• 한국산학기술학회논문지
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• 제16권3호
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• pp.1989-2001
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• 2015

본 연구는 요양병원 간호사의 간호역량 중요성 인식과 간호역량수준을 파악하고, 이들 영향요인을 분석하기 위해 시도되었다. 연구대상은 일 지역 11개 요양병원 근무 간호사 243명이었으며, 연구기간은 2014년 8월 25일부터 9월 3일이었다. 수집된 자료는 SPSS WIN 19를 이용하여 빈도, t-test, ANOVA, 피어슨 상관계수, 다중회귀분석으로 분석되었다. 연구결과 요양병원 간호사의 간호역량 중요성 인식 정도는 평균 $4.21{\pm}0.48$점(1-5점 범위), 간호역량수준은 평균 $3.47{\pm}0.46$점(1-5점 범위)이었다. 간호역량 중요성 인식에 비해 간호역량수준이 유의하게 낮았다. 회귀분석 결과 요양병원 간호사의 간호역량 중요성 인식에는 직위(${\beta}=.19$)가 유의한 영향요인으로 규명되었다. 간호역량수준에는 간호역량 중요성 인식(${\beta}=.37$), 연령(${\beta}=.20$), 현 직장경력(${\beta}=.13$), 건강상태(${\beta}=.13$)가 유의한 영향요인으로 규명되었다. 본 연구결과를 바탕으로 요양병원 간호사의 간호역량의 특성을 보다 잘 반영할 수 있는 측정도구의 개발과 간호역량 강화 프로그램의 개발 및 효과검증 연구를 제언한다.

• 한국콘텐츠학회논문지
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• 제15권4호
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• pp.316-329
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• 2015

이 연구는 간호대학생들의 혈액 및 체액의 노출실태와 표준주의에 대한 지식, 인지도와 수행도를 파악하여 감염교육을 위한 기초자료로 제시하고자 시도하였다. 연구대상자는 J지역의 간호학과 3, 4학년 간호대 학생 309명이었다. 대상자의 혈액과 체액에 대한 노출경험은 71.5%이었다. 표준주의에 대한 지식 평균점수는 $20.59{\pm}2.05$점이고, 학년, 감염교육 유무 등에서 통계적으로 유의하였다. 인지도의 평균점수는 $4.67{\pm}.36$점이고 연령, 사후조치 없음의 이유 등에서 통계적으로 유의하였고, 수행도 평균점수는 $4.25{\pm}.70$점이며, 혈액 및 체액 접촉에서 유의하였다. 대상자의 표준주의에 관한 지식, 인지도와 수행도와의 관계는 각각 양의 상관관계로 나타났다. 표준주의 수행도에 영향을 미치는 요인으로는 표준주의 인지도(${\beta}=.274$)만이 유의하게 나타나, 표준주의 수행도 변인의 8.6%를 설명하였다. 표준주의의 인지도와 수행도가 낮은 점수의 영역을 중점적으로 보완한 다양한 감염관리 프로그램의 개발이 필요하며, 학생들에게는 임상실습 진입 전, 감염예방에 대한 교육이 강화되어야 할 것이다.

• Environmental Analysis Health and Toxicology
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• 제21권2호
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• pp.153-163
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• 2006

Essential metals have been known to interact with non-essential toxic metals in the aspects of absorption, transport and deposition in the body. Iron deficiency has been reported to increase lead and/or cadmium absorption. The relation between iron and lead has been understood well in children but not in adults. Two hundred seventy adults (118 males and 152 females) were recruited from 3 different residental areas (rural, coastal and urban) to investigate the effects of environmental lead exposure on body iron status. The subjects were interviewed for life-style and diet of the last 24 hours, and measured for blood lead and body iron. The lead concentration in the whole blood was determined by a flameless method using an atomic absorption spectrophotometry. The body iron was evaluated with values of hemoglobin, hematocrit, RBCs, serum total iron, unsaturated iron binding capacity, total iron binding capacity and ferritin. The mean concentration of blood lead in adult was $3.31{\mu}g/dL$. The concentration was higher in male ($3.97{\mu}g/dL$) than in female ($2.86{\mu}g/dL$). The blood lead was influenced by residental area, life-style, smoking and drinking, occupation and diet habit of subjects, but not by age. A positive correlation was observed between the blood lead level and the serum iron or ferritin. These results suggest that environmental lead exposure in Korean adult may not be higher than other developed and developing countries. It is further indicated that blood lead in adult could be influenced by life-style, and environmental and genetic factors but no inverse relation with body iron as shown in children.

