수학적 문제해결 과정 중 탐구 단계에서 나타나는 메타인지에 관한 연구

정문숙 이화여자대학교 교육대학원 1995 이화교육논총 Vol.6 No.-

일부지역 산모의 위험요인 및 산전관리수혜

정문숙 慶北大學校 醫科大學 1985 慶北醫大誌 Vol.26 No.4

1984년 7월 1일부터 1985년 6월 30일까지 경상북도내 2개 모자보건센타와 7개 보건진료소에 등록 분만한 유배우 모성 405명의 임신부 등록부와 분만대장을 근거로 지역사회 의료전문인에 의해 정상질식 분만한 산모의 일반적 상태와 산전관리 수혜상태 및 위험징후별 위험평점 등을 조사 분석한 결과는 다음과 같다. 대상자의 연령은 25세에서 29세가 52.3%로 가장 많았고, 평균 26.9세이었다. 교육정도는 국졸이 58.0%로, 경제상태는 "하"가 51.6% 그리고 분만장소는 모자보건센타가 69.4%로 가장 높게 나타났다. 현존자녀수는 1∼4명이 50.9%, 인공유산과 자연유산 그리고 주산기 사망경험이 없는 경우가 각각 79.3%, 91.1% 및 96.5%로 가장 높게 나타났다. 경산이 63.5%, 임신전반기에 등록한 모성이 31.2%, 혈압이 정상범위인 경우가 95.0%, 그리고 모성상태가 정상인 경우가 50.6%로 가장 높게 나타났고, 분만시 모성상태도 90.4% 이상이 정상적이었다. 산전관리 수혜유무에 따른 모성의 일반적 특성에서 유의한 차를 나타낸 항목은 경제상태이었고, 임신력에 있어서는 자녀수, 인공유산수 및 주산기 사망경험 항목이었고, 분만시에는 분만장소, 모성상태 및 분만시간이었다. 위험징후별 평균 위험점수의 총계는 3.42점이었고 순위별로는 자녀수가 0.98점(28.6%)로 가장 높았고 산전관리수혜, 출산회수, 연령, 혈압, 산과력 및 교육정도의 순이었다. 위험수준별로는 "하위"가 63.2%, "중위"가 23.2% 및 "상위"가 13.6% 순으로 나타났다. This study was conducted to evaluate status of pregnant and delivery records on 405 delivered women normally registered at 2 MCH centers and 7 CHP posts of Kyungpook rural area from First July, 1984 to 30th June, 1985. The following results were obtained. In age, 52.3% of subjects was from 25 to 29 years and average of age was 26.9 years old. In pregnant history, out of 405 deliveries experiency rte of previous induced abortion, spontaneous abortion and perinatal death turned out to be 20.7%, 8.9% and 3.5% and parity was multi in 63.5%. Delivery place was MCH center in 69.4% out of subjects. Normal progress rate of this pregnancy turned out to be 31.2% in first period registration, 95.0% in normal range of blood pressure, 50.6% in maternal status on pregnancy and 90.4% in delivery time. The relationship between general status and risk factors of mother and antenatal care received was statistically significant in economic status, no. of children, experienced abortion, perinatal death, delivery palce, maternal status and delivery time. Total score of mean risk score of subjects by risk factors was 3.42 point and there was first ranking of mean score in no. of children.

