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간호 학생의 지역사회간호 실습 경험에 대한 유형 분석 : Q방법론적 접근
김이순 동의대학교 기초과학연구소 1998 基礎科學硏究論文集 Vol.8 No.1
This study measures the subjectivity of nursing students' experience in community fields through community nursing practice. The purpose of this study is as follows : 1) to find out typologies based on opinions and attitudes toward community nursing practice. 2) to describe the characteristic of each type. 3) to provide alternative strategies for solving community nursing practice problems. A Q-Methodological method was used for that purpose. As a research method, Q-statements were collected through indepth interviews and review of the current literature. For this study 34 Q-statements were selected. 24 nursing students were subjects for the research. The 24 nursing students sorted 34 Q-statements using the principle of Forced Normal Distribution. The principle of Forced Normal Distribution, which has nine scales to measure individual opinions, was called, a Q-Factor Analysis by using a PC Quanl Program to supply the material. According to the results of this study, there were three categories of opinion concerning community nursing practice. The first type is the realistic problem-oriented approach ; the second type is the self-responsibility or pursuit of life meaning approach ; the third type is the group approach for problem solving. As a result, we need to develop and revise a more realistic way of community nursing practice for nursing students. Finally, the result of this study will provide to the educational program alternative strategies for community nursing practice for nursing students.
보건소 금연클리닉의 2년 이상 장기금연과 건강행위 실천의 관련성
김이순,김윤희 한국자료분석학회 2011 Journal of the Korean Data Analysis Society Vol.13 No.6
본 연구는 보건소 금연클리닉의 2년 이상 장기금연과 건강행위 실천의 관련성을 파악하기 위하여 시도되었다. 연구대상자는 B시 소재 10개 보건소의 금연클리닉에서 6개월 금연에 성공한 성인 남자 776명이다. 수집된 자료는 일반적 특성과 건강행위 특성에 따른 장기금연의 차이는 카이제곱 검정으로, 장기금연에 관련된 건강행위 요인은 로지스틱 회귀분석으로 분석하였다. 연구결과 6개월 금연성공 후 2년 이상 장기금연을 유지하는 비율은 53.5%로 나타났다. 장기금연과 관련된 건강행위 요인은 적정음주(OR: 2.112, 95% CI: 1.560-2.891), 규칙적인 운동(OR: 1.547, 95% CI: 1.271-2.143), 규칙적인 아침식사(OR: 1.743, 95% CI: 1.249-2.437)로 확인되었다. 그리고 건강행위를 3개 이상 실천하는 군은 2개 이하 실천하는 군에 비하여 장기금연 가능성이 1.617배(95% CI: 1.190-2.079) 높았다. 따라서 효과적인 장기금연 유지를 위해서는 절주, 운동, 영양 등 다양한 건강행위실천 프로그램을 포함하는 포괄적인 금연중재 프로그램이 필요하다. The purpose of this study was to investigate the association of long-term maintenance of smoking cessation and health behaviors in smoking cessation clinics. The data were collected from 776 of 6 months quitters at 10 smoking cessation clinics in B city and were analyzed using logistic regression. The overall rate of long-term (above 2 years) smoking cessation post 6 months quitting was 53.5%. Logistic regression analysis revealed that the significant correlates associated with long-term maintenance of smoking cessation were adequate alcohol drinking (OR: 2.112, 95% CI: 1.560-2.891), regular exercise (OR: 1.547, 95% CI: 1.271-2.143), regular breakfast (OR: 1.743 95% CI: 1.249-2.437). Relative to the subjects with low good health behavior score, those with high good health behavior score were at significantly increased rate of long-term smoking cessation (OR: 1.617, 95% CI: 1.190-2.079). It is needed to develope and evaluate of comprehensive smoking cessation program with health behavior program
김이순 동의대학교 기초과학연구소 1998 基礎科學硏究論文集 Vol.8 No.1
Ⅰ. 서론 Ⅱ. 문헌고찰 Ⅲ. 연구방법 및 절차 Ⅳ. 연구결과 및 논의 Ⅴ. 결론 및 제언 참고 문헌 영문 초록
12주간 태극권 운동이 고령여성의 신체적 특성 및 혈압, 콜레스테롤, 기능적 체력에 미치는 영향
김이순,박문수,곽이섭 한국웰니스학회 2012 한국웰니스학회지 Vol.7 No.1
The purpose of this study was to evaluate the effect of 12 weeks Tai Chi exercise on functional fitness (2-min walk, grip power, trunk flexibility, sit-up, balance)and cholesterol levels (TC, TG)in elderly hypertension patients and arthritis patients. Twenty eight elderly women were recruited from the public health center. They were divided into Hypertension (n=14)group and Arthritis (n=14)group. Two groups were participated in 12weeks (2times/week, 1h 30min/times)of Tai Chi exercise program. Data were analyzed with paired t-test measure. The results were as followed. Physical characteristic (weight & %fat, W/H ratio)and blood pressure (SBP, DBP), functional fitness (2-min walk, trunk flexibility, sit-up, balance)were significantly (p<.05)improved pre and post Tai Chi exercise program in hypertension groups. but only systolic blood pressure was significantly (p<.05)improved in Arthritis groups. Also, total cholesterol (TC)and triglyceride (TG)were not significantly decreased in both groups. In conclusion, 12weeks Tai Chi exercise program was effective to improved physical characteristic and blood pressure, functional fitness. therefore, Tai Chi exercise is a slow and naturally exercise that is effectiveness for elderly hypertension patients and arthritis patients.
