• Title/Summary/Keyword: 간호관

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Factors Influencing Post-Traumatic Growth in Patients with Gastrointestinal Cancer (위장관 암환자의 외상 후 성장 영향요인)

  • Yang, Seul Gi;Boo, Sunjoo
    • Journal of Korean Clinical Nursing Research
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    • v.29 no.1
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    • pp.85-94
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    • 2023
  • Purpose: The purpose of this study was to investigate the influencing factors of post-traumatic growth in patients with gastrointestinal cancer. Methods: A cross-sectional study was conducted, enrolling 120 patients with gastrointestinal cancer. Their general characteristics, disease-related characteristics, perceived illness intrusiveness, levels of optimism, social support, and post-traumatic growth were assessed through self-administered questionnaires. The collected data were analyzed using descriptive statistics, independent t-test, oneway ANOVA, Pearson's correlation, and multiple regression analysis. Results: The mean score of post-traumatic growth was 52.74 points(total score of 92 points). Among the subscales of post-traumatic growth, levels of the preciousness of life were the highest, and relating with others was the lowest. The post-traumatic growth was found to be significantly correlated with optimism (r=.48, p<.001), social support (r=.47, p<.001), and depression (r=-.37 p<.001). Factors associated with post-traumatic growth were optimism (β=.36, p<.001), social support (β=.31, p<.001), and depression (β=-.27, p<.001). Conclusion: Given that prevalence of gastrointestinal cancer is increasing in Korea, identifying general, psychological, and social factors affecting post-traumatic growth among this population will be helpful in clinical practice. Integrated strategies to increase optimism and social support and lower depression should be considered to improve the post-traumatic growth of patients with gastrointestinal cancer.

The Iowa Debate (간호교육 - Iowa 주에서 열린)

  • 대한간호협회
    • The Korean Nurse
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    • v.6 no.6 s.32
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    • pp.30-48
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    • 1967
  • 최근 Iowa주 간호협회, 제2지구 주최로 Iowa 주 Marshall town 에서 개최된 토론회기사가 우리에게 좋은 참고재료가 될 것같아 여기 옮기기로 했다. 이 토론회에는 간호원을 위시하여 병원행정관, 학생 및 기타 간호사업에 관심을 가진 인사들 약 500명이 참석하였었다. 왜 이 많은 사람들이 이 문제에 흥미를 가지고, 토론회를 열게끔 되고 참석하게끔 되었는가 하는 의문에 대한 해답을 원문의 편집자는 아래와 같이 풀이하고 있다. 즉 ''간호교육에 대한 깊은 관심과 나아가서는 간호사업이 당면한 딜렘마에 대한 절실한 관심 때문이다''라고. 이 문제 토론을 이끌어 주신 분은 Iowa주에 있는 Iowa주립대학교 간호대학 학장이시며 저명한 간호교육자이신 Laura C. Dustan 여사와 New York의 Albany Medical Center 의무부총장인 Thomas Hale 박사의 두분인데 Hale박사는 병원 부속 간호학교제도를 제창하는 분이다. 여기 위 두분의 연설문과 연설 후에 있었던 방청객과의 질의 및 토론의 발체문을 제한된 지면 관계로 일부만 실리겠다.

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The effect of university students' personal values and fertility promotion policy perception on Childbearing willngness (대학생의 개인적 가치관과 출산장려정책 인식이 출산의지에 미치는 영향)

  • Hyun-Jung Jang;Yun Jeong Lee
    • The Journal of the Convergence on Culture Technology
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    • v.9 no.2
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    • pp.83-90
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    • 2023
  • This study was attempted to identify the effect of university students on their childbirth willingness, provide it as basic data for childbirth encouragement policies, and contribute to the composition of educational data. Multiple regression analysis of data from 195 university students using the SPSS/WIN 22.0 program. The more conservative the view of marriage (r=.142, p<.05) and the higher the degree of awareness of childbirth encouragement policy(r=.258, p<.01), the more significant the correlation was childbearing willingness. The conservative marriage values, youth job policies, and the degree of recognition of work-family balance support influenced the childbearing willingness, and these variables explained the childbearing willingness 9.2%.

