• 한국엔터테인먼트산업학회논문지
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• 제13권4호
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• pp.401-410
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• 2019

병원 입원환자들이 갈수록 고령화되고 질병의 중증도가 높아져서 섬망 발생율이 증가하고 있다. 본 연구는 간호학생들을 대상으로 섬망지식, 섬망간호 자신감과 섬망간호 수행도를 파악하고, 이들 요인들이 섬망간호 수행도에 미치는 영향을 규명함으로써 섬망간호 교육전략에 기초자료를 제공하고자 시도하였다. 연구 대상자는 G시에 소재한 3개교의 간호학과 4학년 학생 252명이며, 자료수집 방법은 2017년 4월부터 9월까지 구조화된 설문지를 통하여 수집하였다. 섬망지식은 조귀래(2001)가 개발하고 박용숙(2011) 수정한 도구, 섬망간호 자신감은 Akechi 등(1996)이 개발하고 김문자(2014)가 번역하고 수정 보완한 도구, 섬망간호 수행은 서희정과 유양숙(2006)이 개발한 도구를 김미영과 은영(2013)이 수정 보완한 도구를 사용하였다. 수집된 섬망간호 수행에 영향요인에 대한 자료는 단계적 다중 회귀분석으로 분석하였다. 대상자의 섬망 지식은 47점 만점에 29.0점, 섬망간호 자신감은 150점 만점에 71.7점, 섬망간호 수행은 69점 만점에 41.2점으로 나타났다. 대상자의 일반적 특성에 따른 섬망간호 수행은 섬망환자 경험(t=7.719, p<.001), 섬망 간호진단 사용 경험(t=4.850, p=<.001), 섬망간호 교육(t=3.039, p=.003), 임상실습 만족도(t=3.526, p=.001), 섬망환자 경험 부서(t=3.446, p=.001), 중환자실 실습 경험(t=5.349, p<.001)에 따라 유의한 차이를 나타냈다. 섬망간호 수행은 섬망 지식(r=.140, p=.026)과 섬망간호 자신감(r=.341, p<.001) 간에 유의한 순 상관관계가 있었다. 섬망간호 수행에 가장 주요한 예측 요인은 섬망환자 간호 경험(β=.314, p<.001) 섬망간호 자신감(β=.174, p=.003), 중환자실 실습 경험(β=.170, p=.001), 섬망 간호진단 사용경험(β=.129,p=.026), 실습만족도(β=.109, p=.048)의 순으로 나타났다. 모형의 설명력은 28.8%였다(F=22.307, p<.001). 본 연구결과, 간호학생들의 섬망간호 수행을 높이기 위해 섬망환자 간호 경험, 섬망간호 자신감, 중환자실 실습 경험, 섬망관련 간호진단, 실습만족도를 고려한 섬망간호 교육전략의 개발이 필요하다.

• 한국응용과학기술학회지
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• 제38권2호
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• pp.521-531
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• 2021

본 연구는 간호대학생을 대상으로 치매에 대한 지식, 돌봄 이행 및 공감을 파악하여 간호대학생의 치매 환자 간호중재 전략의 기초를 마련하고자 시도되었다. 이에 따른 관계를 규명하기 위한 분석은 기술통계, t-test, ANOVA, Scheffé test, Pearson's correlation coefficient를 이용하였다. 연구결과 간호대학생의 치매에 대한 지식은 학년(t=-4.03, p<.001)이 높을수록, 치매에 대한 관심도(F=5.02, p=.008)가 높을수록 높게 나타났고, 돌봄 이행은 임상실습 만족도(F=3.91, p=.023)가 높을수록 높게 나타났다. 치매에 대한 지식과 돌봄 이행(r=.21, p=.023)은 통계적으로 유의한 정적 상관관계가 있었다. 따라서 본 연구결과를 토대로 간호대학생의 치매에 대한 지식을 높이고 치매 환자에 대한 돌봄 이행을 유발할 수 있도록 임상실습 전에 치매 관련 지식함양을 위한 교육 프로그램을 마련하여 활용할 필요가 있을 것으로 사료된다.

• 지역사회간호학회지
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• 제29권4호
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• pp.467-475
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• 2018

Purpose: The purpose of this study is to investigate adherence to the clean intermittent catheterization (CIC) and influencing factors on the adherence following a customized intensive education program (CIEP). Methods: This work is a retrospective descriptive study. The subjects were 226 emptying failure patients who learned in a CIEP from January 2012 to July 2014. The program developed in 2011 and consisted of 1) customized theoretical education; based on the results of urologic tests, underlying disease, or surgery of the patients, 2) hands-on practice until the trainees were able to master the techniques, 3) questions about the process of catheterization and what he/she needs to know. 4) at follow-up, the survey about adherence and barrier to CIC. Clinical characteristics; the level of satisfaction, understanding, and self-confidence; the barrier in medical records were reviewed. Results: The short-term adherence rate (median 22 days) is 87.6% and the long-term adherence rate (median 112 days) is 50.4%. The biggest obstacle is time management. The levels of satisfaction, understanding, and self-confidence are very high. The variable of Income is the only factor that has influence on adherence. Conclusion: Despite the CIEP, the adherence rate is relatively low. In addition to the education, emotional and psychological supports and regular follow-up are needed to improve long-term adherence.

