보건소 방문간호사의 일반적인 특성에 따른 방문건강관리 서비스 수행도 분석

박정숙,오윤정,Park, Jeong Sook,Oh, Yun Jung 한국디지털정책학회 2014 디지털융복합연구 Vol.12 No.12

본 연구는 방문간호사의 방문건강관리 서비스 수행도와 방문간호사의 일반적인 특성에 따른 수행도의 차이를 분석하기 위해 시도되었다. 연구대상자는 대구시와 경상북도의 방문간호사 총 204명을 대상으로 실시되었고, 연구기간은 2011년 7월 1일부터 8월 30일까지이었다. 방문건강관리 서비스 수행업무 중 당뇨병 환자관리와 고혈압 환자관리를 가장 많이 수행하였고, 반면에 임산부 관리와 영유아 건강관리 업무에 대한 수행 빈도가 가장 낮았다. 방문간호사의 일반적인 특성 중에서 연령, 기혼, 교육수준, 종교, 보건소 근무경력, 방문간호 업무경력, 근무지역에 따라 방문건강관리 서비스 수행도의 차이가 있었다. 따라서 맞춤형 방문건강관리의 안정적인 정착과 활성화를 위해서는 방문간호사의 일반적인 특성을 충분히 고려한 업무 배정과 고용 보장 등을 포함한 방문간호사의 관리방안이 강구되어야 할 것이다. The purpose of this research was to analyze the work performance and the general characteristics influencing work performance of customized home health care nurse. Research participants were 204 nurses who worked in the customized home health care of 33 public health centers in Daegu city and Gyeong-Buk Province. The data were collected by self report questionnaires from July, 1 to August, 30, 2011. The highest degree of work performance was the diabetes mellitus service, while the lowest degree was pregnant women services. Age, marital status, education level, religion, career at public health center, visiting nurses career and work area were the significant factors related to work performance in these subjects. Customized home health care nurses management policy which includes assignment tasks and employment security considering general characteristics of visiting nurses should be established to enhance of activation and stable settlement of customized home health care service.

한국문화에 따른 간호정립을 위한 기초조사연구 III -의료관을 중심으로-

박정숙,오윤정,Park, Jeong-Sook,Ok, Yun-Jung 한국지역사회간호학회 1998 지역사회간호학회지 Vol.9 No.1

This is a study for the construction of nursing care based upon the Korean attitude toward medicine. Factors which were investigated include the source of nursing care, the reason for choosing care, the type of heath care chosen, the accessability of caregivers, and the desired location of death. The population examined in this study consisted of 517 adults distributed in six large cities and 191 adults from five rural communities. Data was analyzed using frequency, percent, Cronbach alpha, $X^2$ - test, t - test, F - test and scheffe post hoc contrast with an SAS program. The results of this study are summarized as follows: 1. Among sources of nursing care used, first rank rated-pharmacy(54.4), private hospital(18.2), general hospital(8.4), folk remedies in house (5.0), chinese hospital(2.8), prayer(2.8) and others(8.4), and the reasons for choosing nursing care rated 'the easiest method' (63.6), 'the best method'(15.7), 'reliable'(10.8) and 'lower cost burden'(4.6) in order of preference. 2. The type of nursing care chosen rated western medicine(6.80), chinese medicine(6.15), folk remedies(5.46), faith remedies(3.51) and divination remedies (1.41). There were significant differences in the effect recognition degree to various kinds of medicine. 3. The difference of the type of nursing care chosen according to general characteristics showed that urban residents were higher than rural community residents(t=2.15, p=0.0320) in western medicine, and urban residents, women, and singles were higher than rural community residents(t=2.04, p=0.0414), men (t= -2.89, p=0.0039), and married(t=2.50, p= 0.0126) on folk remedies. With repect to age and education those 21-30, under 20 and 31-40, graduated from college and graduate school were higher than above 51, above 61 (F = 7.76, p = 0.0001), graduated from elementary school(F=4.39, p=0.0006) on folk remedies. In other categories, rural community residents, women, younger people. Christians were higher than urban residents ( t = -2.73, p=0.0305), men(t= -4.15, p=0.0001), older people (F=2.48, p=0.0307), Catholic, Buddhist, or atheist (F= 70.18, p=0.0001) on faith remedies. Those graduated from high school and Buddhist were higher than unschooled, graduated from middle school(F=3.18, p= 0.0075), atheist, Catholic or Christian(F=18.32, p=0.0001) on divination redemies. There were significant differences concerning age and education level. 4. The accessibility of caregivers rated 'caregivers should be nearby if the patients need them' (50.0), 'caregivers must be there all day (24 hours)' (39.6), 'caregivers must be there at night only'(5.0), 'caregivers must be there during the day only'(2.6), 'caregivers always should visit during visiting hours' 0.4), 'caregivers don't need to be there at all' (1.2). The frist rank of suitable caregivers were rated as spouse(66.6), mother(24.2), daughter (3.6), daughter-in-law(1.9), and the reasons of thinking thus were rated as 'the most comfortable' (81.5), 'people should correctly with regards to family they'(7.1), 'the easiest' (5.4), 'take good care of the patient' (5.1) and 'lower cost burden' (0.4). 5. The desired location of death rated as the following: his/her house (91. 6) to the hospital(8. 4). A person going to encounter death in the hospital wanted his house(78.5) over the hospital(21.5), and a person dieing in the hospital prefered his house(52.9) over the hospital(47.1) as a funeral ceremony place. The following suggestions are made based on the above results. 1. A sampling method that enhances the re presentativeness should be used in regional and/or national related research and replicated to confirm the result of this study. 2. This study should be used to understand the Korean view of medical centers and to meet the expectations of patients in Korean nursing. 3. Research on the Korean traditional view of humans and expectations of the sick, health and illness, and health behavior, the perception of dying, the decision to hea