서울시내 산업간호사의 업무수행과 직무만족, 지식과의 관계

  • Jo, Won-Jeong;Gang, Hae-Sin
    • Korean Journal of Occupational Health Nursing
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    • v.1
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    • pp.30-51
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    • 1991
  • 본 연구는 산업간호사가 수행하는 산업간호업무 수행실태를 파악하고 업무수행에 영향을 미치는 요인이 무엇인지를 직무만족도와 지식의 측면에서 조사 분석하기 위한 목적으로 이 연구를 시도하였다. 연구방법은 1991년 4월 26일 부터 5일 3일까지의 총 8일간 서울시내에 소재하고 있는 사업체의 산업간호사 77명을 대상으로 연구자와 조사자 1명이 직접방문을 하여 자료수집 하였다. 자료는 SPSS를 이용하여 전산처리 하였다. 실수와 백분율, 평균 표준편차를 구하였으며, Pearson Correlation Coefficient, ANOVA 분석방법올 활용하였다. 본 연구의 결과는 다음과 같다. 1. 산업 간호업무 수행 정도는 근로자건강관리업무 중의 통상질환관리 업무를 대상자의 97.6%가 실시하여 수행정도가 가장 높았고, 가장 수행정도가 낮은 업무는 근로자복리중 진업무로 대상자의 40.2%만이 실시하고 있었다. 산업환경위생관리업무(실시율 45.5%), 직업병 관리업무(실시율 43.1%), 산업보건교육업무(실시율41.5%)로 역시 낮은 실시율을 보였다. 2. 산업간호사 직무만족도는 최대가능점수 240점에 대하여 점수 143.8점이며 최대평점 5점에 평점 3.0으로 나타났고 상호작용, 전문적위치, 자율성면에서 3.4점으로 높았으며 보수에 관한 만족도는 평점 2.3으로 가장 낮아 산업간호사들이 보수에 대해 불만족하고 있는 것으로 나타났다. 3. 산업간호사의 산업간호업무 관계지식정도는 최대가능점수 21점에 대하여 점수 17.9점을 나타내었다. 영역별로 가장 많이 알고 있는 지식은 건강관리실운영업무 관계지식으로 정확하게 알고있는 사람이 63명으로 전체의 81.4%이었고, 가장 낮게 알고 있는 지식은 산업환경위생관리 업무 관계지식으로 정답자는 42명(54.2%)이었다. 4. 산업간호업무 수행정도와 직무만족도 및 지식정도와의 상관관계를 분석하여 본 결과 직무만족도가 높을수록 업무수행정도가 높은 것으로 나타났고 (r=.3010, P<.01), 업무수행정도와 지식정도 역시 순상관관계 (r=.2591, P<.05)가 있음이 통계적으로 유의하여 지식정도가 높을수록 업무수행정도가 높음을 알 수 있었다. 그러나 직무만족도와 지식정도는 상관관계가 없었다. 결론적으로 연구에서 나타난 산업 간호사의 업무수행은 통상질환관리 위주의 업무로서 직업병 예방, 산업보건교육, 산업환경위생관리 업무등에는 수행이 미비한 것으로 나타났으며, 업무수행과 직무만족도 및 지식정도는 순상관관계가 있어 직무만족도와 지식정도가 높을수록 업무수행이 높은 것으로 나타났다.

