삼음교 지압이 초산부의 분만통증, 분만소요시간 및 실혈량에 미치는 효과

김숙남,최순옥 한국모자보건학회 2005 한국모자보건학회지 Vol.9 No.2

Objectives : The purpose of this study was to examine the effects treatment by San- Yin-Jiao(SP6) pressure on labor pain, length of delivery time, and quantity of blood loss for primipara women. Methods : The design of this study was quasi-experimental and non-synchronized with non-equivalent control group. The subjects comprised 59 primipara women who underwent normal vaginal delivery. The experimental group(n=28) received SP6 pressure and the control group(n=31) received SP-6 touch. Data were collected using a structured questionnaire consisting of general characteristics, a labor pain scale by numeric rating scale, length of delivery time and quantity of blood loss. Collected data were analyzed as frequency, percentage, χ2-test, t-test and Repeated Measures ANOVA using SPSS 11.0 WIN Program. Results : The labor pain scores were not significantly different between the two groups.The total length of delivery time in the SP-6 pressure group was significantly shorter than that of the SP-6 touch group(p=0.033). The quantity of blood loss was not significantly different between the two groups. Conclusions : These findings showed that SP-6 pressure was effective to shorten the length of delivery time, and that it did not increase blood loss. Therefore, SP6 pressure during labor could be applied as an effective nursing intervention. Nevertheless, to generalize the results it is necessary to replicate the study with a larger number of participants.

생애말기 환자를 돌보는 간호사의 영적간호 경험

김숙남,김소영,원형준 질적연구학회 2023 질적연구 Vol.24 No.2

Purpose: The purpose of this study was to explore the spiritual nursing experiences of nurses caring for end-of-life patients. Methods: In-depth interviews were conducted with eight nurses with more than five years of work experience at various types of hospice-specialized institutions from August 6, 2021, to September 10, 2021. The collected data were examined and described based on Colaizzi’s phenomenological method. Results: Thirteen clusters of themes and five categories were derived from the spiritual nursing experiences of nurses caring for end-of-life patients. The five categories were “Recognizing being a whole person,” “Deriving the underlying suffering,” Joining in spiritual healing,” “Carrying out one’s task by calling,” and “Growing through the accumulation and reflection of experience.” Conclusion: Spiritual care is an important task that must be provided for end-of-life patients. For nurses caring for end-of-life patients, spiritual care is the process of accompanying a patient as a soulmate for a better death, and it is meant as a practice of true love where people deal with spiritual suffering together. The findings of this study will guide nurses caring for end-of-life patients to provide appropriate spiritual care.

지역사회에 거주하는 노인의 재가 생애말기 돌봄요구도와 사전 연명의료결정에 대한 태도

김숙남,김소영,조명주 한국통합사례관리학회 2022 한국케어매니지먼트연구 Vol.- No.44

본 연구는 지역사회에 거주하는 노인의 생애말기 돌봄요구도와 사전 연명의료결정에 대한 태도를 확인하여초고령화시대 지역사회 기반의 재가 생애말기 돌봄체계를 구축하는데 기초자료를 제공하기 위한 목적이다. 자료수집은 수도권(서울인천), 부산광역시, 대구광역시에 거주하는 65세 이상 노인 1,310명을 대상으로 연구보조원을 통하여 설문조사를 하였다. 수집된 자료는 SPSS WIN 26.0프로그램을 이용하여 기술통계, 독립 t-test, 일원배치분산분석(one-way ANOVA)과 Pearson correlation coefficient로 분석하였다, 노인의 재가 생애말기돌봄요구도는 평균 4.09점(5점 만점)이었고, 안위증진을 위한 지지요구가 가장 높았다. 사전 연명의료결정에 대한 태도는 평균 2.98점(4점 만점)으로 긍정적 태도를 보였고, 두 변수는 양의 상관관계를 보였다. 이러한 연구 결과를바탕으로 향후 재가 노인을 위한 생애말기돌봄체계는 신체·심리·사회·영적요구를 통합적으로 반영한 돌봄체계가필요하고, 사전 연명의료결정에 대한 노인의 자율성을 보장하기 위한 교육과 상담이 필수적으로 포함되어야 할것이다. 본 연구를 기반으로 향후 다양한 연구설계를 활용하여 재가 생애말기돌봄체계구축을 위한 연구성과를축적할 필요가 있다고 사료된다.

좋은 죽음에 대한 인식, 연명치료 중단 및 안락사에 대한 종합병원 간호사의 태도

김숙남,김현주,Kim, Sook-Nam,Kim, Hyun-Ju 한국호스피스완화의료학회 2016 한국호스피스.완화의료학회지 Vol.19 No.2

Purpose: To provide practical data for bioethics education, we identified correlations between recognition of good death, attitude towards withdrawal of meaningless life-sustaining treatment, and attitude towards euthanasia in nurses. Methods: Using convenience sampling, we recruited 218 nurses who had at least six-month work experience in one of the six general hospitals with 500 or more beds in Seoul, Busan, and Gyeongsang province. All participants understood the purpose of the study and agreed to take part in the study. The research tools used included the Concept of Good Death Measure (CoGD), the measurement tool for attitudes towards withdrawal of meaningless life-sustaining treatment (WoMLST), and the measurement tool for attitudes towards euthanasia. Data were analyzed using an Independent t-test, one-way ANOVA, and Pearson's correlation coefficient using SPSS 21 for Windows. Results: Nurses had normal levels on CoGD, WoMLST, and attitudes towards euthanasia. Nurses' CoGD, WoMLST, and euthanasia scores significantly differed depending on their education level, working period, and the importance of religion to them. A negative correlation was found between the CoGD and WoMLST scores, and WoMLST and euthanasia scores were positively correlated. Conclusion: Nurses should be trained to deal with ethical issues that may arise while caring for terminal patients. It is necessary for nurses to understand the concepts related to CoGD, WoMLST, and euthanasia, and to promote bioethics education with focus on decision-making and problem-solving ability in ethically conflicting situations.

