노인의 하지불안증후군 증상과 우울, 신체화증상, 일상생활수행능력과의 관계

문선숙,서연옥,이경우 한국재활간호학회 2019 재활간호학회지 Vol.22 No.2

Purpose: The purpose of this study was to investigate relationships between the symptom of restless legs syndrome (RLS), somatic symptom, depression, and activities of daily living (ADL) among the elderly. Methods: A descriptive approach was taken in this study. Data were collected from May 23 to July 5, 2019 and 140 elderly people replied to the questionnaire. The data were analyzed by descriptive statistics, t-test, One-way ANOVA, Pearson’s correlation coefficient, and x2 test. Results: 48.6% of the respondents had RLS symptom and the severity of RLS symptom was 9.57±11.55. RLS symptom had a positive correlation with depression (r=.538, p<.001), with somatic symptom (r=.528, p<.001), with ADL (r=.308, p<.001), and with IADL (r=.360, p<.001). Depression had the most significant correlation with RLS symptoms. There were significant differences in depression, somatization, ADL, and IADL according to the RLS severity. Conclusion: The results of this study showed that many elders experienced mild to severe RLS symptom. Also, the elderly with RLS symptom had more severe depression, somatic symptom, ADL, and IADL than those without RLS symptom in this study. Depression, somatic symptom, and ADL could be deteriorated if the RLS symptom is not diagnosed early.

요양병원 간호사의 핵심간호활동 수행수준, 수행빈도 및 교육요구도 조사

문선숙,서연옥,이경우,구자성 한국재활간호학회 2018 재활간호학회지 Vol.21 No.2

Purpose: This study was to explore the level of core nursing activities performed by long-term care hospital nurses and to investigate the frequency and educational needs of major nursing activities. Methods: A cross-sectional descriptive research design was used. The subjects were 155 nurses working at seven long-term care hospitals in Korea. Data were collected in 2018 from September 15 to October 16 using a structured questionnaire. Data were analyzed using the SPSS program. Results: The mean age of nurses was 45.19±10.99 years and the mean career of long-term care hospital was 49.84±40.52 months. Monitoring activity was shown as the highest score in the performance level and frequency, whereas infection control received the highest score in educational needs. A scatter plot revealed that physical examination, respiratory care, wound care, communication and education showed overall high scores in the performance level, frequency, and educational needs. Emergency care and infection control were the activities that were performed less frequently but had high performance level and educational needs. Conclusion: It is important to establish rules for requisite and delegable activities considering the performance level and frequency of nursing activities in long-term care hospitals in order to improve the quality of patient care.

농촌 지역 노인의 악력, 우울, 신체화 증상, 건강 관련 삶의 질 간의 관계 조사연구

문선숙(Moon, Sun-Sook),김창희(Kim, Chang Hee) 한국재활간호학회 2020 재활간호학회지 Vol.23 No.1

여성결혼이민자의 스트레스와 결혼만족도 및 도움요구

문선숙(Moon, Sun Sook),김창희(Kim, Chang Hee),심미경(Sim, Mi Gyeong) 한국보건간호학회 2009 韓國保健看護學會誌 Vol.23 No.1

Terminal Dehydration and Intravenous Rehydration in Dying Patient

Moon, Sun Sook 연세대학교 간호정책연구소 2002 간호학탐구 Vol.11 No.2

본 연구의 목적은 임종환자들이 임종과정에서 경험하는 terminal dehydration과 정맥수액 요법에 의한 수화(hydration)에 대한 이해를 제공하고, 더 나아가 임종환자를 위한 간호의 질(quality of nursing care)을 향상시키기 위한 것이다. 본 연구는 임종환자와 정맥수액요법에 초점을 맞추어 MEDLINE과 CIHNAL(1983~2000)에 발표된 논문들을 탈수의 유형과 증상, 임종환자들이 경험하는 임종탈수(terminal dehydratiion)와 수화작용의 이로운점과 해로운점 그리고 이에 대한 생화학적 연구를 중심으로 고찰하였다. 본 연구에서 임종과정의 탈수로 인한 보편적인 불편감은 구강건조와 갈증으로 나타났으며, 이는 적절한 구강간호에 의해 완화되어질 수 있었다. 그러나 임종과정에서 정맥수액을 통한 재수화를 한 경우 다양한 생리기전에 의해 호흡곤란, 통증 그리고 의식장애 증가를 경험하는 것으로 나타났으며 이러한 증상들은 임종환자들이 경험하는 질병과 관련이 있을 것으로 추측되었다. 그리고 수액요법을 받는 경우와 받지 않는 임종환자들간의 요소(urea), 나트륨(Na+), 혈장과 소변에서의 삼투압(osmorality)등의 생화학적 변수(biochemical parameter)들 간의 유의한 차이가 없는 것으로 나타났다. 그러나 정맥주입은 치료를 의미하는 것으로 정맥수액요법을 하지 않는 것에 대한 환자가족에 대한 정서적 지지의 필요성이 지적되었다. 그러므로 임종환자들이 경험하는 질병의 양상과 임종탈수 그리고 수화요법에 대한 계속적인 추후연구가 있어야 할 것이다.