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Comparing Nursing Perspective Between BSN and RN-BSN Program Student (4년제 정규과정과 RN-BSN과정 간호학생의 간호관 비교)

  • Paik, Seung-Nam;Cho, Kyoul-Ja
    • Journal of Korean Academy of Nursing Administration
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    • v.10 no.4
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    • pp.417-425
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    • 2004
  • This descriptive survey design study was aimed to investigate nursing students' perspectives of nursing care. One hundred seventeen junior or senior students in BSN program and 131 junior or senior students in RN-BSN program at K University were compared and contrasted in terms of their perspectives on nursing care. Using the instrument developed by Cho Kyoul-Ja and Song Mi-Ryung(1997), the data were collected from April 1st to April 30th in 2003. The findings of the research are as follows. 1. The average perspective score of the RN-BSN students was higher than that of the BSN students. 2. The RN-BSN students reported higher scores than those of the BSN students in perspectives on personal qualification and meanings, and perspectives on scope and function of their nursing care. However, there was no significant difference between the groups in overall nature and domains of nursing care. 3. In terms of the participants' demographic backgrounds such as, grades in the program, religion, history of hospitalization, there was no significant difference between the BSN and RN-BSN groups. 4. No significant difference was found within the RN-BSN group in terms of their nursing perspectives associated with the years of clinical experience. In conclusion, the score of nursing perspectives in RN-BSN student group was higher than that of the BSN students. No other differences were found in this study. The higher nursing perspective score in RN-BSN group is attributed to their clinical experience. Thus, it is suggested that philosophy and value of nursing should be taught early in nursing program in order for nursing students to obtain proper points of views on nursing care. In addition, nursing philosophy, holistic view, and humanistic values should be stressed in continuing education for clinical nurses in order for them to maintain dignitary perspectives in nursing care.

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Development and Evaluation of a Self-Management Program for Tracheostomy Tube Management for Homecare Client: Focus on Caregivers (기관절개관을 보유하고 있는 가정간호대상자를 위한 기관절개관 자가관리 프로그램 개발 및 평가: Caregiver를 중심으로)

  • Ma, Cho Won;Lee, Joo Youn
    • Journal of Korean Clinical Nursing Research
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    • v.17 no.3
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    • pp.329-339
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    • 2011
  • Purpose: The purpose of this research was to develop and train caregivers in tracheostomy tube care using a self-management program to assist patients with an 'at home' tracheostomy procedure. Caregivers' self-efficacy and knowledge of tracheostomy management before and after the training was also identified. Methods: Research participants were the main caregivers for patients with tracheostomies who were affiliated with a 'Home Healthcare Center'. Training and observation were done at 'A Hospital' and 'G Hospital' both affiliated with 'K University' in Seoul. Data were collected from May 3, 2010 to January 25, 2011 and analyzed using Wilcoxon signed rank test with SPSS program version 12.0. Results: Significant differences were found for the pre and post evaluation of the 'self-management program' for the implementation of tracheostomy care. The development and implementation of the 'self-management program' improved the main caregivers' knowledge of tracheostomy tube management (Z=-3.599, p<.001). Conclusion: Results show that this program has identified an effective nursing intervention for promoting the caregivers' knowledge of tracheostomy care and self-efficacy. We recommend that further research should be done to test primary caregivers' maintenance of knowledge and self-efficacy in tracheostomy tube management and identify factors affecting knowledge and self-efficacy in the care of these patients.

The Impacts of Social Isolation, Psychological Acceptance, and Sleep Disorder of Nursing College Students on Depression (간호대학생의 사회적 고립감, 심리적 수용, 수면장애가 우울에 미치는 영향)

  • Cho, Ok-Hee;Hwang, Kyung-Hye
    • Journal of Digital Convergence
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    • v.15 no.11
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    • pp.329-338
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    • 2017
  • The purpose of study was to investigate the impacts of social isolation, psychological acceptance, and sleep disorder on depression among nursing students. Subjects were 383 nursing students in Gyeonggi-do, and survey was conducted from June to July 2015. The data were analyzed by t-test, ANOVA, Pearson's correlation coefficients, multiple regression analysis. The results showed that depression was different in grade, academic stress, major satisfaction of nursing. Depression was correlated with social isolation (r=.47, p<.001), sleep disorder (r=.43, p<.001), and psychological acceptance (r=-.41, p<.001). Academic stress, major satisfaction of nursing, sleep disorder, social isolation, and psychological acceptance were identified as factors affecting depression. It is necessary to be considered social isolation, psychological acceptance, sleep disorder and other variables in developing convergence program to reduce depression in nursing students.