여성의 성만족 측정을 위한 도구개발

김숙남,장순복,강희선 대한간호학회 1997 Journal of Korean Academy of Nursing Vol.27 No.4

This study was conducted to develop a sexual satisfaction tool for married women in .Korea. The data was collected from July 19 to Aug 18, 1997 by means of questionnaires developed by researchers. The subject were 417 married women living in Seoul and Pusan. The process of this study was as follows : 1) The concept of sexual satisfaction was defined. 2) A conceptual framework was identified based on the extensive review of relevant literature and interviews with married women. 3) The preliminary question items containing the attributes and elements of the concept of sexual satisfaction were listed. 4) The preliminary items were revised after a pilot study. 5) The Index of Content Validity(CVI) was calculated from the content specialists' rating. 6) The reliability and validity of the sexual satisfaction measurement tool were tested. As a result of the item and factor analysis, 17 out of 30 items were found to be valid, consequently could be used to measure sexual satisfaction for married women. These final 17 items were divided into two factors. These factors were labeled as $quot;situation factor$quot;(l0 items) and $quot;response factor$quot;(7 items) ,according to the attributes of the clustered items. The reliability of the final 17 items was .9118. Further research is needed to confirm the reliability and validity of the tool by applying it to a group of healthy married women and to a group of married women having health-related problem.

보건소 호스피스완화케어 서비스를 제공받는 재가 말기암 환자의 삶의 질 구조분석

김숙남,최순옥,류지선,김정림 보건의료산업학회 2019 보건의료산업학회지 Vol.13 No.4

Objectives: The purpose of this study was to identify the predictors of quality of life (QOL) for terminal cancer patients admitted into the community health center, and to establish a hypothetical model to explain and verify causative relationships among the variables. Methods: Data were collected from January 2015 to June 2016. Participants were 237 registered patients in Busan Metropolitan City hospice & palliative care center. The descriptive and correlation statistics were analyzed using the SPSS/WIN 24.0, and the structural equation modeling procedure was performed using the AMOS 24.0 program. Results: The results of this study showed that the physical symptoms of terminal cancer patients were the most direct factors affecting the QOL, and satisfaction with health care services has a direct effect on the QOL. Conclusions: The study contributes to drawing up measures to improve QOL for terminally ill cancer patients who are living in the end-of-life section of the community by revealing the causal relationship to the QOL for terminal cancer patients.

노년층을 위한 마을단위 죽음준비 교육 프로그램 개발 및 효과

김숙남,김소영 한국지역사회간호학회 2021 지역사회간호학회지 Vol.32 No.4

Purpose: This study was conducted to investigate the effects of a community-based death education program for older adults. Methods: The study was conducted as a quasi-experimental study with a non-equivalent control group and pretest-posttest design. The subjects were community elders aged over 65 registered at a community health center and were convenience sampled. The experimental group consisted of 33 participants and the control group consisted of 32 participants. Experiments are conducted from June 18 to July 24, 2020. We tested our hypothesis using an independent t-test, and paired t-test. Results: The experimental group had significantly higher scores for psychological well-being than the control group after treatment (t=2.24, p=.028). In general attitude toward the use of life-sustaining technology, however, only the experimental group had a significant difference before and after the experiment with lower scores compared to the control group (t=-5.41, p<.001). Conclusion: We found that the community-based death education program developed in this study was partially effective in improving older adults’ psychological well-being and general attitude toward the use of life-sustaining technology.

보건소 중심 호스피스 운영모델 개발 - 부산지역 일개 보건소 시범사업을 중심으로 -

김숙남,최순옥,김영재,이소라,Kim, Sook-Nam,Choi, Soon-Ock,Kim, Young-Jae,Lee, So-Ra 한국호스피스완화의료학회 2010 한국호스피스.완화의료학회지 Vol.13 No.2

Purpose: This study was a part of a drive to develop a community health center-based hospice management model which is concerned with hospice care at a community health care setting and available resources of the local community. Methods: Development of a community health center-based hospice management model involved evaluation of existing hospice-related research, including literature review, and research on hospice facilities at the study site, as well as evaluation of model operation. The latter involved community health center-based hospice test operation, and evaluation of test operation by a research team, including of a nursing professor majoring in hospice care and staffs from a community health center in Busan metropolitan city, regional cancer center, and regional terminal cancer patient medical institute. The study was conducted in the 2008 calendar year. Results: The community health center-based hospice management model provides service linked with local community resources, focusing on the local community health center. Financial and administrative assistance is provided by the regional cancer center, with collaboration from academic health care professionals who guide the operation management. The community health center hospice nurse in consultation with a visiting nurse team registers terminally-ill cancer patients and, after assessment, the hospice team prioritize hospice care during team meeting. Care is delivered by staffs and volunteers. Conclusion: The developed community health center-based hospice operation management model maximally utilizes available community health resources to produce qualitative improvement of regional health and welfare policy through improving the lives of home-based cancer patients and their family who are in medical blind spot.

여성가장의 생의 의미 영향요인

김숙남,최순옥,이정지,신경일 한국모자보건학회 2004 한국모자보건학회지 Vol.8 No.2

여성의 자궁절제술후 삶의 질 구조모형

김숙남 대한간호학회 1999 Journal of Korean Academy of Nursing Vol.29 No.1