일 종합병원 중환자실의 환자 분류 체계 개발에 관한 연구

조윤경,김은배,김정연,김향숙,김은희,김은현,길윤경,이태화 임상간호사회 2000 임상간호연구 Vol.5 No.2

중환자실에서 경관영양을 받고 있는 뇌 손상 환자들에게 있어서 고섬유식이의 설사 발생에 대한 효과 연구

김영지,박옥향,김은정,김윤주,노희정,김향희,오수진,임상희,윤은숙 임상간호사회 2000 임상간호연구 Vol.5 No.2

암환자 통증관리에 대한 의료인의 지식에 관한 조사연구

정귀임,박정숙,김혜옥,윤매옥,문미영 임상간호사회 2004 임상간호연구 Vol.10 No.1

Purpose: This study was to evaluate knowledge of nurses and doctors toward cancer pain management in South Korea and to compare nurses knowledge with doctors and provide basic data for development of pain management education program. Method: The subject of the study was 287 nurses and 111 doctors who were working at six major medical center in South Korea. The instrument used in this study was consisted of 22 items of cancer pain management knowledge. The data were collected between July 1 and 30, 2001 by using self-administered questionnaire. Analysis of data was done by using descriptive statistics, t-test, ANOVA and Scheffe test with SPSS program. Result: The average score of nurses cancer pain management knowledge was 13.59 (total score is 22) and doctors cancer pain management knowledge was 14.19(p<.021). Range of nurses cancer pain knowledge score varied between 6 and 19 and range of doctors cancer pain knowledge score varied between 8 and 19. In nurses, among knowledge of pain items, the highest item with rate of the correct answer was 'Tylenol is opioid or non-opioid.'(99.3%) and the lowest item with correct response rate was 'When opioids are used for pain relief in the for 3-6 months, what percent of patients are likely to develop opioid addiction? (4.2%). In doctors, among knowledge of pain items, the highest item with rate of the correct answer was 'Meperidine(Demerol) IM is the drug of choice for prolonged pain. (100.0%) and the lowest item with correct response rate was When opioids are used for pain relief in the for 3-6 months, what percent of patients are likely to develop opioid addiction?'(8.1 %). Nurses' knowledge of pain was significantly different according to city(p<.05). Doctors knowledge of pain was significantly different according to present work place(p<.0l). Conclusion: The above findings indicate that it is necessary to develop a comprehensive pain management education program and require to teach continuously about new pain knowledge for medical team.

노인 간호에 대한 간호사의 지각 및 수행과 노인환자의 기대 및 만족도

김인홍,박현주,권선주,박현숙,김신정,이향년,백설향 임상간호사회 2004 임상간호연구 Vol.10 No.1

Purpose: This study was conceived to provide elderly patients more specialized and effective nursing systems of good quality. Method: Subjects of this study were 103 nurses working at three randomly sampled hospitals affiliated to a university and 100 elderly patients hospitalized in these medical hospitals. Data were collected through a structuralized questionnaire research and direct interviewing elder from Nov. 20, 2003 to Jan. 30, 2004. The questionnaires on 5-point Likert Scale in to having 28 questions about four areas (physical, psychosocial, educational, therapeutic areas) of elderly care for assessing elderly care were created by modifying scaled employed in previous studies. Result: Clinical nurses' perception of elderly care marked 4.36 points in average, and their performance marked 3.86 points, thus the degree of perception was higher than that of performance (t=11.64, p=0.000). Elderly patients expectation toward elderly care marked 3.87 points in average, and their satisfaction marked 3.35 points in average, thus the degree of expectation was higher than that of satisfaction (t=9.19, p=0.000). Conclusion: In order to perform the whole services to heighten patients' satisfaction with elderly care, knowledge to elderly nursing need must be develope