Effects of Early Oral Feeding versus Delayed Oral Feeding on Bowel Function, Gastrointestinal Complications and Surgical Recovery after Cesarean Section under Regional Anesthesia: Systematic Review and Meta-Analysis (부위마취로 제왕절개 수술을 받은 산모의 조기 경구섭취가 장 기능, 위장관 합병증 및 수술 후 회복에 미치는 효과: 체계적 문헌고찰 및 메타분석)

  • Kim, HyoJin;Jeon, YeongKyung;Yoon, SoYoung;Lee, GeumMoon
    • Journal of Korean Academy of Nursing
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    • v.51 no.6
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    • pp.732-745
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    • 2021
  • Purpose: This study aimed to assess combined effects of early oral feeding after Cesarean section (C/S) under regional anesthesia on bowel function, gastrointestinal complications and surgical recovery. Methods: A systematic literature search was conducted using KISS, RISS, PubMed, CINAHL, EMBASE, CENTRAL and Google Scholar to identify randomized clinical trials comparing early oral feeding (EOF) with delayed oral feeding (DOF) after C/S. Outcome variables were bowel function and gastrointestinal complications and surgical recovery. Effect size was calculated using weighted mean differences (WMDs) and relative risks (RRs), with 95% confidence intervals (CIs). Results: Seven studies involving 1,911 patients from 568 studies, 7 studies were included in meta-analysis. EOF was significantly associated with shorter time to recover bowel movement compared with DOF (WMD, - 2.50; CI, - 3.50~- 1.50). EOF was not associated with nausea (RR, 1.15; CI, 0.87~1.53) and vomiting (RR, 0.96; CI, 0.65~1.42), but lower incidence of abdominal distension (RR, 0.70; CI, 0.50~0.98). EOF was significantly associated with shorter time to discontinuation of intravenous fluids (WMD, - 8.88; 95% CI, - 16.65~- 1.11) and removal of urinary catheter (WMD, - 15.23; CI, - 25.62~- 4.85). Conclusion: This meta-analysis provides evidence that EOF after C/S under regional anesthesia not only accelerates return of bowel function and surgical recovery but also reduces gastrointestinal complications. These results suggest that EOF should be offered to women who have undergone C/S to improve the recovery experience and reduce overall medical costs.

The Effects of an Cardiocerebrovascular Disease Prevention Program on Cardiovascular Risk Factors and Quality of life in Elderly (심뇌혈관질환 예방프로그램이 지역사회 노인의 심혈관 위험요인과 삶의 질에 미치는 효과)

  • Kim, Ji-Young;Ryu, Hyun-Sook
    • Journal of the Korean Applied Science and Technology
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    • v.36 no.1
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    • pp.237-247
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    • 2019
  • The purpose of this study was to investigate the effect of cardiocerebrovascular disease prevention program on cardiovascular risk factors and quality of life in the elderly. A non-equivalent control group pretest-posttest design was used. Participants were 44 elderly who registered at the public health center. The experimental group(n=22) received the cardiocerebrovascular disease prevention program for the elderly 8 times. There were significant differences in the systolic blood pressure(t=-2.419, p= .020), diastolic blood pressure(t=-2.226, p= .031), blood glucose(t=-2.071, p= .045) and quality of life(t=2.511, p= .016) between the experimental group and the control group. The results suggest that cardiovascular disease prevention program can be an effective strategy to reduce cardiovascular risk factors and improve the quality of life of the elderly.