재활간호서비스에 대한 환자와 간호사의 인식 비교

박지원,소희영,김창희 한국장애인재활협회 2011 재활복지 Vol.15 No.1

Purpose: This study was done to compare patient need with nurse perception of importance and performance of rehabilitation nursing service. Method: A questionnaire composed of 43 items was used to collect data. Participants were 211 patients receiving care after industrial accidents and 150 nurses working at a special hospital for industrial disasters. Results: Mean score for nurse perception of importance of rehabilitation nursing service was 4.17, which was statistically significant compared to the mean score for patient need (3.78) and statistically significant for all domains of rehabilitation nursing service (physical·therapeutic, t=-8.622, p=.000; psychological·holistic, t=-3.772, p=.000; educational·informational, t=-6.409, p=.000; social·occupational, t=-4.870, p=.000). The score for patient need (3.78) was higher than for nurses' performance (3.48). Scores for nurses' performance were higher than patient need only for the physical·therapeutic domain (t=-1.207, p=.229), while scores for patient need were statistically significant for the other three domains; psychological·holistic (t=2.438, p=.015), educational·informational (t=3.474, p=.001), and social·occupational (t=7.764, p=.000) compared to scores for nurse performance. Conclusion: The findings indicate that although nurses recognized rehabilitation nursing service as important, they only perform physical and therapeutic services. Therefore special education, supplementation of human resources, and strategy to systemize medical and nursing structures are required to improve the performance of psychological, educational, and social services. 연구목적: 본 연구의 목적은 재활간호서비스에 대한 환자의 요구도와 간호사의 중요도 인식정 도 및 수행도의 차이를 비교분석하는 것이다. 연구방법: 박지원 등(2009)이 개발한 43문항으로 구성된 재활간호서비스 측정도구 설문지를 이용하여 1개 산업재해 전문병원에 입원한 환자 211 명과 같은 병원에 근무하는 간호사 150명으로부터 자료를 수집하였다. 연구결과: 재활간호서비 스에 대한 간호사의 중요도 인식(M =4.17)이 환자의 요구도(M =3.78)보다 통계적으로 유의하게 높 게 나타났다. 재활간호서비스 영역별로 차이를 비교해 보면 신체 ․ 치료(t =-8.622, p =.000), 심리 ․ 영적(t =-3.772, p =.000), 교육 ․ 정보(t =-6.409, p =.000), 사회 ․ 직업(t =-4.870, p =.000) 모든 영역 에서 간호사의 중요도 평균점수가 환자의 요구도 평균점수에 비해 통계적으로 유의하게 높았다. 반면 환자의 요구도(M =3.78)는 간호사의 수행도(M =3.48)보다 높게 나타났다. 이를 영역별로 비교 해 보면 신체 ․ 치료(t =-1.207, p =.229) 영역만 간호사의 수행도 평균점수가 더 높게 나타났고, 심 리․ 영적(t =2.438, p =.015), 교육 ․ 정보(t =3.474, p =.001), 사회 ․ 직업(t =7.764, p =.000) 영역에서는 두 집단 간에 통계적으로 유의하게 환자의 요구도 평균점수가 높게 나타났다. 결론: 간호사는 재 활간호서비스 내용에 대해 환자보다 중요하게 인식하고 있으나 신체 ․치료 영역의 수행도만 환자 의 요구를 충족하고 있다. 심리, 교육, 사회적 영역의 수행도를 높이기 위한 전문적인 교육과 인 력보충, 의료 및 간호시스템을 체계화하는 전략이 필요하다.

[V. 회원 칼럼] 박지원 서포터즈 칼럼

박지원 한국코칭능력개발원 2022 Coach Vol.27 No.3

국소약물송달제제가 성인형 치주염의 치료에 미치는 효과

박지원,권영혁,이만섭,박준봉,허익,Park, Ji-Won,Kwon, Young-Hyuk,Lee, Man-Sup,Park, Joon-Bong,Herr, Yeek 대한치주과학회 1999 Journal of Periodontal & Implant Science Vol.29 No.2