일부병원 외래환자의 병원선택동기, 병원만족도와 재이용의도에 관한 연구

김은옥,조수연 임상간호사회 2004 임상간호연구 Vol.10 No.1

Purpose: The purpose of this study is to identify the relationship among motives for the selection of a hospital, satisfaction with services in a hospital and the intension of outpatients' revisit. Method: The research period ranged from December 10, 2003 to December 20, 2003. The questionnaires were collected from outpatients visiting G-university hospital in J city. Data were Analyzed descriptive statistics, t-test and Pearson correlation coeffcient using SPSS Win 10.0. Results: The score for motives for the selection of the hospital was 3.06 (1-5 range) Satisfaction with services in the hospital was 3.10 and the intension of revisit was 3.68. The correlation among motives for the selection of the hospital, satisfaction with services in the hospital and the intension of revisit was motives for the selection of the hospital and satisfaction with services in the hospital(r=.796, p=.000), motives for the selection of the hospital and the intension of revisit (r=.429, p=.000), satisfaction with services in the hospital and the intension of revisit (r=.492**, p=.000). Conclusion: This study shows that the subjects with high motives for the selection of the hospital turned out to be highly satisfied and to have high intension of revisit for their satisfaction influence future revisit. In this context, it is absolutely necessary that service procedures should be improved and that the inconvenience factors should be removed with the establishment of good strategics.

시스템 다이내믹스를 이용한 적정 법정 간호인력 산정에 관한 연구

김문실,방희숙,김정아,김도형,김일원,김복순,권경자 임상간호사회 2004 임상간호연구 Vol.10 No.1

Purpose: The Purpose of the study is to lay foundation for reasonable legal nursing manpower staffing by building the nursing manpower-staffing model. Method: The System dynamics approach was adapted to build a simulation model for calculating reasonable legal nursing manpower-staffing. The model was built up on Vensim 5.0b DSS. Result: The results in the basic circumstance are in following. The level of nursing service quality, patient satisfaction, and nursing organization proficiency maintains higher and turnover intention also maintains lower at the tertiary hospitals with the ratio of bed to nurse 2.5:l-3.0:l than at any other situations. The level of nursing service quality, patient satisfaction, and nursing organization proficiency maintains higher, and turnover intention maintains lower at the secondary hospitals with the ratio of bed to nurse 3.0:l-3.5:l than at any other situations in the fundamental form. The results in the simulation circumstance are in following. As author raises the operating rate of bed into 95-100%, and cut skilled nursing staff down, the level of nursing service quality, patient satisfaction, and nursing organization proficiency drops slightly, and turnover intention also rises slightly. However with time the results show improvement. Conclusion: In terms of economic efficiency on tertiary hospitals, the ratio of bed to nurse for the best reasonable legal nursing manpower-staffing is 3.0:1(2.6:1 if calculating in terms of the ratio of patient to nurse). In terms of economic efficiency on secondary hospitals, the ratio of bed to nurse for the best reasonable legal nursing manpower-staffing is 3.5:1(3.0:1 if calculating in terms of the ratio of patient to nurse).

치료레크리에이션 프로그램이 정신분열병 환자의 자아존중감, 대인관계변화 및 음성증상에 미치는 효과

이혜진,신윤주,양영주,전성희,이정매,한상숙 임상간호사회 2004 임상간호연구 Vol.10 No.1

Purpose: This study was to systematically evaluate the effect of the therapeutic recreation program on the self-esteem, interpersonal relationship change and the negative symptoms of schizophrenic patients. Method: This study was designed with nonequivalent control group non-synchronized design. The data were collected from 17 samples in the experimental group and 17 samples in the control group hospitalized at the dept. of Psychiatric in the medical center of K University from April, 1 to October, 17, 2003. The subjects of the experimental group underwent the therapeutic recreation program twice a week for 5 weeks. The tools of this study were the self-esteem scale, interpersonal relationship change scale and positive and negative syndrome scale. The data were analyzed with the use of the SPSS Win 11.0 program. Result: This study was summarized as follows ; It was discovered that the therapeutic recreation program was effective in improving the self-esteem (F=8.63, p=.006). It was discovered that the therapeutic recreation program was effective in the interpersonal relationship change (F=4.18 , p=.049). It was discovered that the therapeutic recreation program was effective in reducing the negative symptom (F=4.47, p=.025). Conclusion: The therapeutic Recreation program shows positive effects on the self-esteem, interpersonal relationship change and the negative symptom of schizophrenic patients.