혈액투석 환자의 악력, 혈압, 투석적절도, 투석증상 및 우울 간의 관계

김창희,문선숙 한국재활간호학회 2022 재활간호학회지 Vol.25 No.2

Purpose: This study aimed to determine relationships among handgrip strength (HGS), blood pressure, dialysis adequacy, dialysis symptoms, and depression in hemodialysis patients. Methods: Data from 150 subjects were obtained and analyzed, following a descriptive approach. Results: The average grip strength of the subjects was lower than the standard value for both men and women, and the grip strength differed significantly according to age, gender, education level, monthly income, and BMI. The physiological indicators that showed significant results with the study variables were hemoglobin, serum calcium, and serum phosphorus. The average dialysis adequacy (Kt/V) of the subjects was higher than the normal standard, and there were significant differences according to age, gender, education level, monthly income, dialysis period, number of accompanying diseases, and BMI. The subject's depression score had a significant negative correlation with dialysis adequacy, and the dialysis symptom score and depression score had a significant positive correlation. Conclusion: General characteristics, dialysis-related characteristics, and physiological indicators of hemodialysis patients were analyzed in detail, and differences between these characteristics and grip strength, blood pressure, dialysis adequacy, dialysis symptoms, and depression were also examined. It is necessary to provide delicate nursing according to the individual characteristics of the patient.

중년여성에서 하지불안증후군 증상, 수면장애와 우울과의 관계 연구

서연옥,문선숙,이경우 한국재활간호학회 2018 재활간호학회지 Vol.21 No.2

Purpose: The purpose of this study was to investigate relationships between the symptoms of Restless Legs Syndrome (RLS), sleep disturbance and depression among middle-aged women. Methods: The study took a descriptive approach. A self-reported questionnaire was provided to women aged between 45 and 65 living in community area. The data were analyzed via SPSS program (version 25). Results: 47.8% of the respondents showed moderate to severe RLS symptoms and the severity of RLS symptoms was 10.72. Depression score was 13.12 and sleep disturbance score was 4.97. There was a significant correlation between RLS symptoms and sleep disturbance (r=.423, p<.001), and RLS symptoms had a positive impact on sleep disturbance. There was also a significant correlation between RLS symptoms and depression (r=.494, p<.001) and RLS symptoms also had a positive impact on depression. Conclusion: Women with RLS symptoms had more severe sleep disturbance, depression and vasomotor syndrome than those without RLS symptoms. If RLS symptoms among middle-aged women is simply diagnosed as a menopausal symptom, this misdiagnosis can lead to sleep disorder and depression. Therefore, further empirical researches should be done to estimate the prevalence of RLS symptoms and to launch a program to detect RLS at the early stage.

일부 간호대학생의 반별자아개념 비교연구

장옥자,문선숙 혜전대학 1998 論文集 Vol.16 No.-

The purpose of this study is to define the difference in the self-concepts between A class and B class. The data was gathered from 242 nursing students of 1st, 2nd, 3rd grade of junior college in Chung Nam from 8 to 25, March, 1994. The tool used for this study is moo's qestionaire. This questionaire is a multidimensional instrument designed to measure five aspects of self concept in William H. Fitt's self concept scale. The collected data were analysed using descriptive statistics, mean, sd, F-value, p-value, onaway ANOVA. The results were as follow: 1. The self-concept score was the highest in 2nd grade. 2. Between the grades were significant differences in behavior of self concept (F=1.04), self esteem of home (F= .54), varience of external self esteem (F= .88), total positive self esteem(F= .75) 3. The self concept score was higher B class than A class. 4. Between the classes were significant differences in self concept of physical (F= .32), social esteem (F= 05), varience of internal self esteem (F= .05), varience of internal self esteem(F= .89), total varience of self esteem(F= .16), total positive self esteem (F= 1.68)

탈수와 임종간호

장옥자,문선숙 혜전대학 1997 論文集 Vol.15 No.-

The issue of permitting dehydration in terminally ill patient has been great concerned among health care professionals since Zerwekh(1983) brought the issue to public attenton 'The dehydration questions)'. The primary goal of palliative care is comfort for the patient rather than curing the patient (Storey, 1994) and the researches related to assessment of dehydration in the terminally ill patients and evaluating specific nursing interventions to reach the appropriate quality of care is essential. Thus this study was pursued to provide better understanding of this issue in recent work based on definition and classification of dehydration, symptoms of dehydration, biochemical study associated with dehydration, perceptions of health care professionals, clinical case and nursing intervention using literature review. Nurses as the first line caregivers in the health care setting will be able to more effectinely integrate the beneficts of dehydration and hydration in the care of the terminally ill patient, and provide professional accountable quality of care for the patient and family.

여성 결혼이민자의 주관적 건강상태, 건강행위 실천, 결혼만족도

김광숙(Kim, Gwang Suk),문선숙(Moon, Sun Sook) 한국보건간호학회 2011 韓國保健看護學會誌 Vol.25 No.2