비와 비례 개념의 의미와 표현에 대한 역사적 발달 과정

박정숙,Park, Jung-Sook 한국수학사학회 2008 Journal for history of mathematics Vol.21 No.3

비와 비례 개념은 학생들에 게 매우 친숙하지만 어렵게 느껴지는 개념이다. 본고에서는 비와 비례 개념의 의미와 표현에 대한 역사적 발달 과정을 고찰하여 현대의 비와 비례 개념의 의미를 확인하고자 하였다. 비와 비례 개념의 의미는 처음에 산술적인 의미로 시작되었으나 통약불가능한 값의 발견으로 기하적인 의미가 산술적인 의미를 대체하게 되었고 다시 대수 표기법의 발달로 인해 산술적 의미와 기하적 의미를 모두 포함한 대수적인 의미로 확장되었다. 비와 비례 개념의 의미와 표현에 대한 역사적 발달 과정을 통해 수학 개념의 의미는 기호 발달에 영향을 주고 기호발달은 수학 개념의 의미를 확장해 가는데 도움을 줌을 알 수 있다. The concepts of ratio and proportion are familiar with students but have difficulties in use. The purpose of this paper is to identify the meanings of the concepts of ratio and proportion through investigating the historical development process of the meanings and representations of them. The early meanings of ratio and proportion were arithmetical meanings, however, geometrical meanings had taken the place of them because of the discovery of incommensurability. After the development of algebraic representation, the meanings of ratio and proportion have been growing into algebraic meanings including arithmetical and geometrical meanings. Through the historical development process of ratio and proportion, it is observable that the meanings of mathematical concepts affect development of symbols, and the development of symbols also affect the meanings of mathematical concepts.

몬티홀 딜레마에 대한 학생들의 이해와 수업적용

박정숙,Park, Jung Sook 한국수학사학회 2014 Journal for history of mathematics Vol.27 No.3

Although Monty Hall dilemma is used in many areas including philosophy, economics, and psychology, it is used in the current mathematics textbooks only as a material for reading or one of probability questions. The present study tries to explore students' understanding of Monty Hall dilemma through a class case. In this study, a group of high-school students participated in group activities, in which they read an argument about Monty Hall dilemma, and tried to resolve it through small-group and whole-class discussions, and then studied the conditional probability. The analysis supports the studies in psychology that intuitive understandings on probability do not change easily, and that counter-intuitivity in Monty Hall dilemma induces confusion and offers a basis for discussions among students. Similar results are anticipated when other dilemmas on probability are used.