The present study was performed to assess and compare the clinical and microbiological effects following local application of 2% minocycline gel or 0.1% chlorhexidine subgingival irrigation to augment scaling and root planing in patients with moderate to advanced chronic adult periodontitis. 32 healthy patients with moderate to advanced chronic adult periodontitis were enrolled in the study. In each patient, the quadrants that had 2 or more teeth with $5{\sim}8mm$ probing pocket depth and radiographic evidence of alveolar bone loss were selected and divided into test side and control side according to the split-mouth design. All patients received standardized oral hygiene instructions at the beginning of the study and all remaining teeth received scaling and root planing until 0 week. The 2% minocycline gel was applied to periodontal pocket at 0, 1, 2, 3 week in the test side. The 0.1% chlorhexidine solution and the normal saline were irrigated subgingivally for about 30 seconds in the positive control side and negative control side respectively. The clinical and microbiological analysis carried out at 0, 4, 8, and 12 weeks . The results of this study were as follows; 1. In saline irrigation group, there was no adjunctive effects in probing pocket depth reduction, sulcular bleeding index and no significant changes in relative proportions of subgingival bacteria. 2. The chlorhexidine irrigation as an adjunct to scaling and root planing results in reduction in the plaque index and sulcular bleeding index, but there was not statistically significant. The relative proportion of spirochetes was significantly reduced, but the proportion of motile rods was no significant reduction. 3. The minocycline gel delivered subgingivally as an adjunct to scaling and root planing provide significant benefit in reducing probing depths and sulcular bleeding index compared to saline and chlorhexidine irrigation groups. 4. The relative proportions of spirochetes and motile rods were significantly reduced and the proportions of cocci and non-motile bacteria were correspondingly increased in the minocycline gel group. In conclusion, minocycline gel delivered subgingivally as an adjunct to scaling and root planing induces clinical and microbial responses more favorable for periodontal health than saline and chlorhexidine subgingival irrigation.

의료기관의 교육이수점수제도 도입 및 인사고과 반영사례

박지원,Park, Ji-Won 대한병원협회 1997 대한병원협회지 Vol.26 No.5

일 직원교육프로그램의 단계별 평가 적용 사례

박지원,Park, Ji-Won 대한병원협회 1998 대한병원협회지 Vol.27 No.4

소화기암환자의 항암요법 시간 경과에 따른 피로도 측정 연구

박지원,김용순,서미숙 성인간호학회 2001 성인간호학회지 Vol.13 No.4

Fatigue is one of the most common complaints of cancer patients. In this study, we analyzed the change of fatigue level and general symptoms as time go by, so that, we could explain more on the mechanism and chance of fatigue in relation with treatment, and explore the influencing factors. Method: The subjects of this study were 50 GI cancer patients who have visited the cancer center of A hospital in Suwon. We measured fatigue by using the Revised Piper Fatigue Scale(RPFS) at the time of starting and finishing induction chemotherapy, and starting the 2nd cycle of chemotherapy. Results: 1) The fatigue score was 2.81, 3.73, and 3.82 in a 10 point scale at the time of starting and finishing induction chemotherapy, and starting the 2nd chemotherapy, respectively. This means fatigue persisted until after the treatment. 2) Fifty two percent of participants complained of some kinds of symptoms when starting the treatment, and the proportion increased up to 92% when finishing the treatment. 3) Fatigue scores were significantly high in patients with fatigue-related symptoms than for patients without those symptoms. 4) Fatigue scores showed significant differences according to patients' general characteristics such as age, educational level, economic status, occupation, diagnosis, hematocrit, weight, and amount of sleepy. Conclusion: We have to develop intervention strategies to reduce fatigue in cancer patients in the consideration of influencing factors.

渡江錄: 熱河日記局一(7)

朴趾源,李允宰 (번역자) 文章社 1940 文章 Vol.2 No.5

Morphological Study on the Dorsal Lingual Papillae of Sorex caecutiens Laxmann

박지원,이정훈,Park, Ji-Won,Lee, Jung-Hun Korean Society of Electron Microscopy 2009 Applied microscopy Vol.39 No.2