産前 分娩에 對한 敎育이 分娩經過에 미치는 影響

정문숙,여옥남 慶北大學校 醫科大學 1989 慶北醫大誌 Vol.30 No.2

본 연구는 대구시내 2개 조산소와 1개 모자보건센터에서 1988년 7월 4일부터 9월 3일 2개월동안 정상분만을 위해 등록한 초산모 100명을 대상으로 출산 전 교육 프로그램을 실시한 후 분만시 산모의 반응을 통해 교육의 효과를 알아 보기 위하여 실험군(교육 그로그램 실시집단)과 대조군(교육 프로그램 미실시 집단) 각 50명씩을 선정하고 면적과 관찰을 통하여 분만경과시간, 생리적 변화 및 행위적 반응을 분석한 결과는 다음과 같다. 분만경과의 추정시간은 실험군이 분만 제 1 기와 분만 제 2 기 모두 대조군보다 짧았으며 분만 제 2 기에 있어서는 양군간 유의한 차가 있었다. 분만시 호소하는 동통양을 강도, 척도 및 행위적 반응으로 비교해 보면 전 항목에 있어 실험군이 대조군보다 평균점수가 약간 낮았으나 몇 항목을 제외하고는 양 군간 유의한 차는 없었다. 동통의 생리적 반응으로 분만시 동통양을 측정해 본 결과 신체 활력증후인 혈압과 맥박 모두 실험군이 대조군보다 정상범위에 더 가까왔으며 자궁경관 10㎝ 개대시 수축기 혈압과 분만 각기에 있어 이완기 혈압 및 맥박수에 있어서 양 군간 유의한 차를 나타냈다. 정서적 반응 정도(평온상태)는 실험군이 대조군의 평균치보다 낮아 더 평온한 상태로 분만을 경과한 것으로 나타났다. 분만 제 1 기에 있어 분만중 산모의 협조 정도는 실험군이 대조군보다 평균 점수가 낮아 더 협조적이었으며, 자궁경관 4㎝ 개대시와 자궁경관 7㎝ 개대시에는 유의한 차를 나타냈으나 분만 제 2 기는 실험군이 더 높았으며 양 군간 유의한 차는 없었다. 호흡법 수행 정도는 실험군이 대조군보다 더 높아 수행 정도가 양호한 것으로 나타났으며, 자궁경관 4㎝ 개대시와 자궁경관 7㎝ 개대시는 양군간 유의한 차가 있었다. 힘주기 수행 정도는 실험군이 대조군보다 약간 높아 비교적 양호하였으며, 분만 제 2 기에 있어서는 실험군이 대조군의 평균점수가 유의하게 높아 힘주기 수행 정도가 더 양호한 것을 나타났다. The purpose of this study was to test the effect of childbirth education for expectant mothers on reduction of labor pain, shortness of birth period, safty delivery and mother's participation during birth period. One hundred primigravidas who visided antenatal chinic of two midwifery clinics and one HCH center in Taegu from July 4 to September 3, 1988, were devided into 2 halves. One half were taught childbirth education by midwife in the third trimester of pregnancy and the other half were left alone for control. The results were as follows; The mean time of the first and second stage of labor for the experimental group was shorter than that for control group and there was significant difference between mean timne of second stage of labor in experimental group and mean time in control group. The mean scores of degree of labor pain namely intensity, scale of pain and physical rsponses of mother in experimental group, were less than that of control, but there were no significant differences between mean scores of degree of labor pain experimental and control group. In vital signs as physiological responses of labor pain, blood pressure and pulse rate of experimental group were more closed on normal range than that of control group, and there were significant differences in BP and pulse rate of every stages of delivery between experimental and control group. The mean scores of degree of emotional response(stability) and cooperation on delivery in experimental group were less than that in control group during every stages of delivery. There was significant difference in mean score of degree of mother's cooperation during the first stage of delivery between experimental and control group. There was significant difference in mean score of degree of applying on breathing technique during the first stage of labor between experimental and control group. In bearing down, mean score of practical degree in experimental group during second stage of labor was higher than that in control group.