아로마테라피의 통증 감소 효과에 관한 국내 실험논문 분석

박정숙,박정언,장순양,곽혜원,한정안,Park, Jeong-Sook,Park, Jeong-Eon,Yang, Jang-Soon,Kwak, Hye-Weon,Han, Jung-An 한국호스피스완화의료학회 2011 한국호스피스.완화의료학회지 Vol.14 No.1

목적: 아로마테라피가 통증에 미치는 효과에 관한 국내 실험논문을 분석하여 연구동향을 파악하고 향후 통증감소를 위한 아로마테라피 중재 개발의 기초자료를 제공하고자 한다. 방법: 2009년 12월 말까지 국내에서 출판된 논문 중 '아로마, 아로마테라피, 향요법, 향기요법, 향기치료, 아로마요법과 통증, pain, 두통, 견갑통, 견통, 회음부 불편감, 통각, 분만진통, 상지통증, 생리통, 월경통, 동통, 분만동통, 월경곤란증' 등의 키워드를 사용하여 한국교육 학술정보원, 국회도서관, KISS, KoreaMed, 국가과학기술 정보센터(NDSL) 등의 사이트에서 검색된 논문 중 사람을 대상으로 한 실험연구 44편을 최종 분석 대상으로 하였다. 수집된 자료는 분석기준에 따라 정리하여, 빈도 및 백분율로 자료를 분석하였다. 결과: 본 연구에서 분석된 논문에서는 3~4종류의 오일을 블랜딩한 경우가 가장 많았고 라벤더, 로만카모마일, 로즈마리, 클라리세이지 등의 오일을 가장 많이 사용하였다. 적용방법으로는 마사지 22편(50.0%), 흡입, 마사지와 흡입을 병행한 연구가 각 6편(13.6%)이었다. 사용된 측정도구는 VAS, 설문지, GRS, 관찰 등과 같은 주관적인 측정도구가 85.7%를 차지하였다. 효과 분석 결과, 두통과 관절통 경감에는 아로마테라피가 효과적인 것으로 나타났으나, 월경통, 분만통, 회음부 불편감 및 월경통의 경우 효과가 "있음"과 "없음"이 비슷한 빈도로 분석되었다. 결론: 아로마테라피는 통증 감소에 효과적이었으나 통증 종류와 적용방법에 따라 차이가 있었다. 추후 연구에서는 아로마테라피의 통증완화 효과에 대한 근거를 확립하기 위해 이중맹검 순수실험연구를 시행할 필요가 있고, 생리적 측정변수를 종속변수로 사용하여 통증감소 중재방법에 대한 과학적 근거를 마련할 필요가 있겠다. 아울러 통증 종류에 따라 오일 블랜딩, 적용방법, 적용시간 및 측정도구를 표준화하여 적용함으로써 아로마테라피의 정확한 효과 분석이 이루어져야 할 것이다. Purpose: This study identifies research trends and provides fundamental data related to curative power of aromatherapy to relieve pain in Korea. Methods: The study analyzed 44 experimental studies on humans that were published in Korea before the end of December, 2009. The key words used for searching were: aroma, aromatherapy, hyang-yobeob, hyanggi-yobeob, hyanggichilyo, aromatherapy and pain, headache, scapulodynia, omodynia, feeling uncomfortable in the perineal region, sense of pain, labor pains, arm pain, menstrual pain, aches, and dysmenorrheal. Those words were found on websites, including those for Korea Education & Research Information Service, the National Assembly Library, KISS, KoreaMed, and NDSL. Collected data were analyzed using descriptive statistics. Results: The results showed that most of essential oils to relieve pain is composed of three to four kinds of oils, including Lavender, Roman chamomile, Rosemary, and Clarysage. Aromatherapy is applied usually by means of massage (50%), inhalation (13.6%), or a combination of the above two (13.6%). Measuring instruments as a dependent variable include VAS, questionnaire, GRS, blood pressure, pulse, and Algometer. Aromatherapy plays an important role in soothing headaches and arthralgia. However, when it comes to labor and menstrual pain, it doesn't seem to be effective. Conclusion: The study found that different kinds of oil, frequencies, and periods of time are used for the same symptoms. Further research should employ standardized oil blending, application, duration, and measuring instruments, and more systematically analyze the effects of aromatherapy to establish the effects on relieving pain.

