• 임상간호연구
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• 제15권3호
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• pp.49-59
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• 2009

Purpose: Examination was done of the effects on unplanned extubation, oral mucosa, and facial skin integrity in patients with oral intubation secured with a new method using Multifix Endo II. Methods: A prospective quasai-experimental design was used. Data were collected during a 3-week EICU admission period between Jun. 1 and Nov. 30. Two hundreds seventeen (conventional taping group: 105, Multifix Endo II group: 112) orally intubated adults were enrolled in the study at the EICU of the C University Hospital. Results: The incidence of unplanned extubation (${\chi}^2=11.580$, p=0.03) and scores for the facial skin integrity impairment of the Mutifix Endo II group (t=5.28, p=.000) were significantly lower than those of the conventional taping group even though the scores for oral mucosa impairment were not different. The nurse's evaluation of the clinical effectiveness of the two methods including convenience, comfort, safety, and satisfaction were also higher for the new securement method compared to the conventional taping group. Conclusion: The securement method using Mutifix Endo II was more effective than the conventional method in the prevention of unplanned extubation and maintenance facial skin integrity.

• 한국콘텐츠학회논문지
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• 제13권9호
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• pp.504-514
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• 2013

본 연구는 인천 소재 G 대학 간호학생을 대상으로 e.learning기본간호실습 콘텐츠를 이용한 자기주도 학습을 했을 때 지식, 자신감과 교육만족도에 미치는 효과를 파악하고자 시도되었다. 비동등성 대조군 전후 실험설계로 연구대상은 실험군 31명, 대조군 32명, 총 63명의 1학년 간호학생이었고, 연구기간은 2011년 9월 1일부터 11월 30일까지였다. 중재 기간 2주 동안 실험군에게는 기존의 강의 중심의 전통적 실습교육과 더불어 e-learning기본간호실습 콘텐츠를 이용한 자기주도학습(Mosby's Nursing Skills 중 피부와 점막의 투약, 수혈 및 중심정맥관 간호에 관한 9개 항목)을 주 3회 이상씩 총 120분 이상 제공하였으며, 대조군에게는 전통적 실습 교육만을 제공하였다. 연구결과 실험군은 대조군에 비해 지식과 교육만족도가 증가되었으나 유의한 차이는 없었고, 자신감은 유의하게 향상되는 것으로 나타났다. 따라서 피부와 점막의 투약, 수혈 및 중심정맥관 간호의 기본간호 실습에서 전통적인 실습과 함께 e-learning기본간호실습 콘텐츠를 이용한 자기주도학습은 간호학생의 기본간호 술기에 대한 자신감을 향상시키는 효율적인 교수학습 전략이 될 수 있다.

• 성인간호학회지
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• 제13권1호
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• pp.171-181
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• 2001

본 연구는 수술에 사용하는 생리식염수가 수술의 종류와 수술진행단계에 따른 오염수준을 파악하여 생리식염수의 적절한 교환시점과 교환방법을 제시하기 위하여 시도되었다. 1500 병상 규모의 대학병원에서 1명의 일반외과 의사가 집도한 37건의 수술을 대상으로 하였다. 37개의 수술 각각에서 피부 절개전, 장기절제 후, 그리고 피부 봉합시의 3 시점에서 수술에 사용된 생리식염수와 공기에 노출시킨 생리식염수에서 각각 50 mL의 생리식염수를 채취하여 얻은 균주의 수를 비교하였다. 공기에 노출시킨 생리식염수에 비해 수술에 사용된 생리식염수에서 균주가 보다 많이 검출된 것으로 나타났다. 특히 수술의 종류에 관계없이 수술 마지막 단계 즉 피부봉합 단계에서 수술에 사용된 생리식염수의 오염수준이 급격히 증가한 반면 공기에 노출시킨 생리식염수의 오염수준 변화는 미미했다. 수술에 사용한 생리식염수에서는 Enterococcus(9.5%), Enterobacter species(4.6%), E. col i(2.8%), Alcaligenes species(1.2%), Klebsiella species(0.9%) and Pasteurella multocida(0.8%) 등의 균주가 검출되었으나 공기에 노출시킨 생리식염수에서는 이러한 균종이 검출되지 않았다. 수술실의 공기가 수술에 사용하는 생리식염수의 오염요인으로 작용하기보다는 수술조직이 생리식염수의 오염요인으로 작용하는 것으로 사료된다. 특히 수술에 사용하는 생리식염수의 오염가능성을 최소화시키기 위해 수술소요 시간이 길어지거나 또는 오염 수술의 경우 절제부위가 봉합된 후에 수술에 사용하는 생리식염수, 생리식염수를 담는 용기 및 봉합에 이용되는 봉합감자 등을 새로이 준비하여 피부 봉합에 이용해야 할 것으로 사료된다.