노인 통증사정을 위한 한국어 판 Short-form McGill Pain Questionnaire [SF-MPQ]의 신뢰도와 타당도

김은주 임상간호사회 2004 임상간호연구 Vol.10 No.1

Purpose: This study was to translate the Short-form McGill Pain Questionnaire (SF-MPQ) from English to Korean and evaluate psychometrics of the pain measure for old adults. Method: Four experts rated the relevance of each item to the objective to determine the content validlty of the SF-MPQ, Korean version. The convenient sample consisting of 120 Korean with pain was participated to evaluate the reliability and validity of the tool. Result: Content validity was accepted by CVI=0.80 in nurse specialists and CVI=0.53 in medical doctors. High alpha coefficient was .86. The correlations between the multidimensional scale and unidimensional scales of the SF-MPQ were r=.76-.85. The type and degree of the pain brought from various diseases were significantly different, using Kruskal Wallis test(x² =l 1.32-21.50, p=.045-.001). The scores of the pain between pre and post operation were significantly different (k.45.49, p<.00l, z=-3.86, p<.00l). The results of determining criterion-related validity of the SF-MPQ on the Numeric Rating Scale indicated that SF-MPQ was strongly correlated with NRS. Conclusion: The SF-MPQ, Korean version was reliable and valid in assessing the various pains that Korean old adults had.

복부 경락마사지가 편마비 환자의 변비 완화와 우울에 미치는 효과

김대숙,최인주,하원춘,이화자,박남희 임상간호사회 2004 임상간호연구 Vol.10 No.1

Purpose: This study was conducted to identify an effect of the abdominal meridian concept for help hemiplegic patients to recover their constipation and to reduce depression. Method: A one group time series design was used. The subjects of the study were 16 hemiplegic patients who were participants at a hospitalized B hospital. After an intial one-week baseline measurement phase without any treatment, there followed two week treatment phases. The data were analyzed with repeated measures ANOVA, and post -hoc Tukey. Results: Through the total period the experimental group demonstrated a statistically bowel movements pre week showed a significant difference(F=4.64, p=.007). In the average scores of CAS the experimental group showed a statistically significant difference between the baseline week and first treatment week, second treatment week. In addition, through the total period the scores of CAS showed a significant difference(F=14.16, p=.000). There were no significant differences between changes in depression and the baseline week and all the other weeks. Conclusion: Despite the number of patients involved in this study being small, relief form of some symptoms associated with constipation was experienced by some patients. From these results, it can be concluded that abdominal meridian massage is an effective nursing intervention for the management of constipation of hemiplegic patients.

뇌졸중 환자를 돌보는 가족원의 부담감과 대처행동에 관한 연구

김인숙,양수향 임상간호사회 2004 임상간호연구 Vol.10 No.1

Purpose: The study was done to examine the relationship between family members' burden and coping behaviors among family member with CVA patients. Method: Data were collected from 102 family members with the CVA patients at two university oriental Medical hospitals in Gwangju City and Sun-chun City from July 17th to Aug. 10th, 2002. The instruments used for this study were the Burden Scale(Suh Mi-Hea & Oh Ga-Sil 1998), and coping behavior scale revised by Han Jung-suk & Oh Ga-Sil based on that of Lazarus & Folkman(1984). Data were analyzed with t-test, ANOVA and Pearson' s correlation through SPSS. Result: The highest score of burden was economic burden(3.24) and the lowest score was emotions burden(2.11). The highest score of coping behaviors was crux of the solution of the problem(2.97) and the lowest score was the indifference(2.34). The levels of burden according to the general characteristics of subjects were significantly different with age(F=8.89, p=0.000l), educational level(F=3.87, p=0.0116), relationship of patients(F=4.57, p=0.0009), a duration of disease(F=5.5 1, p=0.0015), frequency in family or kinsfolk visited(F=4.32, p=0.0066), taking turns of patients care(t=5.09, p=0.0262) and patient-family member relationship before the attack of disease(F=2.61, p=0.0400). The levels of coping behaviors according to the general characteristics of subjects were significantly different with having a religion(F=5.15, p=0.0253), frequency of family or kinsfolk visited(F=4.56, p=0.0050) and patient-family member relationship before the attack of disease(F=2.77, p=0.03 16). Conclusion: Relationship between burden and coping behaviors was not correlated. In subarea, The relationship between dependent area of burden and coping behaviors, and burden and unconcern area of coping behaviors were correlated.