대구지역 간호사 보수교육 실시현황 및 보수교육 요구도

정문숙 경북대학교 간호과학연구소 1999 경북간호과학지 Vol.3 No.1

人蔘의 담마렌계 사포닌의 간이 정량법

鄭文淑 漢成大學校 1979 論文集 Vol.3 No.1

看護學生들의 專門職 理念과 職業 現實에 對한 認識狀態에 關한 硏究

李璟湜,鄭文淑 서울大學校保建大學院 1976 公衆保健雜誌 Vol.13 No.2

A study was carried out to identify the perceptions of nursing students enrolled in collegiate and diploma schools on professional nursing in relation to iedal and reality of nursing practice. The study population comprised of 105 senior students in baccalaureate and 120 senior students in diploma programs in three metropolitan cities excluding Seoul. A written questionnaire was administered during the period from August 16 to Sept. 10, 1976. A semantic differential method with a 7 point scale was, used for data collection, composed of 12 to 15 semantic items for 13 concepts to measure the degree of perceptions for each area such as 1) nursing profession in general, 2) nursing education, 3) hospital nursing, 4) community nursing, 5) theory and practice, 6) variety of medical and nursing personnel engaged in practice and teaching. The statistical procedure adopted for the study was a one-way analysis of variance and 5 percent alpha level was adopted for the significance. Findings of the study are summarized as following: 1) Diploma nursing students appeared to perceive nursing profession in general more positively than baccalaureate students as the mean value of the diploma and baccalaureate students were 5.49 and 4.57 respectively (p<0.01). 2) For the nursing education, students in both programs appeared to have positive perception as the mean value was found to be 5.04. However, when two groups were compared the diploma students tend to show higher mean value (5.56) than the baccalaureate students (4.51). In other words, senior students in the baccalaureate program were found to be less possitive about nursing education than the senior students in the diploma program as the difference was statistically significant (p<0.01). In a detailed analysis of perceptional structure, the diploma students showed highest mean value on the importance of nursing education whereas the baccalaureate students gave the mean score of 3.95 which is very close to negative line. The latter seemed to perceive the nursing education a very cheap and insignificant one. 3) For the occupational reality of nursing the concepts of medical and nursing personnel were used to measure the perception of nursing practice situation as those were assumed to indirectly indicate the occupational reality. The related concepts used were nurses, doctors, chief nurse, nursing professors, nursing students, and patients. Diploma students, again, were more likely than baccalaureate students to have positive attitudes toward above mentioned concepts in order of highest mean values as following; ① students nurses, ② nurses, ③ doctors, ④ chief nurses, ⑤ nursing professors, and ⑥ patients. Both groups appeared to perceive themselves as nursing students very positively while they perceived the patients very negatively. On the basis of findings presented above, the differences in perception of nursing students in two different level of basic nursing education were confirmed in relation to concepts in profession ideal of nursing, nursing education and occupational reality of nursing practice. In other words, the baccalaureate nursing students were less likely to have positive attitude toward nursing related concepts tested than the diploma students. An interpretation was made for the above findings that the diploma nursing program, through its early exposure of students to practice situation might have contributed to the tendency in positive reaction of students to their perception on concepts tested. In view of adjustment of potential nurses into future practice situation, an effort must be made to reduce the role conflicts between ideal and reality which may affect the quality of nursing care to consumers. In this regard, the readjustment of basic nursing curriculum of baccalaureate program is highly recommended.