• 한국콘텐츠학회논문지
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• 제18권11호
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• pp.393-405
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• 2018

문제중심학습(PBL)은 간호 임상실습 시 간호 지식, 기술과 태도를 통합하는 학습자 중심의 교육이다. 본 연구는 간호학 교과과정 가운데 학령전기 아동 성장발달의 PBL 모듈을 적용하기 위한 사전 연구이다. 이에 본 양적연구는 PBL 모듈을 Dick과 Carye의 프로그램 개발 과정(계획, 개발, 적용, 평가 단계)에 따라 개발하였고 2학년 간호대학생을 대상으로 구조화된 설문지를 활용하여 그 효과를 평가하였다. PBL 모듈은 각 팀 당 4-5명의 학생이 약 40분 정도 참여하였다. 수집된 자료는 기술통계, t-test, 내용분석을 하였다. 그 결과 간호대학생의 메타인지 수준이 유의하게 증가하였고, 팀 효능감은 모듈 참여 전후로 유의한 차이가 없었으며, 사후 학습만족도가 높은 수준으로 나타났다. 간호대학생은 PBL 모듈 참여 후 학령전기 아동성장발달에 관한 지식 및 문제해결능력을 습득하였고 PBL 참여 시 팀워크에 대해 만족한다고 응답하였다. 따라서 본 연구 결과는 간호 교과과정 내 PBL 모듈의 적용을 고려하기 위한 근거 자료를 제공하였다.

• Perspectives in Nursing Science
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• 제10권2호
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• pp.158-166
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• 2013

Purpose: This study was conducted to investigate patient safety regulations and guidelines in order to understand their current status, and to examine support measures to improve patient safety in Korean hospitals. Methods: The participants were the safety officers from hospitals with 200 or more beds and 112 hospitals responded to the online survey. The questions covered patient safety regulations, the performance level of patient safety activities, patient safety incident reporting systems, the dedicated professional, training, support mechanisms, and expectations of reporting systems. Results: Among preventative measures, fall prevention and hand hygiene were reported to be most widely practiced (92% and 91%, respectively). Time-out for invasive procedures showed a relatively low practice rate at 70%. Among patient care activities, transfusion, surgery and sedation, medication, and infection management were performed by 84, 74, 93 and 93% of the hospitals, respectively. Patient safety activities included patient safety committee, patient safety cooperation between decision-making bodies, patient safety workshops, seminars, lectures, and training for employees. Conclusion: Patient safety regulations and guidelines have not yet been sufficiently prepared, and a public institution such as a certification authority is of crucial importance to enforce these guidelines.

• 대한예방한의학회지
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• 제19권3호
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• pp.29-43
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• 2015

Objective : The purpose of this study was to identify characteristics of patients' self-perceived health in traditional Korean medical facilities. Method : This research was conducted based on the survey on patients whom have visited traditional Korean medical facilities in 2011 by the Ministry of Health and Welfares and Korean Institute for Health and Social Affairs. Using a sample of 3,931 (1,180 male and 2,751 female) outpatients' self-perceived health based on the data from usage and consumption of Korean Medicine. 'Healthy', 'Fair', and 'Poor Health' were used to measure patients' self-perceived health status. The data was analyzed by frequency, t-test, cross correlation analysis and multiple logistics regression analysis using the SPSS program package. Results : Sex(P<0.001), age(P<0.001), marital status(P<0.001), education(P<0.001), employment status(P<0.001), occupation(P<0.001), health insurance(P<0.001) and income level(P<0.0001) showed statistical significance. Main Treatment Facilities(P<0.001), experience of taking Korean medicine(P=0.032), experience of receiving acupuncture treatment(P<0.001), number of visits(P<0.001), medical expense (P=0.005), and subjective health status after the treatments showed statistical significance for Korean herbal medicine(P=0.038), acupuncture (P=0.001), cupping therapy(P=0.006), oriental physiotherapy(P=0.003), and treatment satisfaction(P<0.001). For subjective health status based on suffering disorders in the past three months, the response of poor health was higher in the group suffering recent illnesses. Statistical significance was seen in hypertension (P=0.002), arthritis(P<0.001), lumbar pain(P<0.001), diabetes mellitus(P=0.001), stroke(P<0.001), hwa-byung (P=0.001), gastric disorders(P=0.021), common cold(P<0.001), ankle sprain(P<0.001), muscular injury(P<0.001), lumbar sprain(p=0.009) and fracture(P=0.03). Also the number of diseases during the past three months showed statistical significance(P<0.001). Statistical significance was also seen in Level of knowledge(P<0.001), route of information(P<0.001), reliability of Korean medicine(P=0.003), insurance coverage(P=0.005), medical costs(P<0.001), and future willingness to use Korean medicine(P<0.001). As a result of the multiple logistics regression analysis, risks of subjective poor health statistically increased in female population, elderlies, medicaid beneficiaries, less educated, higher medical expense, and more disorders during the past three months. Conclusion : Patients' self-perceived health status has significant differences with each variables such as sex, age, marital status, education, health insurance, medical expense, number of diseases.