• Journal of Nutrition and Health
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• 제6권3호
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• pp.27-36
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• 1973

The primary purpose of this research paper is to study the nutrition intake status of high school students and their physical growth and development. Further, it made an attempt to find and define nutritional problems and assist in their growth and development through proper nutritional management. One hundred students in both sexes, first year grade in senior high school were provided with questionnaires. For six days the respondents filled out the questionnaires. They were asked to keep record of what they ate each meal. Their nutritional intake were analyzed in accordance with what they ate. Findings, conducted on percentage, CR test, t test, and F test, were as follows: 1. For the living circumstance a) Average numbers of brother and sister in sampled family were four. b) Seventy to eighty percent of the students were brought up by mother's milk at their infants and approximately 40% of students were weaned at the age of 7 to 18 months. c) Fifty percent of the respondents revealed irregulity in their meal time. d) Monthly average expenditure for daily food reached $20{\sim}40%$ out of total income. e) The most favorite foods reflect as follows: The most favorite main dish is boiled rice and side dish beaf. Fruits. juice, milk, ice cream are more popular snack among whole students. 2. Nutrition survey a) Calory sad nutrients were found to be below the recommended level, especially in calcium, vitamins A, $B_2$ and C. b) The total calory intake were composed of 73% from carbohydrate, 14% from protein and 13% from fat in the case of boys. The girls were 65%, 14%, 21% respectively. c) Both boys and girls in their animal protein intake averaged about 33% out of total protein intake. d) Meat consumption of the majority respondents were proportionate in $10{\sim}20%$ in their total food consumption. 3. The result of statistical analysis were as follows: a) Statistical significant differences in the relationship between the calory intake and physical growth index were observed at the level of p<0.05. b) Statistical significant differences in the relationship between the protein intake and physical growth index were observed at the level of p<0.05. c) Statistical significant differences in the relationship between meal time and physical growth index were observed at the level of 0.02<0.05. d) No statistical significant differences in the relationship among calory, protein intake and school records as well as intelligence were found. The experiment indicated that there is a direct relationship between nutrition and the physical growth and development, whereas There seems to be an indirect relationship between nutrition and intelligence.

• Journal of Nutrition and Health
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• 제24권4호
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• pp.308-313
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• 1991