일 대학병원 낮번, 초번 간호사의 업무분석

박정숙(Park Jeong Sook),고효정(Koh Hyo Jung),권영숙(Kwon Young Sook),김정남(Kim Chung Nam),박영숙(Park Young Sook),박청자(Park Cheong Ja),신영희(Shin Yeong Hee),이경희(Lee Kyung Hee),이병숙(Lee Byung Sook) 계명대학교 간호과학연구소 2001 계명간호과학 Vol.5 No.1

The purpose of this study was to analyze the activities of day and evening shift nurses of a university hospital in Daegu Korea. Subjects were seventy-three nurses from 10 units. Instrument for the analysis of the activities was developed by authors based on the previous activity studies. The instrument consisted of 121 nursing activities which were classified to 21 activity categories, ad finally 4 activity dimensions. Data collection was done for 2weeks, from 9th, Feb., 1997 to 22th, Feb., 1997 by observation method. Research assistants were trained for observation of the activities and method of recording the observation. Research assistants performed observations for 2 or more subjects every 10 minutes. The results of the study were 1) The percent of working time by the dimensions of activities were 57.67% for indirect nursing care, 26.98% for direct nursing care, 9.43% for administration and 5.92% for personal affairs in day shift nurses, and 63.46% for indirect nursing care, 22.57% for direct nursing care, 8.80% for administration and 5.17% for personal affairs, in evening shift nurses. 2) The most frequent category of nursing activity in the direct nursing dimension was medication(9.12% in day shift nurses and 10.07% in evening shift nurses), and the second one was observation, measurement(6.88% in day shift nurses and 7.07% in evening shift nurses). The most frequent category of nursing activity in the indirect nursing dimension was recording-related jot(43.19% in day shift nurses and 50.10% in evening shift nurses) and the day shift nurses and 9.14% in evening shift nurses). The most frequent category of nursing activity in the administration was meeting and reporting (6.94% in day shift nurses, and 7.51% in evening shift nurses) 3) The most frequent nursing were injection, oral medication, TPR check, BP check, bed making, and change patient's gown. The most frequent nursing activities in the indirect nursing were nursing recording, chart management, writing prescription and order check. The most frequent nursing activity in the administration was the meeting and reporting. 4) Nursing activities which were not performed were exercise teaching, perineal care, assist eating, preparation for eating, provide bed pan, ROM exercise, apply suppositories ostomy care, alcohol massage, breast massage and join Dr's rounding.

유리드믹스에 기반한 심리운동 프로그램이 발달지체유아의 운동 및 운동지각 능력에 미치는 효과

박정숙 ( Park Jung Sook ),김윤태 ( Kim Youn Tae ) 대구대학교 특수교육재활과학연구소 2014 특수교육재활과학연구 Vol.53 No.2

본 연구에서는 유리드믹스에 기반한 심리운동 프로그램이 발달지체유아의 운동 및 운동지각능력에 미치는 효과를 알아보았다. 이러한 연구 목적을 달성하기 위해 전라북도의 K시에 소재한 B통합어린이집에 재원하고 있는 발달지체유아 15명을 선정하였다. 본 연구 대상에게는 주2회씩 15주간에 걸쳐 자유선택활동 시간을 이용하여 유리드믹스에 기반한 심리운동 프로그램을 총 30회 실시하였다. 이 연구 결과를 통해 얻은 결론은 다음과 같다. 첫째, 유리드믹스에 기반한 심리운동 프로그램은 발달지체유아의 운동능력 향상에 효과적인 영향을 미치는 것으로 나타났다. 둘째, 유리드믹스에 기반한 심리운동프로그램은 발달지체유아의 운동지각 능력에 효과적인 영향을 미치는 것으로 나타났다. 이러한 결과를 볼 때, 유리드믹스에 기반한 심리운동프로 그램은 발달지체유아들의 운동 능력과 운동지각 능력을 향상시키는데 긍정적인 영향을 미쳤으며, 지속효과가 있음을 알 수 있다. The purpose of this study was, therefore, to examine the effects of an Eurythmics -based psychomotor program on the motor and perceptual abilities of preschoolers with developmental delay. The subjects in this study were 15 preschoolers with developmental delay at daycare centers located in the city of K, North Jeolla Province. The subjects in this study participated in an Eurythmics-based psychomotor program in optional classes 30 times for 15 weeks, twice a week. The findings of the study were as follows: First, the Eurythmics-based psychomotor program was found to exert an effective influence on the improvement of the motor abilities of the preschoolers with developmental delay. Second, the Eurythmics-based psychomotor program was found to exercise an effective influence on the improvement of the perceptual abilities of the preschoolers with developmental delay. Thus, the Eurythmics-based psychomotor program turned out to have positive impacts on the improvement of the motor and perceptual abilities of the preschoolers with developmental delay and time perception. In this study, how the Eurythmics -based psychomotor program affected the motor and perceptual abilities of preschoolers with developmental delay was investigated, and what effects it will produce in the other developmental domains should be examined in the future.