農村 및 都市地域 可姙女性의 人工流産 實態

정문숙,이숙향 慶北大學校 醫科大學 1987 慶北醫大誌 Vol.28 No.4

20세에서 49세사이의 농촌 및 도시지역 가임여성의 인공유산실태를 파악하고자 1987년 8월 10일부터 9월 9일까지 대구직할시와 경상북도내에 있는 3개 종합병원 산부인과 외래 및 10개 보건진료소를 방문하는 가임여성 700명중 농촌 300 도시 400명을 대상으로 본 연구목적에 알맞은 설문지를 배부하여 조사한 결과는 다음과 같다. 인공유산에 대한 정보의 습득경로는 농촌군은 친구, 이웃, 대중매체의 순이었고 도시군은 대중매체, 친구, 이웃의 순이었다. 인공유산에 대해서는 농촌군이 도시군보다 찬성율이 더 높았으나 경제적 여유가 없는 경우에는 도시가 더 찬성율이 높았다. 인공유산이 모체의 건강에 해롭다고 알고 있는 비율은 83.1%였다. 전체 대상자의 인공유산 경험율은 46.7%이었으며, 농촌군 47.3%, 도시군 46.2%이었다. 일반적 특성별 인공유산 경험율은 연령이 높을수록, 교육정도는 낮을수록 인공유산 경험율이 높았으며, 연령별, 교육정도별 및 현존자녀수별로 인공유산 경험율간에 유의한 차이가 있었다. 인공유산 평균회수는 농촌 2.7회, 도시 2.9회이었다. 최종 인공유산 이유로는 단산이 가장 높았다. 인공유산 시행의 결정권은 부부합의에 의해서가 가장 많았다. 인공유산시 병원동반자로서는 혼자서 갔다가 가장 많았다. 일반 의원에서 인공유산을 시행한 사람은 86.5%, 종합병원은 7.9%이었다. 인공유산 후 합병증 발생은 52.3%이었으며, 모체허약감 37.4%, 복통 및 요통 26.3%, 자궁출혈 23.4%의 순이었다. 합병증이 나타났을때 치료수혜율은 52.6%이었다. 인공유산 경험자의 피임실천율은 무경험자의 피임실천율 보다 유의하게 높았다. 대상자의 피임방법을 보면 난관결찰, 콘돔, 루프, 주기법, 먹는피임약, 정관수술, 기타의 순이었다. The purpose of this study was to investigate experience of induced abortion of eligible women. In order to obtain appropriate information, the questionaire was distributed to eligible women visited to obstetrical and gynecological department of three general hospitals in Taegu and Pohang city and community health posts in Dalsung and Andong Gun, Kyungpook province from August 10 to September, 9, 1987. And out or 700 eligible women, who were from 20 to 49 years old, 300 rural and 400 urban women were selected. The order of the objects from which the women obtained the information about the induced abortion was friends, neighborhood, mass media in rural area and mass media, friends, neighborhood in urban area. The rate of which the women agree to induced abortion was higher in rural area than urban but in case of lower economical, status, the result was the opposite. The rate of women who thought induced abortion to be harmful were 83.1%. The rate of induced abortion in total eligible women was 46.7% and rural area 47.3%, area 46.2%. There were significant differences between induced abortions and age, educational level, and number of children. The higher their age and the lower their level of education, the more frequently women experienced induced abortions. The average times of induced abortion were 2.7 in rural, and 2.9 in urban. The reason for the last induced abortion because of limitation of family was the highest. The husband and wife had the highest making a decision on induced abortion. Out of total subjects the women who go to hospital by herself during induced abortion was the most. The rate of induced abortion in local clinics was 86.5%, general hospital 7.9%. The difference was remarkable. So The rate of complicated cases after induced abortion was 52.3%, among them, maternal weakness 37.4%, abdeominal and back pain 26.3%, uterine bleeding 23.4%. When the symptoms appeared, the rate of treated cases was 52.6%. The experienced women of induced abortion was significant higher than the non-experienced women in the rate of contraceptive practice. The order in contraception method of subject was tubal ligation, condom, loop, calendar.

性敎育이 女高生의 性에 對한 知識 및 態度에 미친 效果

정문숙,방미라 慶北大學校 醫科大學 1991 慶北醫大誌 Vol.32 No.2

본 조사는 인문계 여고생 2학년에게 연구자가 정규적으로 주1시간 총 24시간에 걸쳐 성교육을 지침서에 의거, 실시하고 1학년과 교육을 주지 않은 2학년 여고생과 비교하여 성에 대한 지식 및 태도에 준 효과를 설문지를 배부 후 회수하여 본 결과는 다음과 같다. 대상은 경남 지역 1개교 542명을 교육군으로, 1학년 164명 그리고 비교육군 2학년 972명을 대상으로 하였으며 설문기간은 1988년 12월 21일부터 23일까지 3일간이었다. 대상 여학생의 70.8%는 부모와 성문제를 상담하지 않았으며, 98.5%가 성교육이 필요하다고 응답하였다. 적절한 성교육 시기로 전체의 56.0%가 중학교라고 응답했으며 성지식의 출처로 선생님으로부터가 교육군의 30.1%인데 비해 비교육군은 19.1%로 양군간 유의한 차를 보였다(p<0.01). 성에 관련된 인간의 해부 생리 및 2차 성징, 성병, 피임 및 임신 생리 등의 지식의 정도를 1학년의 평균치를 기준으로 보았을 때 교육군은 평균치 이상인 여고생이 100.0%이었고 비교육군에 비해(54.3%, 76.3%, 75.1%) 유의하게 높은 비율이었다(p<0.01). 성에 대한 긍정적 태도, 혼전 성관계와 인공유산에 대한 바른 태도 및 가족계획 슬로건에 대한 긍정적 태도는 교육군과 비교육군간 찬성유무 및 생각해 본 일이 없다는 무관심 유무에서 유의한 차를 나타냈다(p<0.05, p<0.01). 고등학교 시절의 이성교제, 이성교제에 대한 지식, 친구, 부모, 선생님과의 자유로운 대화에 대한 찬성율이 교육군과 비교육군간 유의한 차(p<0.05, p<0.01)가 있었으며 생각해 본 일이 없다는 항목은 비교육군이 교육군보다 유의하게 높았다. This study was attempted to assess the effects of a long term regular sex education on the knowledge about anatomy and physiology of human reproductive organs and the attitude toward sex of second grade high school girls. The study population included 1,678 high school girls(542 educated second grade grils, 972 not educated second grade girls and 164 pre-educated first grade girls) attending in 3 high schools located in Kyungnam province. The data was collected by guestionnaire to assess knowledge of sexual anatomy and physiology and the attitude toward sex from 21 to 24 December 1988. The results were as follows: Most of students(educated group 99.3%, not educated group 98.1%) agreed to necessity of sex education. Among students 70.8% did not talk about their sexual problems with their parents and 30.1% of educated group obtained sexual knowledge from their teachers. There were significant differences between level of knowledge on anatomy and physiology of reproductive organs, secondary growth spurt, VD, pregnancy and contraceptives of educated group and not educated group(p<0.01). There was significant difference between positive attitude about sexual intercourse before marriage, artificial abortion and family planning slogan of educated group and not educated group(p<0.05, p<0.01). There were significant differences between degree of agreement about acquaintance with the other sex, knowledge of acquaintance with the other sex, talk freely with friend, parent and teacher of educated group and not educated group(p<0.05, 0<0.01). Statistics revealed that high school girls of not educated group had less knowledge about acquaintance with the other sex than educated group(p<0.01).