김이순,김복용,Kim, Lee-Sun,Kim, Bok-Yong 한국지역사회간호학회 1989 지역사회간호학회지 Vol.1 No.1
The purpose of this study was to find out the general characteristics of school health teachers, the status of school health resources and the degrees of self-confident performance for the 124 school health teachers in Pusan City. Data was collected by means of questionaires from Aug. 1986 to Mar. 1987. The data were analyzed by use of percentage, mean, standard deviation, t-test, ANOVA and Pearson-correlation coefficient. The results of this study were as follows: 1 . General Characteristics of School Health Teachers (SHT) 1) The average of age of the SHT was 32.8 years old and 39.5% of them were from 30 to 34 years old. 2) The average for school nursing experience of the SHT was 7.9 years and 37.9% of them were from 5 to 9 years. 3) The 45.2% of them have not the clinical experience. 4) The 74.2% of them were graduated from the 3 years college of nursing. 2. Status of school health resources and nursing activities. 1) The average of student number was 2497.3 and class number was 45.2. 2) The average of school health budget was 1039000 won and 27.7% of school health budget expended on examination cost. 3) Only 29.0% of all schools have organization for school health. 4) The 84.7% of all schools have health clinic separately and 69.1% of schools have less than $33m^2$ sized. 5) The average of clinic visitor number was 2111.8 for 1 year. 6) Major problem was on digestive system. And other problems were skin, respiratory, musculo-skeletal system and dental problem. 7) The number of literal message was 14.4 times for 1 year. 3. The degree of the school health teachers' self-confidence. The school health teachers' self-confidence was deviced into 6 and the maximum degree was 4. 1) Program planning & evaluation; 2.8 2) Clinic management; 2.9 3) Health education, 3.0 4) Management of school environment; 2.7 5) Health care services; 2.7 6) Operating of school health organization; 2.4 4. Significances to the degree of self-confidence on school health nursing activities. 1) There was significant difference between clinical management and Religion (t=2.15 p<.05) 2) There was significant difference between Operating of school health organization and level of school (F=3.588 p<.05) 3) Program planning & evaluation: expending time for clinical management (r=-0.184 p<.05) expending time for health care services (r=0.273 p<.01) 4) Clinical management: use of separate health clinic (r=0.151 p<.05) 5) Health education: use of separate health clinic (r=0.170 p<0.5) 6) Health care services: No. of student (r=-0.144 p<0.5) No. of class (r=-0.160 p<.05) 5. The degree of the school health teachers' self-discipline. The school health teachers' self-discipline was devided into 2 and the maximum degree was 2. 1) Program planning & evaluation:1.8 2) Clinic management: 1.9 3) Health education: 1.9 4) Management of school environment: 1.7 5) Health care services: 1.8 6) Operating of school health organization.: 1.3 6. Significances to the degree of self-discipline on school health nursing activities 1) Program planning & evaluation; Level of nursing education (F=4.309 p<.01) 2) Clinical management: Level of nursing education (F=3.587 p<.05) 3) Operating of school health organization: School health organization (t=-2.68 p<.01) 4) Health care services: School health organization (t=2,58 p<.05) 5) School health performance: School health organization (t=2.32 p<.05) 6) Program planning & evaluation: School health experience (r=0.239 p<.01) Expending time for program planning & evaluation (r=-0.172 p<.05) 7) Clinic management: School health experience (r=0.249 p<.01) Expending time for dinic management (r=0.181 p<.05) No. of student (r=-0.158 p<.05) Expending time of program planning & evaluation (r=-0.199 p<0.5) 8) Health education: School health experience (r=0.234 p<0.1) Expending time of program planning & evaluation (r=-0.193 p<.05) 9) Management of school environment: Age of school health teacher (r=0.142 p<.05) School health experience (r=0.