도시 저소득층 알코올중독의 위험요인에 관한 연구

박정숙(Park Jung-Sook),성명옥(Sung Myung-Ok) 경성대학교 사회과학연구소 2004 社會科學硏究 Vol.20 No.1

본 연구는 도시 저소득층의 알코올중독에 관련된 위험요인을 밝히는 것이다. 연구결과 알코올중독의 위험요인으로 총 13개의 생태체계변인을 선정하여 총 13개의 가설을 상정하고 검증한 결과, 총 13개변인 모두 알코올중독 위험요인인 것으로 밝혀졌다. 구체적으로 낮은 학력, 무직, 알코올사용효과의 긍정적 기대(알코올효과를 개인이 찬성할 수 있는 방향의 것으로 인지하는 것. 예를 들어, 사회적, 신체적 쾌락이 증가된다는 기대, 긴장감소의 기대 등)와 부정적 기대(알코올사용효과를 개인이 인정할 수 없는 방향으로 인지하는 것. 예를 들어, 인지 및 행동기능이 손상된다는 기대, 부주의하고 무책임해진다는 기대 등)를 높게 갖는 것, 알코올을 사용하는 이유에서 고양동기(긍정적 기분이나 안녕감을 북돋우기 위하여 알코올을 사용하는 것), 대처동기(우울이나 분노와 같은 부정적 정서를 감소시키거나 조절하기 위하여 알코올을 사용하는 것), 동조동기(사회적 비난이나 거부를 회피하기 위하여 알코올을 사용하는 것), 사교 동기(긍정적인 사회적 보상을 얻기 위하여 알코올을 사용하는 것)를 높게 갖는 것, 문제대처방식에서 정서적 대처(문제상황에서 사회적 지지를 추구하고 자신은 회피하는 방식), 비관적 대처(문제에 직면하여 비참, 우울, 고독, 분노, 압도감, 무기력 등의 비관적 정서로 대처하는 방식)를 많이 사용하는 것, 수동적 자기효능감(자기능력을 의심하여 문제해결을 회피하거나 노력을 게을리 하는 것)을 높게 갖는 것, 가족원 알코올사용장애 역사(부모형제자매의 알코올사용장애 역사)가 있는 것, 알코올사용문화(우리 사회에 만연된 부정적 알코올사용문화)의 수용도가 높은 것이었다. 다만, 직업변인은 부분적인 위험요인으로 밝혀졌다. The purpose of this study is to find out risk factors of Alcoholism of the urban low income group. Based on ecosystems perspective, 13 risk variables were selected and tested. For the study, survey research method was used. And a total 456 public assistance recipients at a long time hosing projects by government are randomly(and with snow ball method) sampled. In order to test the hypotheses logistic regression were employed. It is founded that the 13 variables are the risk factors of the poor in urban area. 11 were related to individual system factors and two were social environmental factors. The former are low educational level, unemployment, alcohol use outcomes expectancies(toward positive and negative directions), alcohol use motives(enhancement, coping, confirmity, and social, motives), problem coping strategies(emotional, pessimistic strategies), self-efficacy(toward passive direction). The latter are alcoholism history in the family of origin and alcohol use culture. Based on the study findings, intervention strategies of alcoholism of the poor in urban area were proposed.

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