고등학생의 부모-자녀관계 및 교사지지와 진로성숙도 간의 관계에서 자기효능감의 매개효과

정문숙,조규판 한국취업진로학회 2023 취업진로연구 Vol.13 No.2

본 연구의 목적은 고등학생의 부모-자녀관계 및 교사지지와 진로성숙도 간의 관계에서 자기효능감의 매개효과를 알아보는 데 있다. 본 연구의 목적을 위해 부산광역시 소재 A 고등학교와 경상남도 소재 B 고등학교 학생 354명을 대상으로 부모-자녀관계, 교사지지, 자기효능감, 진로성숙도 검사를 실시하였다. 수집된 자료는 SPSS Win 27.0 program으로 신뢰도분석, 요인분석, 상관분석, 위계적 중다회귀분석을 실시하였다. 연구의 결과, 첫째, 부모-자녀관계, 교사지지, 자기효능감, 진로성숙도 간에는 유의미한 정적 상관으로 나타났다. 둘째, 부모-자녀관계와 진로성숙도의 관계에서 자기효능감은 부분매개효과가 나 타났다. 셋째, 교사지지와 진로성숙도의 관계에서 자기효능감은 완전매개효과가 나타났다. 이는 부모- 자녀관계는 진로성숙에 직접적인 영향을 미칠 뿐만 아니라 자기효능감에 영향을 미친 후 진로성숙에 간접적으로 영향을 미친다는 것이다. 교사지지는 자기효능감을 통하여 진로성숙에 간접적으로 영향을 미친다는 것이다. 본 연구결과를 바탕으로 고등학생의 진로성숙도 향상은 부모-자녀관계, 교사지지, 자 기효능감이 핵심요인임을 알았다. 이를 위하여 교육현장의 적극적인 개입방안에 대한 시사점과 후속 연구를 위한 제언에 대해 논의하였다. The purpose of this study is to investigate the mediating effect of self-efficacy in the relationship between parent-child relationship, teacher support, and career maturity in high school students. For the purpose of this study, 354 students from high school A in Busan and high school B in Gyeongsangnam-do were surveyed on parent-child relationship, teacher support, self-efficacy, and career maturity. The collected data were subjected to reliability analysis, factor analysis, correlation analysis, and hierarchical multiple regression analysis with the SPSS Win 27.0 program. As a result of the study, first, there was a significant positive correlation between parent-child relationship, teacher support, self-efficacy, and career maturity. Second, self-efficacy showed a partial mediating effect in the relationship between parent-child relationship and career maturity. Third, self-efficacy showed a complete mediating effect in the relationship between teacher support and career maturity. This means that the parent-child relationship not only directly affects career maturity, but also indirectly affects career maturity after affecting self-efficacy. Teacher support indirectly affects career maturity through self-efficacy. Based on the results of this study, it was found that the parent-child relationship, teacher support, and self-efficacy are key factors in improving career maturity in high school students. To this end, the implications of active intervention in the educational field and suggestions for follow-up studies were discussed.

