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간호사의 온라인 학습 태도와 디지털 리터러시에 영향을 미치는 요인: 온라인 간호교육의 융합적 관점에서
김시숙,Kim, Sisook 한국융합학회 2020 한국융합학회논문지 Vol.11 No.9
본 연구는 간호사의 온라인 교육 태도 및 디지털 리터러시에 영향을 미치는 요인을 확인하기 위한 서술적 조사연구이다. 대상자는 국내 의료기관 내·외과 병동에 근무하는 간호사 190명으로 일반적 특성과 인터넷 사용 특성, 온라인 학습 태도와 디지털 리터러시를 조사했다. 본 연구 결과, 온라인 학습태도와 디지털 리터러시는 인터넷에 대한 접근성, 유용성, 중요성 인식과 관련성이 있었다. 온라인 학습 태도에 영향을 미치는 요인은 성별, 근무병원 규모, 인터넷에 대한 유용성과 중요성 인식이었고, 디지털 리터러시에 영향을 미치는 요인은 나이, 직위, 인터넷에 대한 유용성과 중요성, 온라인 학습 태도였다. 온라인 간호교육 개발에는 인터넷 사용에 대한 인식과 온라인 학습 태도 및 디지털 리터러시와 같은 학습자 특성에 대한 고려가 필요하다. This study aimed to determine factors affecting attitudes and digital literacy toward online learning of nurses. A cross-sectional study was conducted from 190 nurses working in hospitals. The factors influencing the online learning attitude were gender, working hospital size, and perceptions of internet usefulness and importance, and the factors influencing digital literacy were age, working position, perceptions of internet usefulness and importance, and attitudes toward online learning. Online learning and educational development of nursing could be explained in the context of rapidly evolving information and communication technologies, and it is necessary to consider learner factors such as attitudes and digital literacy toward online learning.
김시숙(Kim, Si Sook),최경숙(Choi, Kyung Sook),원삼순(Won, Sam Soon),김인영(Kim, In Young) 대한근관절건강학회 2015 근관절건강학회지 Vol.22 No.3
Purpose: The purpose of this study is to examine the effect of leg crossing on reducing orthostatic hypotension and orthostatic hypotension symptoms in hemodialysis patients. Methods: A one-group pretest-posttest design was used. A total of 40 post-hemodialysis adult patients were enrolled, excluding the case of intradialysis hypotension, unbalance of standing with leg crossing, adding antihypertensive medications. Blood pressure (BP) and heart rate (HR) were measured in supine and standing positions. After a week, BP and HR were measured in supine and standing with leg crossing position. Orthostatic hypotension symptoms were also measured by self-reported structured questionnaire in standing without leg crossing and with leg crossing position. Results: We found out that systolic blood pressure, diastolic blood pressure, and mean arterial pressure increased significantly in standing with crossing leg position applied (p=.006, p=.001, p=.006). However, presences of orthostatic hypotension symptoms were not significantly decreased in standing with leg crossing position (p=.500, p=.318, p=.306, p=.241, p=.356, p=.500, p=.241, p=.308). Conclusion: This study shows that leg crossing is effective for reducing orthostatic hypotension without additional cost or instruments. Leg crossing as one of the preventive interventions to reduce orthostatic hypotension is easier and simpler to be implemented in hemodialysis patients.
혈액투석 환자의 우울과 삶의 질에서 질병인식의 통제효과
김시숙(Kim Si-sook),류은정(Ryu Eun-jung) 한국기초간호학회 2018 Journal of korean biological nursing science Vol.20 No.4
Purpose: This study aimed to evaluate the effect of illness perception on depression and quality of life in patients with hemodialysis. Methods: This is a cross-sectional study using structural equation modeling. Depression, quality of life and cognitive and emotional illness perceptions were measured by the Center for Epidemiologic Studies Depression-10 (CESD-10), Short Form-36 version 2 (SF-36v2), and Brief Illness Perception Questionnaire (BIPQ) in 272 hemodialysis patients. Results: Prevalence of depression was 76.1%, and higher in female patients on hemodialysis. Cognitive illness perception had effect on depression and quality of life, while emotional illness perception had effect only on depression. Quality of life was explained 69.6% through depression (β=-.74, t=-8.17) and cognitive illness perceptions (β=.21, t=3.06), while depression was explained 40.5% through cognitive (β=-.34, t=-5.99) and emotional(β=.59, t=9.37) illness perceptions. Conclusion: In the inevitable choice of dialysis, illness perception could decrease depression and improve quality of life in hemodialysis patients.