김이순 동의대학교 기초과학연구소 1998 基礎科學硏究論文集 Vol.8 No.1
Cerebrovascular diseases in Korea is an important health problem since mortality and mobidity have been increased rapidly. It marked the 2nd cause of specific death rates in 1993. The stroke causes physical function disorder due to hemiparalysis and emotional disorder, and stroke patients experience helplessness, powerlessness, sense of alienation and loss of hope. These feelings make the rehabilitation difficult because they lose the will of life. The subjects of the study were seven citizens who live in Pusan, are over 50 years old and belong to low income-level. The data were collected from Jan. to Sep. 1995. The researcher as a caregiver and volunteer made confidence of them and asked for their agreement on the purpose of the study. The subjects expressed their experience as openheartedly as possible. The analysis of the data was made through the phenomenological analytic method suggested by Giorgi, which is as follows ; as an unit of description which include the subject' expressions and the researcher's observation, it is examined the theme that express the hope experience with the subject's language(underlining), and the focal meanings are identified. The focal meaning is the crystalization of the theme, which is written in the language of the researcher. After intergrating the focal meaning and make the situated structural description as the meaning of the hope experience identified on each subject's point. After intergrating the situated structural description and make the general structural description as the meaning of the hope experience identified on total subject's point then the systemizing of the structure of the hope experienced phenomena and the flowing of the conciousness was researched. The conclusions of this study was as follows : The ten sources of hope which the subjects experienced were sorted as under : 〈mutual relations to others : spouse, children, relatives, fellow believer, health professioner, associate patient group〉,〈spiritual dependence〉,〈recovery of physical function〉,〈rumination of the past life〉,〈expectation of the future〉,〈economic power〉,〈belief〉,〈ability〉,〈spontaneous participation〉and〈recovery of roles〉. Their hope was spoken out by the following two kinds of linguistics. First, the hope was expressed in the affirmative expression as follows : 〈to be dependable〉,〈to make efforts〉,〈to keep under control〉,〈to desire〉,〈to be pleasant〉,〈to be peaceful〉,〈to be grateful〉,〈to give help〉,〈self-confidence, Courage〉,〈to be happy〉,〈to satisfy oneself〉,〈to share with others〉,〈to understand〉and〈to be affected, be impressed〉 Second, the hope was expressed in the negative expression as under : 〈to be distressed〉,〈to be uneasy〉,〈to be sorry, be unsatisfied〉,〈despair〉,〈to abandon〉,〈to be fearful〉,〈to suffer〉,〈to bear a burden〉〈to be confused〉,〈to be solitary〉,〈chest trouble〉,〈to feel heavy〉〈grief〉,〈to be daunted〉,〈to get angry〉,〈to be uncomfortable〉,〈to have something regretable〉and〈to feel guilty〉. And their hope was expressed by the following four behavioral expressions : 〈physical sphere〉,〈psychological sphere〉,〈social support sphere〉and 〈spiritual sphere〉. The reaction patterns of their hope experience appeared in the following 4 coping method : 〈conquest type〉,〈dependence type〉,〈adaptation type〉and 〈fate type〉. Finally, in the hope structure the sense of certainty don't always coexict with the sense of uncertainty. When the stroke patients try to search for the best quality of life, the senses of certainty and uncertainty make a continual cyclic system in the hope structure.
김이순,황보선,Kim, Lee-Sun,Huang, Bo-Sun 한국지역사회간호학회 1995 지역사회간호학회지 Vol.6 No.2
Cerebrovascular diseases in Korea is an important health problem since mortality and mobidity have been increasing rapidly. Cerebrovascular diseases marked the 2nd rank of cause specific death rate in 1993. The ploblem of emotion after a stroke has received very little attention from the nursing profession until recently. Even the frequency of the emotional disorder after stroke is uncertain, and there has been very little research. Emotional disorder after stroke was related to limited social function, guilty conscience, helplessness, hopelessness, powerlessness, alienation, and damage of self-image. In the stroke patient, hope may be related to a rehabilitation or enhancing physical condition. Inspiring hope is necessary when stroke patients are unable to mobilize energy on their own behalf and perceive limited or no person choices available. Inspiring hope is an intervention that can be used with many nursing diagnoses, especially when feelings of helplessness, hopelessness, powerlessness, and depression are present. The nurse can inspire hope by understanding the hoping process. On the basis of this literature review, the following suggestions are prosed. 1) Qualitative studies on hope have been done to indentify variables that affect maintenance of hope in the chronically ill patients. 2) In the development of an instrument to measure hope, the validity, reliability, and cultural property of the hope have been estabilished.
김이순,김경철,곽이섭 한국자료분석학회 2009 Journal of the Korean Data Analysis Society Vol.11 No.1
This study is to determine the effects of BUDDEUMI(moxibustionand cupping a boli) therapy on the relief of premenstrual syndrome and dysmenorrhea in female college students. A total of 48 female college students in a university are selected: 24 in the experimental group and 24 in the control group. All of the subjects have the score of more than 6 on the visual analogue scale for measuring the level of premenstrual pain. The data was collected by using questionnaires. The BUDDEUMI(moxibustion and cupping a boli) therapy on the KWAN-WON & KI-HAE in abdomen was administered to the experimental group, and no treatment was given to the control group. The results are as follow: 1. The homogeneity testing revealed that all study variables are equally distributed between experimental and control groups. 2. The hypothesis, 'the experimental group who received BUDDEUMI(moxibustion and cupping a boli) therapy will decrease premenstrual syndrome', is supported. The hypothesis, 'the experimental group who received BUDDEUMI (moxibustion and cupping a boli) therapy will decrease dysmenorrhea', is supported. As a result of this study, BUDDEUMI(moxibustion and cupping a boli) therapy will be able to be used as the self care therapy to improvethe symptoms of female who has the premenstrual syndrome and dysmenorrhea.