綜合病院 外來訪問 老人의 健康診斷 結果

정문숙,김미예,정귀옥 慶北大學校 醫科大學 1991 慶北醫大誌 Vol.32 No.2

본 연구는 1990년 7월 10일부터 9월 10일가지 2개월 동안 대구시에 소재하는 일·이차 동시진료기관인 대구의료원 외래 7개과를 방문한 65세 이상 132명의 노인을 대상으로 노인의 일상생활 수행능력, 호소증상, 주진단명, 신경외과, 안과와 치과의 3개과 특별진찰 결과 및 활력증상, 임상검사 결과 등을 면담, 관찰, 검사 및 측정에 의해 조사한 결과는 다음과 같다. 노인의 일상생활 수행시 가장 의존율이 높았던 활동은 보행하기로 13.6%이었으며, 보행, 의복착용, 식사, 목욕 및 화장실 사용등 5가지 일상활동 중 남의 도움을 한가지 이상 받아야 하는 노인의 비율이 15.2%이었다. 병원 외래 7개과중 노인이 가장 많이 방문하는 과는 내과로 49.2%를 차지하였고 남자노인은 신경외과 정형외과 순으로 여자노인은 안과 정형외과 순이었는데 특히 남자노인에 비해 일반외과 방문율이 낮았다. 주로 호소하는 건강문제는 관절통 및 신경통이 24.2%로 가장 많았고 남자노인은 호흡곤란, 불안의 순이었으며, 여자노인은 요통, 호흡곤란 순이었다. 주 진단명은 소화기 질환이 16.7%로 가장 많았고 전염성 질환인 폐결핵이 12.9%로 나타났으며 노인성 백내장이 12.1%이었다. 또 비교적 노화과정에서 나타날 수 있다고 보는 퇴행성 척주증, 퇴행성 관절염, 골다공증 및 노인성 백내장이 전체 질환의 24.2%를 차지했다. 고혈압과 저혈압 증상 노인이 55.3%로 과반수이었으며, 남자노인이 여자노인보다 고혈압군이 더 높은 비율이었다. 임상소견으로 혈색소 검사에서 빈혈을 보인 노인이 26.5%이었고, 뇨당과 뇨단백의 양성율이 각각 10.6% 및 6.8%이었으며 노인의 21.2%가 청력에 이상이 있었다. 대상노인의 신경외과 진찰결과는 요통이 65.9%, 안과에서는 백내장이 90.9%, 그리고 치과 검사에서는 치주질환이 72.7%로 나타났으며 75세 이상 노인 34명은 모두 백내장으로 나타났다. 외래방문후 진찰결과 입원율은 27.3%(36명)이었으며 남자노인이 38.2%로 여자노인의 19.5%보다 높은 비율이었다. The purpose of this study was to assess health problem complained by the aged who visited OPD of one general hospital and to abtain the basic data which were necessary for the improvement of their health status by testing such as vital sign checks and clinical laboratory test and examination. Also by interviewing with 132 patients who live in Taegu and near cities the data was collected from July 10, to September 10, 1990. The results were as follows; In case of ADL, the dependent rate by each item was shown that the walking from 13.6% which was the highest percentage. It was shown that the rate of the aged visited to internal medicine department was 49.2% of the subjects and among them 24.2% was mainly suffered from a joint pain and body pain which was the highest rank and the next was backache. Chief diagnosis of the aged with complaints was gastrointestinal disease in 16.7% which was the highest rank, the next was pulmonary tbc(12.9%) and third was senile cataract(12.1%). The mean distribution of hypertensive disorder and hypotensive disorder was 55.3% in systolic and in diastolic BP. In case of clinical labolatory test, the incidence rate of anemia was shown as 26.5%, and positive rate of urine-sugar was shown as 10.6% and protein uria was shown as 6.8% of subjects. After physical examination and testing in neurosurgery, the incidence rate of backache was shown 65-9% in optimalmic unit the incidence rate of senile cataract was shown as 90.9%(almost subjects). The rate of hospitalization after diagnosis was shown as 27.3%.