the previous activity studies. The instrument consisted of 121 activities which were classified to 21 activity subcategories, and finally 4 activity categories. Data collection was done for 2 week, from 9th Feb, 1997 to 22th Feb., 1997 by observation. Raters for the study were trained for observation of the activities and method of recording the observation on the paper. The raters performed observation for one or two subjects every 10 minutes. Data were analyzed with SPSS 8.0 for Window program. The results of the study were (1) The average working time of the subjects for 1 shift were 420.22min. in head nurses and 453.17min. in charge nurses. (2) The average working time by the categories of activities were 153.83min.(36.61%) for the indirect nursing care, 150.64min.(35.85%) for the administration, 69.36min (16350%) for the personal affairs, 46.39min (11.04%), for the direct nursing care in head nurses, and 237.21min (52.35%) for the indirect nursing care, 108.04min (223.84%) for the administration, 54.02min (11.92%) for direct nursing care, 53.90min.(11.89%) for the personal affairs in charge nurses. (3) The average working time for the 3 subcategories of activities which were performed most by the subjects were 97.4min.(21.19%) for management or patient records, 80.00min.(19.04%) for meeting and reporting, 69.36min.(16.50%) for personal affairs in head nurses, and 166.47min.(36.74%) for management of patient records, 70.85min.(15.63%) for meeting and reporting, 53.90min.(11.89%) for personal affairs in charge nurses. (4) The 3 activities which were performed most during the work time by the subjects were 'communication for exchange of duties'(36.60min), 'communication with medical professionals about the patients'(32.34min), 'recording and reviewing nursing records'(24.89min.) in head nurses, and 'communication for the exchange of duties'(45.85min), 'recording and reviewing nursing records'(43.17%), 'communication with medical professionals about the patients'(35.49%) in charge nurses. By the results of this study, it was identified that head nurses and charge nurses in the hospital performed indirect nursing care and administration more than direct nursing care.
박정숙(Park Jeong Sook),고효정(Koh Hyo Jung),권영숙(Kwon Young Sook),김정남(Kim Chung Nam),박영숙(Park Young Sook),박청자(Park Cheong Ja),신영희(Shin Yeong Hee),이경희(Lee Kyung Hee),이병숙(Lee Byung Sook) 계명대학교 간호과학연구소 2001 계명간호과학 Vol.5 No.1
The purpose of this study was to analyze the activities of day and evening shift nurses of a university hospital in Daegu Korea. Subjects were seventy-three nurses from 10 units. Instrument for the analysis of the activities was developed by authors based on the previous activity studies. The instrument consisted of 121 nursing activities which were classified to 21 activity categories, ad finally 4 activity dimensions. Data collection was done for 2weeks, from 9th, Feb., 1997 to 22th, Feb., 1997 by observation method. Research assistants were trained for observation of the activities and method of recording the observation. Research assistants performed observations for 2 or more subjects every 10 minutes. The results of the study were 1) The percent of working time by the dimensions of activities were 57.67% for indirect nursing care, 26.98% for direct nursing care, 9.43% for administration and 5.92% for personal affairs in day shift nurses, and 63.46% for indirect nursing care, 22.57% for direct nursing care, 8.80% for administration and 5.17% for personal affairs, in evening shift nurses. 2) The most frequent category of nursing activity in the direct nursing dimension was medication(9.12% in day shift nurses and 10.07% in evening shift nurses), and the second one was observation, measurement(6.88% in day shift nurses and 7.07% in evening shift nurses). The most frequent category of nursing activity in the indirect nursing dimension was recording-related jot(43.19% in day shift nurses and 50.10% in evening shift nurses) and the day shift nurses and 9.14% in evening shift nurses). The most frequent category of nursing activity in the administration was meeting and reporting (6.94% in day shift nurses, and 7.51% in evening shift nurses) 3) The most frequent nursing were injection, oral medication, TPR check, BP check, bed making, and change patient's gown. The most frequent nursing activities in the indirect nursing were nursing recording, chart management, writing prescription and order check. The most frequent nursing activity in the administration was the meeting and reporting. 4) Nursing activities which were not performed were exercise teaching, perineal care, assist eating, preparation for eating, provide bed pan, ROM exercise, apply suppositories ostomy care, alcohol massage, breast massage and join Dr's rounding.