• 정신신체의학
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• 제18권1호
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• pp.30-39
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• 2010

연구목적 : 임상현장에서 주로 환자나 간호사의 주관적인 수면보고에 의존하여 수면을 평가하고 있다. 본 연구에서는 주관적 수면평가와 활동기록을 이용한 수면평가를 비교하고자 한다. 방 법 : 32명의 정신과 입원 환자를 대상으로 하였고, 대상자들에게 활동기록기를 이용한 수면평가, 수면일지, 주관적인 수면의 질에 대한 시각적 증상 정도 평가, BDI, STAI를 시행하였다. 간호사도 3일 동안 한 시간마다 환자의 수면을 평가하였다. 결 과 : 환자의 보고와 활동기록기를 이용한 수면측정상 입면잠복시간에서 유의한 차이를 보였다. 환자는 간호사보다 자고 있음에도 깨어있었다고 더 많이 보고하였다. 주관적 수면평가와 활동기록 수면평가의 차이는 불안, 우울과 상관관계를 보였다. 결 론 : 주관적으로 수면의 질을 낮게 평가하는 환자일수록 활동기록기로 측정한 입면잠복시간과 더 큰 차이를 보였고, 우울, 불안 증상이 심한 환자의 수면보고는 활동기록 측정값과 큰 차이를 보였다. 이런 환자들에게 수면의 질에 대한 질문만으로는 정확한 수면평가가 어려우므로 객관적인 수면평가가 필요하겠다.

• 농촌의학ㆍ지역보건
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• 제12권1호
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• pp.36-53
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• 1987

It is utmostly important to establish the efficient fitable way of peoples' active participation in primary health care especially in the areas where the public or governmental service input for the basic health care is insufficient like as in rural areas of Korea. In light of above reason, this study focused mainly on the evaluation of roles and activities of village health workers (VHWs) who were selected from grass- root level of village people in order to derive further motivation for active participation. This is believed to be a sort of feedback mechanisms. Actually, the authors collected the activity reports of VHWs who had been devoting themselves in the primary health care services of Jeomdong Area, of Yeoju Gun one of Korea University Community Health Action Programmes and survey record on the VHWs activity from correspondent people. 1 hose data were analyzed through computer programmed package. The activities performed by VHWs were limited to the performance in 1985 for conveniance. The summarized results were as follows; 1) General characteristics of VHWs. Among a total of 28 VHWs in the area, about 39.3g of them have been replaced up to the date since the implementation in 1983, because of moving out, occupational employment and of others. The age of majority (75.0%) lied between the range of 30-50, and educational background of 67.9% belonged to category of primary school graduation, about 50% of them experienced to be or were also entiled "chief of women club" of corresponding villages. 2) Work-load of VHWs. Each VHW was assigned for tasks of health care for average 55 households of 248 persons. They shared approximately 6 days a month for the activity in average and it covered 17 cases of basic health care in a month. A half of the VHWs performed home visits irregularly without solidified schedule. 3) Work performance analysis. Informations collected through VHWs were compared with data from official vital registration at local administration center "Myon Office" in 1985. VHWs collected 100.8 of new born, 116.2 of death, 58.3 of move in and 74.8 of move out in comparison with 100.0 of official registration each. Pregnant women of 79.8% of mothers among the total pregnancy of 94 which were confirmed as normally delivered or aborted cases by all means afterwards had been detected by VHWs as being pregnant and all of them received some of antenatal cares by VHWs. All(100%) of delivered women were detected by VHWs through home visits and they were cared postnatally. Whereas, according to the records of birth registration, the places of delivery were clinic in 33.7%, and mother's home in 66.3%, VHWs reported them to be clinic in 48.9%, midwifery in 20.2%. It was cleared that most of misinformation was caused by uncautious filling of birth registration at notification. Among the total of 717 eligible women under age 44 years, family planning status of 92.6% was reported by VHWs confirming practice of control to be 70.8% of reported fertile women. 4) Attitude of VHW on the roles and functions. Although 92.0% of VHWs expressed VHWs to be worthwhile, only 52.0% of them had dignity and satisfaction in their activity and 44.0% of them had passive attitude of working saying they followed direction regardlessly. Concerning difficulties in performance as a VHW, 60.7% of them pointed out lacking of medical and health related knowledge by themselves. Still, 64.0% of them thought visiting unfamilier house to be awful and 40.0% complained forms of activity to be difficult and hard. It was also revealed that 56.6% confessed lack of interest on community health service itself. Most of VHWs needed more educational training especially on clinical fields such as cares of gynecological diseases, hypertension, diabetes, and other chronic diseaes of the aged. Regular on-the-job basic trainings were said to be needed twice a year.