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- 저자 : 김매자 (검색결과 81 건)
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김매자,하양숙 中央醫學社 1976 中央醫學 Vol.30 No.1
This study was made by surveying 40 diabetic patients whose age were above 15 .years old. They were composed of 21 hospitalized patients and 1Q patients at out patient department of inter gal medicine at Seoul National University Hospital from April 15 to October 20, 1975. We made a pretest for them before they were taught the knowledge of diabetics and made a post-test for them after they were taught within a week. We reviewed what educational effects were happened in sex, age, duration of since onset, the number of admission, the level of education and complication. The results of this study were reviewed in a statistical method analysis of variance and t-test to obtain the following findings: 1. There was no significant difference between the effects of individual and group teaching in diabetes. They were, in other words, effective in education for diabetic patients regardless of the method of individual teaching or group teaching. 2. There was no significant difference in the educational effects of sex, age, duration of since onset, the level of education and complication. 3. There was no significant difference in the influence of individual and group teaching in sex, age, duration of since onset, the number of admission, the level of education and complication. 4. Those who were hospitalized one time or more than one time had more signific?ant difference than those who weren't.
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폐경기 비만증 환자의 단기간 금식요법으로 인한 내분비학적 변화
김매자,경난호,성연아 대한내분비학회 1992 Endocrinology and metabolism Vol.7 No.3
Fasting in obesity results in weight loss as well as endocrinologic and metabolic changes. In young women, delayed menarche, dysfunctional uterine bleeding, inadequacy of luteal phase, and amenorrhea can occur. The goal of this study was to elucidate the mechanism of endocrinologic changes accompanied by short-term fasting. Ten obese postmenopausal women were studied for 10 days of fasting. Blood and urinary levels of pituitary gonadotropins (LH and FSH), their respnoses to GnRH stimulations. Stress hormones such as epinephrine, norepinephrine, dopamine and cortisol and melatonin were measured. The results were as follows; 1) Daily serum LH and FSH concentration did not change significantly during fasting compared with that of control days. 2) Urinary excretion of gonadotropins increased in accordance with increase of blood and urinary ketone significantly during fasting, than that of control days(p$lt;0.01) 3) There was no significant difference in LH or FSH responses to GnRH during fasting compared with that of control days. 4) Plasma norepinephrine concentrations and serum melatonin concentrations during fasting increased significantly(p$lt;0.01), while plasma epindephrine, dopamine and urinary excretion of cortisol did not change significantly during fasting. In conclusion, the stress of short term fasting activates only certain components of the neuroendocrine system without any appreciable changes in the function of the gonadotropin secreting system. Fasting induced gonadotropinuria may be due to altered renal handling of hormone molecules.(J Kor Soc Endocrinol 7:243~250, 1992)
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김매자,이선옥,신계영,김은경,장미라 지역사회간호학회 2002 지역사회간호학회지 Vol.13 No.1
Purpose : Chronic hepatic disease is caused by inappropriate management of the hepatitis B virus. In Korea, there is an increasing number of chronic hepatic patients, who are at risk of dying from liver failure or hepatocellular carcinoma. Therefore it is important to manage the hepatitis B virus appropriately. Method : The patients diagnosed with chronic hepatic disease or HBV carrier who registered at a community health center or hospital were assessed regarding health man agement status and educational needs. The data was collected from 179 persons by convenient sampling between May, 2000 and April, 2001. The data were was analyzed for general characteristics using the descriptive method, factors influencing educational needs and health management using t-test and ANOVA. Results : 1. The average health management score was 18.2 from 12 to 24 range. Those who unknown were unaware of the presence of HBsAg, attending the educational program and keeping undergoing treatment at the community health center or hospital were had a higher management score. 2. The educational needs regarding nutritional management(64.8%) was the highest topic with chronic hepatitis patients. The second highest topic was spreading prevention among family members (52.0%), and keeping medication (45.8%), the degree of physical activities(44.1%), and spreading prevention in public(39.1%). Those who were unaware of the presence of HBsAg , less than 12 months after HBsAg (+)(p<.05), keeping treatment (p<.05) were higher educational needs. 3. The use of alternative therapy was 27.9% of subjects. The subjects thought it was helpful for disease management(42.1%), mostly, family members and relatives recommended to use (57.9%), and medical regimen was ignored during the alternative therapy. Conclusion : Based on the results, an educational program about prevention of type B hepatitis and management for patients having type B hepatitis should be developed.
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만성 B형 바이러스성 간질환의 예방 교육매체 프로그램 개발
김매자,신계영,이선옥 지역사회간호학회 2002 지역사회간호학회지 Vol.13 No.3
Purpose: This study was conducted to develop educational materials for preventing type B viral hepatitis infection. Prior to this study, a survey had been conducted to define the educational needs of persons with hepatitis B antigen. Method: Based on the results of the former study and a review of the literature, the content of the educational materials was confined to the transmission cycle and its prevention in type B hepatitis. A professional team that consisted of writers and producers videotaped the lectures provided by professors and instructors in a nursing school. A professional graphic designer produced the leaflet to enhance the visual effects. Results: The contents of the educational materials for type B hepatitis were composed of six parts: ⑴ the prevalence rate (or morbidity) of type B hepatitis antigen positive and its recent trend, ⑵ transformation of hepatitis, ⑶ transmission cycle of hepatitis infection, ⑷persons who are susceptible to hepatitis and need a vaccination, ⑸ preventive approach -hepatitis vaccination and the guideline for patients' daily lives for preventing infection and ⑹ questions and answers. The materials were delivered in the form of lectures, visual charts, graphics, and multi-media. Conclusion: The educational materials developed in this study may provide practical information and knowledge on strategies to prevent type B hepatitis. The educational materials may be utilized in primary health care centers or school health services.
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