초음파기(A-mode type, TATT, TH-500, Datoherutsu Co, Japan)를 이용하여 20-39세의 한국 사람들의 삼두박근, 견갑골하부, 장골위, 대퇴부의 피하지방을 측정하고, 이 피하지방 두께와 표준체중, 상대체중(relative body weight, RBW), body mass index(BMI), $R\ddot{o}hrer$지수와의 상관관계를 알아 보았다. 남성에서는 장골위의 피하지방 두께가 $9.04{\sim}9.51mm$로 가장 크고, 견갑골 아래가 $9.04{\sim}9.51mm$, 대퇴부가 $6.48{\sim}7.04mm$, 삼두박근이 3.48${\sim}$3.69mm이었다. 피하지방 두께와 여러 신체 지수와의 상관관계를 보면 삼두박근의 피하지방 두께와 BMI(r=0.618), $R\ddot{o}hrer$지수(r= 0.622)가, 장골위의 피하지방 두께와 체중(r=0.551). RBW(r=0.457), BMI(.= 0.478), $R\ddot{o}hrer$ 지수(r=0.418), 견갑골 하부의 피하지방 두께(r=0.433)가 양의 상관관계가 있었다. 여성에서는 대퇴부의 피하지방 두께가 $11.85{\sim}12.15mm$로 가장 크고 장골위가 $8.79{\sim}9.87mm$9.87mm, 견갑골하부 $6.21{\sim}6.91mm$, 삼두박근이 $4.80{\sim}4.93mm$이며, 대퇴부의 피하지방 두께가 RBW(r=0.339), BMI(r=0.347), $R\ddot{o}hrer$ 지수(r=0.330)와 양의 상관관계를 나타냈다. 남성의 경우 삼두박근의 피하지방 두께가 RBW, BMI, $R\ddot{o}hrer$지수와 상관관계가 있었고, 장골위의 피하지방 두께는 RBW, BMI, $R\ddot{o}hrer$ 지수외에 체중과도 상관관계가 있었으므로 초음파를 이용한 피하지방측정은, 남성은 장골위가 가장 유용함을 알 수 있었고, 여성의 경우는 대퇴부의 피하지방 두께가 RBW, BMI, $R\ddot{o}hrer$ 지수와 상관관계가 있었으므로 대퇴부의 피하지방 측정이 가장 유용함을 알 수 있었다. 비만 측정에서 초음파 장치는 여러 가지 장점이 있으므로 앞으로 이에 대한 연구가 있어야겠다.

• Journal of Nutrition and Health
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• 제14권4호
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• pp.200-208
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• 1981

A survey was conducted from January 23 to 31 and February 14 to 18, 1981, in Whaseounggun, Kyunggj-do, to investigate the dietary and nutritionary status, and prevalence of parasitic infection of the fertile women, in an attempt to provide an integrative perspective on the rural family health programmes. The results are summarised as follows; The total number of fertile women, randomly selected, was 197 ; 21 women were in the latter half of pregnancy; 38 women, lactating, the remaning, non-pregnant. Average age of the subjects was 31.4 years; average number of children, 2.7; average number of abortion, 0.9; average family number in home, 5.5. The families had a mean income of \ 2,470,000 per fear. The majority, 83.8% of the families, were engaged in farming. 61.4% of the subjects had completed schooling 6 years or less. The mean energy intake of the lactating women was 73.4% of the recommended allowance, while that of non-pregnant and pregnant women reached 86.9 to 88.6% of the recommendation. In the average diet of the subjects, carbohydrates contribute 74.6 to 81.7% of the total energy intake; protein 11.3 to 11.9%; fat 7.0 to 13.9%. Protein intake of non-pregnant, pregnant, and lactating women met 72.6%, 60.8%, and 65.2% of allowance, respectively; and those proteins were mainly derived from vegetable sources. The subjects ingested less than one-half of the allowances for iron, calcium, vitamin A, and riboflabin ; in contrast, thiamin and ascorbic acid levels were adequate or fairly acceptable. There were significant correlations of meal balance and food diversity scores to the mean intake levels of protein, calcium, iron, vitamin A, thiamin, and riboflavin. Only 10% of the pregnant women and 11.4% of non-pregnant and lactating women reached the acceptable level of hemoglobin. Positive prevalence of parasitic infection was found among about one-third of the subjects, 30.3% of women. Hematologic findings had no significant correlation to parasitic infection.

• Journal of Chest Surgery
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• 제29권3호
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• pp.315-321
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• 1996