혈액투석환자에서 천자 바늘구경의 크기가 투석적절도, 정맥압, 통증과 지혈시간에 미치는 효과
이은휘;김옥진;김인영;백경원;김시숙 중앙대학교 의과대학 간호학과 간호과학연구소 2006 중앙간호논문집 Vol.10 No.-
Purpose; The purpose of this study was to evaluate the effect of needle size for adequancy of hemodialysis in chronic hemodialysis patients. Method; This study included 34 patients undergoing hemodialysis(HD)therapy thrice per week for at least 1 month at C University Hospital in Seoul between March and May 2006. These patients were sequentially performed with four weeks interval. The effects of needle size for hemodialysis adequancy were measured with Hemodialysis adequancy(Kt/V) and venous pressure, pain score, clotting time according to 16G and 15G needle. Result; The results of this study are as follows. 1. Hemodialysis adequancy(Kt/V) was sigruficantly increased from 1.35 to 1.43 as increasing in needle size. 2. Venous pressure during HD was sigruficantly decreased from 117.65mmHg to 90.29mmHg as increasing in needle size. 3. Pain score was not sigruficantly different between 2.18 poing using 15G needle and 2.02point using 16G needle. 4. Clotting time was not sigruficantly different between 12.3min using 15G needle and 1O.1min using 16G needle. Conclusions; Using 15G needle than 16G one was more effective than using 16G needle for hemodialysis adequancy (Kt/V)
저온투석이 혈액투석환자의 혈압, 신체적 불편감과 투석 적절도에 미치는영향
우혜주;김인영;김미라;천아영;김시숙 중앙대학교 의과대학 간호학과 간호과학연구소 2009 중앙간호논문집 Vol.13 No.-
Purpose: Hypotension, inadequate dialysis of hemoclialysis(HD) patients influence on increased physical discomfort, morbiclity, and mortality. HD with cool temperature dialysate is one of the methods to prevent intradialytic hypotension, physical discomfort(muscle cramp, chilling, itching sense), dialysis adequacy(Kt/V). Method: Fifty-one patient proceeded HD with cool temperature diasylate(35.5℃), forty-four patient with conventional dialysate temperature(36.5℃). Blood pressure, physical discomfort muscle cramp. chilling, itching sense) in visual analogue scale(VAS), Kt/V to assess dialysis adequacy were measured. Result: Itching sense is significantly decreased in cool temperature dialysate group (p=.041). However muscle cramp, chilling were not affected by temperature. Hypotension. Kt/V were not related to the temperature of dialysate either. Conclusion: Decreased itching sense by using cool temperature dialysate would improve quality of life in hemodialysis patients.
간호진단 분류를 이용한 노인환자 간호 교육 요구도 조사: 병동 간호사를 대상으로
송주현,김시숙 한국융합학회 2022 한국융합학회논문지 Vol.13 No.2
The study was aimed to identify the educational needs for gerontological nursing using the nursing diagnosis classification of hospital nurses. A cross-sectional survey was conducted on 245 nurses who had experience caring for older patients within 1-year at two nurse web cafes. As a result of the study, 43 nursing diagnoses were classified into 6 areas: acute care, daily life care, education and counseling, environment and resource management, health promotion, and geriatric disease management. Nursing educational needs differed according to the age, sex, marital status, education level, size of the hospital, and working experience of the nurse. In order to effectively perform nursing care for the elderly and geriatric patients, it may be necessary to investigate the needs of continuous education and develop a detailed education program. 본 연구의 목적은 병동 간호사를 대상으로 간호진단을 이용하여 노인환자 간호 교육요구를 파악하는 것이다. 연구대상은 최근 1년 이내 입원 노인환자 간호경험이 있는 병동 간호사 245명으로 국내 온라인 간호사 카페 두 개를 통해 2019년 11월 1일부터 30일까지 자료 수집했다. 연구결과 43개 간호진단은 급성기 간호, 일상생활 간호, 교육 및 상담, 환경 및 자원관리, 건강증진, 노인병관리의 6개 영역으로 분류되었고 노인환자 간호 교육 요구도는 간호사의 연령(F=5.42, p=.005), 성별(F=3.92, p=.049), 결혼 여부(F=3.92, p=.049; F=19.00, p<.001; F=4.18, p=.042; F=8.78, p=.003), 학력(F=3.29, p=.039), 병원 규모(F=5.30, p=.006), 근무경력(F=7.03, p=.001)에 따라 차이가 있었다. 노인 및 노인환자 간호를 효과적으로 수행하기 위하여 연속적인 교육 요구도 조사와 세분화된 프로그램 개발이 계속되어야 할 것이다.