• 기본간호학회지
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• 제23권3호
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• pp.256-263
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• 2016

Purpose: This study was done to examine the prophylactic effect of transparent film dressing on the sacrum and coccyx sites to reduce pressure ulcers. Methods: The participants were 317 patients admitted to an SICU in Seoul, Korea. Of the patients, 175 were assigned to the experimental group and 142 to the control group. For participants in the experimental group, a prophylactic transparent film dressing was applied on the sacrum and coccyx. The control group received the usual care. The nurses checked for pressure ulcers on the sacrum and coccyx at least once every duty. When pressure ulcer occurred, it reported on the record form. The results were analyzed using Poisson and Hierarchical logistic regression. Results: The prevalence and risk of pressure ulcer was lower in the experimental group compared to the control group but the difference was not significant. The ICU length of stay was significantly associated with pressure ulcer risk. Conclusion: Findings indicate that prophylactic transparent film dressing helps to reduce pressure ulcer in SICU patients.

• 대한간호학회지
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• 제42권1호
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• pp.116-124
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• 2012

Purpose: The study was done to compare effects of two endotracheal tube (ET tube) fixation methods (rotated fixation versus conventional) on unplanned extubation and skin integrity for orally intubated patients in intensive care units. Methods: The research design was a non-equivalent control group with repeated measures design. Participants were 80 patients; 40 participants assigned to each group. ET tube for the experimental participants fixed with rotated method every morning. Unplanned extubation was assessed by bedside nurses using the unplanned extubation report form. Oral mucosa and facial skin integrity were assessed using oral assessment guide and facial skin integrity assessment guide at day 3, 7, 10 and 14. Results: There was no difference in the unplanned extubation rate between the two groups. Oral mucosa impairment scores for the rotated fixation method were significantly lower at day 7 (p=.044), 10 (p=.048) and day 14 (p=.037). Also facial skin integrity impairment scores for the same group were significantly lower at day 7 (p=.010), 10 (p=.003), and 14 (p=.002). Conclusion: Results of the study suggest that the rotated fixation method is effective for these patients, to prevent impairment of oral mucosa and facial skin integrity. Further research is needed to prevent unplanned extubation.

• 대한간호학회지
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• 제43권6호
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• pp.726-735
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• 2013

Purpose: The purpose of this study was to examine the effects of aroma massage on pruritus, skin pH, skin hydration and sleep in elders in long-term care hospitals. Methods: The participants were elders over 65 years old admitted to long-term care. They were assigned to the experimental group (26) or control group (28). Data were collected from May to August, 2012. Visual Analogue Scale and Verran and Snyder-Halpern Sleep scale were used to identify levels of pruritus and sleep. A skin-pH meter and moisture checker were used to measure skin pH and skin hydration. Aroma massage was performed three times a week for 4 weeks for elders in the experimental group. The data were analyzed using the SPSS Win 17.0 program. Results: There were significant differences in pruritus, skin pH and skin hydration between the two groups. However there was no significant difference in sleep. Conclusion: The results indicate that aroma massage is effective in reducing pruritus, skin pH and increasing skin hydration in elders. Therefore, this intervention can be utilized in clinical practice as an effective nursing intervention to reduce pruritus in elders in long-term care hospitals.