뒤쥐(Sorex caecutiens) 혀유두의 형태적 특징을 알아보기 위해 주사전자현미경을 이용하여 관찰하였다. 혀유두는 실유두, 버섯유두 그리고 성곽유두의 세 가지 유형으로 관찰되었다. 실유두는 혀측면을 제외하고는 혀의 전역에 걸쳐 분포하고 있었으며, 형태와 구조적 특징을 기초로 하여 세 가지의 유형으로 구분되어졌다. 다수의 버섯유두는 혀 전체에 걸쳐 분포하였으며, 특히 혀의 양 측면에 걸쳐 존재하고 있었으며, 혀의 앞쪽보다는 뒤쪽으로 갈수록 크기가 더 컸었다. 버섯유두는 쌍을 이루며 분포하지는 않았지만, 대부분 일정하게 분포하였다. 큰 2개의 성곽유두는 혀의 후방부의 끝 가까이에 존재하고 있었다. 성곽유두는 바깥쪽(측면)이 두꺼운 두겹의 pad가 둥글게 둘러싸고 있었으며, 중앙에는 2개 혹은 3개 정도의 돌출된 둥글게 둘러싼 pad가 존재하고 있었다. 본 연구 종은 일반적인 뒤쥐류에서 볼 수 있는 혀의 형태와 거의 흡사한 구조를 가지고 있었음을 알 수가 있었다. 본 연구에서 성곽유두는 Sorex 종과는 차이가 있었다. 즉, 박쥐류와 Sorex 종에서와 같이 바깥쪽의 pad가 환상의 형태를 취하고 있다는 점에서는 동일하나 박쥐류와 Sorex 종의 경우는 바깥쪽의 pad가 한 겹인데 반해 본 연구 종은 두 겹의 환상 구조를 취하고 있다는 점에서 차이가 있었다. The dorsal lingual papillae of Sorex caecutiens were studied morphologically using scanning electron microscopy. Three types of lingual papillae were found: filiform papillae, fungiform papillae and circumvallate papillae. Filiform papillae were observed in most part of the tongue except on the lateral surface. There were basically three types of filiform papillae distinguished mainly by their morphological shape and structure. Numerous fungiform papillae were spread throughout the whole tongue, especially concentrated in lateral sides. The size varied according to the position of fungiform papillae, becoming larger as it reached to the rear. Strict pair-wise distribution was not observable, but fungiform papillae were mostly located in orderly manner. There were two large circumvallate papillae at the posterior region of the tongue. There were two thick pads around the center part where several bodies were gathered together. Overall research provided similar results with other close species such as common shrew (S. araneus). The circumvallate papillae of S. caecutiens were different from other Sorex species. They were circular, as in bats and other Sorex species, and had two distinguishable pads while others had only one.

ATM 망에서 가변비트율 비디오 서비스에 대한 셀 손실 복원 ( Cell Loss Recovery for VBR Video Services in ATM Networks )

박지원,신종웅,이병호 대한전자공학회 1995 대한전자공학회 학술대회 Vol.1995 No.11

사상체질잔단검사(ASCC Ⅱ) 설문지 간소화 연구

박지원,왕명자,김정아 지역사회간호학회 2003 지역사회간호학회지 Vol.14 No.2

Purpose : The purposes of this study were to understand the types of coping strategies that family caregivers experience during the process of caring demented elderly; to grasp the coping strategies used for resolving this problem; and to develop a substantive theory by analyzing the coping types of the family caregivers of demented elderly. Method: The methodology of data collection and analysis used in this study was grounded theory proposed by Stauss and Corbin(1990). The data was collected through in-depth interview with participants using open-ended and descriptive questions about their coping experiences. All data were audio-taped and transcribed. The data were collected from February, 2000 to February, 2001. The participants of this study were 17 women. Results: Caregiver's coping types varied according to 'family's support'. 'the condition of caregiver's health', 'the relationship with dementia elderly', 'family perception of dementia', 'fixed idea of traditional female role' and 'economic state'. In this study, five types of coping strategies were emerged: active role allotment tyle, meaning grant tyle, devotion tyle, duty defense type, and pessimism type. Among these, those who belong to the types of active role allotment, meaning grant, and devotion, including caregiver's good health were found to adapt themselves to caregiver roles. Conclusion: The results of this study may be helpful for developing effective and individualized nursing strategies suitable for idividual caregivers coping types. It is suggested to practice nursing mediation and to analyze the changes in nursing effect and family members' adaptation based on coping types of the well-adapted caregivers as we as on their affirmative coping strategy.