폐암 환자에서 기관지성형술은 전폐절제술을 받기에 폐기능이 충분치 않은 환자에서 사용되었으나 최근에는 일부 환자에서 전폐절제술을대신할만큼 발달되었다 1992년 1월부터 1995년 7월까지 15례의 폐암 환자에서 기관지성형술을 시행하였다. 연령 분포는 46세에서 70세까지였으며 60대가 8례로 가장 많았다. 남자 13례 여자 2례 였다. 소매우상엽절제술이 7례로 가장 많았고 소매우하엽절제술 2례, 소매좌 상엽절제술 5례, 소매전폐절제술이 1례였다. 수술 병기는제 1병기 3례, 제 2병기 8례,제 3병기가 1례였고 T4N2MO가 1례 였다. 술후 합병증을 보면 국소적 재발이 3례로 가장 많았고 그외 문합부위 육아조직 형성이 1례, 창상감염이 1례였다. 패혈증에 의한 수술사망이 1례 있었으며 만기사망이 2례 발생하여 전 체 환자의 3년 생존율이 80%였다. 술전 폐기능검사를 이용하여 술후 예상 FEVI을 구하여 술후 실측 FE'Vl과 비교해 본 결과 상관계수 0.71로 상관관계가 있는 것으로 나타나 문합부위 이하의 폐기능이 잘 보존 된 것으로 사료되 었다. 결론적으로 폐암 환자의 일부에서 수술이 원만히 이루어지고 술후 적절한 환자관리가 된다면 기관지 성형술이 幌瓚卉┝杏릿\ulcorner향상된 폐기능을 유지하면서 높은 생존율을 보일 것으로 사료된다.

• 한국자원식물학회지
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• 제26권1호
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• pp.60-67
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• 2013

동부 종자를 7일 동안 재배하여 각 발아 일수별 새싹나물의 생육, 폴리페놀 함량, 플라보노이드 함량, 항산화성 및 항산화효소 활성 차이를 검토하였다. 발아 일수별 동부의 신장과 생체중은 유의적으로 증가하는 것으로 나타났다. Folin-Denis방법에 따른 총 페놀 함량은 건종자(DS), 침종종자(IS), 발아 후 1일묘(1DOS), 3일묘(3DOS), 5일묘(5DOS), 7일묘(7DOS)에서 각각 63.9, 56.8, 46.4, 36.0, 29.9, $32.2mg\;kg^{-1}$로 나타나 건종자에서 가장 높았고, 발아일수가 길수록 낮아지는 경향이 뚜렷하였다(p < 0.05). DPPH 라디컬 소거능은 추출물 농도가 증가할수록 높은 활성을 보였으며 건종자, 침종종자, 발아 후 1일묘, 3일묘, 5일묘, 7일묘 순으로 각각 87.3, 41.2, 30.4, 27.4, 28.1, 17.1%로 건종자에서 가장 높게 나타났고, 발아일수가 길수록 낮아지는 경향이 뚜렷하였으며 발아 후 7일묘에서 가장 낮은 활성을 보였다. 항산화효소 활성은 APX와 CAT 활성은 건종자, 침종종자, 발아 후 1일묘, 3일묘, 5일묘, 7일묘 순으로 유의적으로 높게 나타났고 POX 활성은 발아 후 3일묘부터 급격히 증가하다 7일묘에서 가장 높은 활성을 보였다. SOD 활성은 건종자에서 가장 낮게 나타났고, 발아 후 1일묘에서 가장 높았으나 유의적인 차이는 없는 것으로 나타났다. 생리활성물질과 그 활성간의 상관관계는 APX와 CAT 활성($r^2$= 0.9574)간 가장 높게 나타났고, 그 다음이 CAT와 POX 활성간, POX와 DPPH 활성간, APX와 POX 활성간 순으로 각각 0.9427, 0.8509, 0.8471로 높게 나타났다. 또한, 생리활성물질 중 총 페놀은 총 플라보노이드에 비해 높은 함량을 보였고 이는 항산화성과 항산화효소 활성에 더 높은 관련성이 있는 것으로 나타났다.