• 대한간호학회지
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• 제34권7호
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• pp.1343-1350
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• 2004

Purpose: The purpose of this study was to identify effects of the SP-6 acupressure on dysmenorrhea, the skin temperature of the CV2 acupoint and oral temperatures in the college students. Method: Data was collected from May 1 to August 31, 2002. A total of 58 students from two universities ticipated in the study. Both groups were pretested before the intervention for three variables', the intensity of dysmenorrhea, skin temperature of the CV2 acupoint and oral temperature. Then, SP-6 acupressure was provided for 20 minutes for students in the experimental group. The instruments used in this study included the Visual Analogue Scale developed by Johnson & Rice(1974), Menstrual Attitudes Questionnaire Scale developed by Brooks-Gunn & Ruble(l980), and a Stress scale developed by Cheun and Kim(l991). Result: There were statistically significant differences in the intensity of dysmenorrhea 30minutes after the intervention. The experimental group had a lower intensity than the control group. There were not statistically significant differences in skin temperature of the CV2 acupoint and oral temperature 30minutes after the intervention with the experimental group. Conclusion: SP-6 acupressure reduced the subjective perception of dysmenorrhea.

• 대한간호학회지
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• 제33권3호
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• pp.405-413
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• 2003

Purpose: This study was performed to investigate effects of behavior modification on obesity index, skinfold thickness, body fat, serum lipids, serum leptin in obese elementary school children. Method: Forty seven students were selected from two elementary schools. Twenty four children in one school were assigned to experimental group and twenty three children in another school were assigned to control group. Experimental group was received 60～70 minutes of behavior modification once a week for 8 weeks. Result: Obesity index of the experimental group was significantly decreased after behavior modification. But there was no significant difference between two groups. The increase of skin fold thickness was significantly low in the experimental group compared to the control group. Percentage of body fat and fat mass were significantly decreased in the experimental group. Fat free mass was significantly increased in the experimental group. HDL-C, triglyceride and serum leptin between the experimental group and control group showed no significant difference. Conclusion: These results indicate that behavior modification is effective in decreasing percentage of body fat and fat mass, in less increasing skinfold thickness and in increasing fat free mass. In conclusion, behavior modification can be used as effective strategy for managing obesity in elementary school children.

• 대한간호학회지
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• 제41권1호
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• pp.110-118
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• 2011

Purpose: The purpose of this study was to evaluate the effects of self-foot reflexology on stress (perceived stress, urine cortisol level, and serum cortisol level), fatigue, skin temperature and immune response in female undergraduate students. Methods: The research design was a nonequivalent control group pretest-post test design. Participants were 60 university students: 30 in the experiment group and 30 in the control group. The period of this study was from April to June 2010. The program was performed for 1 hr a session, three times a week for 6 weeks. The data were analyzed using the SPSS/WIN 17.0 program. Results: The results showed that self-foot reflexology was effective in reducing perceived stress and fatigue, and raised skin temperature in female undergraduate students. But cortisol levels and immune response were not statistically significant different. Conclusion: The results of this study indicate that self-foot reflexology is an effective nursing intervention in reducing perceived stress and fatigue and, in improving skin temperature. Therefore, it is recommended that this be used in clinical practice as an effective nursing intervention for in female undergraduate students.

• 지역사회간호학회지
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• 제22권4호
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• pp.409-419
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• 2011

Purpose: The purpose of this study was to examine the effects of foot reflexology on sleep, depression and skin temperature of the female elderly at home. Methods: This research used the non-equivalent control group pretest-posttest design. The participants were 45 elders residing at home: 23 in the experimental group and 22 in the control group. The experimental group received 30-minute foot reflexology 8 times for 2 weeks. The results were analyzed using ${\chi}^2$ test, t-test with the SPSS/WIN 12.0 program. Results: The results showed that foot reflexology was significantly effective in improving the quality of sleep, reducing depression, and raising the temperature of both feet. However, the temperature of both palms was not statistically significantly different between the two groups. Conclusion: The results of this study indicated that foot reflexology is an effective nursing intervention in improving the quality of sleep, reducing depression, and raising the temperature of both feet. Therefore, it is recommended to use foot reflexology as a complementary nursing intervention for elderly women at home in community.