Kwon, O Jun,Kim, Min Yeong,Shin, Sung Ho,Lee, Ah Reum,Lee, Joo Young,Seo, Bu-il,Shin, Mi-Rae,Choi, Hyun Gyu,Kim, Jeong Ah,Min, Byung Sun,Kim, Gyo-Nam,Noh, Jeong Sook,Rhee, Man Hee,Roh, Seong-Soo Hindawi Publishing Corporation 2016 Evidence-based Complementary and Alternative Medic Vol.2016 No.-
<P>The purpose of this study was to investigate the antioxidant and anti-inflammatory effects of the combined extract of Rhei rhizoma and Coptidis rhizoma (RC-mix) in experimental model of acute reflux esophagitis. The antioxidant activity was assessed by<I> in vitro</I> 2,2-diphenyl-1-picrylhydrazyl (DPPH) and 2,2′-azino-bis(3-ethylbenzothiazoline-6-sulfonic acid) (ABTS) assays. RC-mix was given at 100, 200, and 400 mg/kg body weight 2 h prior to induction of reflux esophagitis (RE). After 5 h, the effects of RC-mix treated rats were compared with those of normal and control rats. The representative flavonoid contents of RC-mix, such as sennoside A, epiberberine, coptisine, palmatine, and berberine, were detected using HPLC. The elevated esophageal mucosa damage was markedly ameliorated by RC-mix treatment in a dose-dependent manner. Furthermore, the administration of RC-mix reduced the increase of serum reactive oxygen species (ROS) and peroxynitrite (ONOO<SUP>−</SUP>). The improvement of superoxide dismutase (SOD) and heme oxygenase-1 (HO-1) levels were marked in the group given RC-mix. Moreover, the elevation of inflammatory mediators and cytokines by nuclear factor-kappa B (NF-<I>κ</I>B) activation in control rats decreased by RC-mix pretreatment. These results indicate that RC-mix treatment reduces the pathological states of esophagitis<I> via</I> regulating NF-<I>κ</I>B mediated inflammation related to oxidative stress. </P>
S-365 : Comparison of the Haas and the Oxford Classifications for Prediction in IgA Nephropathy
( Kyoung Sook Park ),( Jeong Hae Kie ),( Ki Heon Nam ),( Mi Jung Lee ),( Beom Jin Lim ),( Young Eun Kwon ),( Yung Ly Kim ),( Seong Yeong An ),( Ah Young Ji ),( Min Hwan Kim ),( Hyung Jung Oh ),( Seung 대한내과학회 2013 대한내과학회 추계학술대회 Vol.2013 No.1
Background: Pathologic features can provide valuable information for determinining prognosis in IgA nephropathy (IgAN). However, it is uncertain whether the Oxford classification, a new classification of IgAN, can predict renal outcome better than previous ones. Method: We conducted a retrospective cohort study in 500 patients with biopsy-proven IgAN between January 2002 and December 2010 to compare the ability of the Haas and the Oxford classifications to predict renal outcome. Primary outcome was a doubling of the baseline serum creatinine concentration (D-SCr). Results: During a mean follow-up of 68 months, 52 (10.4%) and 35 (7.0%) developed D-SCr and ESRD, respectively. There were graded increases in the development of D-SCr in the higher Haas classes. In addition, the primary endpoint of D-SCr occurred more in patients with the Oxford M and T lesions than those without such lesions. In multivariable Cox regression analyses, the Haas class V (HR, 12.19; p=0.002) and the Oxford T1 (HR, 6.68; p<0.001) and T2 (HR, 12.16; p<0.001) lesions were independently associated with an increased risk of reaching D-SCr. Harrell`s C index of each multivariable model with the Haas and the Oxford classification was 0.867 (p=0.015) and 0.881 (p=0.004), respectively. This was significantly higher than that of model with clinical factors only (c-statistic=0.819). However, there was no difference in c-statistics between the two models with the Haas and the Oxford classifications (p=0.348). Conclusion: This study suggests that the Hass and the Oxford classifications are comparable in predicting progression of IgAN.