• 대한간호학회지
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• 제26권1호
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• pp.94-106
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• 1996

Nursing literature suggests that the self-concept of nurses gives an important implications to educators and administrators as well as clinicians for their professional development. With a view to exploring how nurses view themselves, the Professional Self-Concept of Nurses Instrument (PSCNI) using 27 Likert items was developed by Arthur in Australia in 1990. This study is an extension of the PSCNI using Korean samples with some modifications. A convenience sample was drawn from 800 nurses working in three university hospitals in Seoul ; three university hospitals in Kyonggi-do and a university hospital and a psychiatric hospital in Kangwon-do. Seven hundred questionnaires were analyzed using the statistical analysis system(SAS). The reliability of the scale was tested by test-retest and Cronbach's alpha. Differences in the PSCNI, which are closely related to demographic variables, were examined by t-test, ANOVA and the Duncan's multiple range test. Factor analysis was employed so as to examine component factors. The results are summarized as follows : 1. The test-retest reliability of the PSCNI was .79 and Cronbach's alpha was .85. Item correlations with total revealed consistent correlations and subscale reliability varied from .49 to .85. 2. The average score of PSCNI was 75.21 and average item score was 2.79. 3. Twenty four items were derived from the PSCNI 27 items and these items clustered in three component factors. The cumulative percent of variance was 38.12％ and for factor 1 was 22.81％, for factor 2, 9.79％ and for factor 3, 5.51％ respectively 4. A comparison of the scores for the dimensions of the PSCNI shows a relative difference in terms of mean item scores and in descending order, professional practice（m=2.83）, communication （m=2.82） and satisfaction（m=2.70）. 5. Professional self-concept of nurses was found to vary significantly according to age（P=.0001）, religion（P=.0001）, academic background（P= .0109）, marital status（P=.0001）, career（P= .0001） and position（P=.0001）. In conclusion, there was a correlation between professional self-concept of nurses, and life and work variables. This study provides an important message for administrators and nurse educators by highlighting factors which can be addressed by education programs, staff development and appraisal. While the test results largely confirm the Australian and Canadian tests, further research is necessary to improve the cumulative percent of variance instead of applying Arthur's PSCNI directly to Korean nurses.

• 대한간호학회지
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• 제26권1호
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• pp.148-164
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• 1996

The effect of circumvaginal muscle(CVM) exercises to improve sexual function in married women has not been investigated by currently acceptable research methods, nor have appropriate instruments and techniques to carry out such investigation been available. The purpose of this research was to study the effect of CVM exercise on sexual function, and of measuring CVM function after CVM exercises. The research tools used were a modified Derogates Sexual Function Inventory questionnaire and a pressure sensitive intravaginal balloon device. This research was conducted in Kwangju-city and Chonnam province, Korea from July, 1994 to July, 1995. The research used a non-equivalent control pre-post test quasi-experimental design. Forty-five healthy married female volunteers, aged 30-58, and were randomly assigned by age using the matching fixed-length blocks to two groups. The experimental group consisted of 21 women who were assigned a 25-minute per day CVM home exercise program for six weeks. The control group of 24 women did not do the CVM home exercises. The CVM home exercise was developed by Dougherty(1989a) and adopted to Korea by Lee (1993). Data were analyzed by $x^{2-}$test, Paired t-test, Spearman product-moment correlation using SAS /P $C^+. The results are summarized as follows : 1. There were no significant differences in the characteristics of the subjects between the experimental and control groups before the CVM home exercises. 2. Hypothesis 1 that married women who participated in CVM home exercises would have higher mean scores on the sexual function(SF) than in those who did not participate in home exercise was supported. 3. Hypothesis 2 that married women who participated in CVM home exercises would have higher vaginal pressure on SF than in those who did not participate in home exercises was supported (mean maximum pressure, t＝－7.338, P＜.0001, peak maximum pressure, t＝－11.164, P＜.0001). 4. Hypothesis 3 that the more often(number of days) and the more frequent (numbers of time per day) that married women do CVM home exercise, the higher their mean scores on SF and vaginal pressures was supported（r＝0.233, P＜.01 ; r＝0.352, P＜.05）. A six week CVM home exercise program using a tape recording showed that SF can be improved. Results of this study showed that married women who exercise on a regular basis for six weeks improve their sexual function and increase the mean vaginal pressure and peak maximum pressure (tested by electronic monitor). In conclusion, CVM exercise is effective in increasing SF.SF.