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고혈압노인과 정상혈압노인 및 청년의 식후혈압 변화 비교
손정태(Son, Jung Tae) 한국산학기술학회 2012 한국산학기술학회논문지 Vol.13 No.12
본 연구는 고혈압노인과 정상혈압노인 그리고 청년 간의 식후혈압 변화 양상의 차이를 파악하기 위하여 참 여자들의 서면동의를 받아 조사하였다. 휴대용 혈압모니터(ABPM)를 사용하여 식전 30분부터 식후 90분까지 15분 간격으로 혈압을 측정하였다. 고혈압노인군(26명)은 수축기혈압이 식후 30분부터 식후 90분까지 지속적으로 하강하였 고, 최대 19.3±19.4mmHg 하강하여, 정상혈압노인군(25명: -7.7±9.4mmHg) 및 청년군(26명: -1.3±4.1mmHg)과 차이가 있었다. 고혈압노인군의 식후 이완기혈압은 최대 25.0±15.1mmHg 하강하였고 정상혈압노인군(-6.1±6.0mmHg)과 청년 군(-5.7±5.0mmHg) 과 차이가 있었다. 고혈압노인군과 정상혈압노인군에서는 맥박수의 변화가 없었고, 청년군에서는 식후 30분에 일시적으로 맥박수가 상승하였다(p=.014). PPH 발생률은 고혈압노인군 73.1%, 정상혈압노인 24% 이었 고, 청년군은 PPH 발생자가 없었다(p=.001). 따라서 간호사는 고혈압노인의 식후저혈압을 확인하기 위한 식후혈압 측정을 실시해야 한다. 또한 식후 90분까지는 갑작스런 혈압하강과 관련된 합병증의 발생을 주의관찰하고 관리하도 록 하여야 한다. The aim of this study was to find out the impact of age and hypertensive status on postprandial hypotension(PPH). Twenty-six hypertensive elderly (77.7±7.2 years old), twenty-five normotensive elderly (80.2±6.8 years old) and twenty-six young adults (20.0±1.5 years old) took part in the study. The blood pressure (BP) and heart rates (HR) were measured every 15 minutes, from 30 minutes before a meal to 90 minute after a meal in sitting position, using an ambulatory blood pressure monitor. In the hypertensive group, postprandial reduction in systolic BP continued from 30minutes to 90minutes. The reductuion rate of systolic BP of hypertensive elderly group was significantly greater than other groups (p<.05). However, there were no significant differences in trend of HR change between the groups (p=.082). The incidence of PPH was significantly higher in the hypertensives than other groups (73.1% vs 24% vs 0%, respectively, p=.001). In conclusion, age and hypertensive status had a significant impact on PPH. Elderly persons require more intensive BP monitoring and nursing intervention.
손정태(Son Jung Tae),박상연(Park Sang Youn) 기본간호학회 2006 기본간호학회지 Vol.13 No.3
Purpose: This descriptive survey was done to assess how rural women with osteoarthritis perceive their symptoms, what are their treatment preferences, and how they manage their illness. Method: Individual interviews were carried out with 205 women with osteoarthritis living in rural areas. Structured questionnaires were used and the interviewers were 7 trained research assistants. Descriptive statistics were used for data analysis with SPSS win 11.5 program. Results: Of the respondents, 68.8% were overweight and 15.1% were obese, 86.9% reported pain in the knees, low back, and shoulders and the average pain score was 66.06. Those knowing the exact diagnosis accounted for 73.7% of the respondents but only 49.7% reported receiving medical treatments, and 40.2% who received treatment adhered to their prescription. Folk medicines were used by 14.1% of the respondents, but 65.2% among them reported that folk medicines were not effective. Exercise 2.03 times per week was reported by 17.1 % of the respondents and 48.6% reported preferring to walk. Conclusion: Women with osteoarthritis in rural areas need a rehabilitative care program focused on exercise. The community health care system in the rural area should deliver optimal health care for this population. The results of this study can be used as a basis for planning intervention programs for women with osteoarthritis in the rural area.
식후저혈압 위험 노인의 식전 물 섭취가 식후 혈압변화에 미치는 효과
손정태(Son Jung Tae),이은주(Lee Eunjoo) 기본간호학회 2010 기본간호학회지 Vol.17 No.3
Purpose: The purpose of this study was to examine preventive effects of water drinking on postprandial fall of blood pressure in the elderly. Method: Participants were 25 elders who had experienced postprandial fall of systolic blood pressure of more than 15mmHg in a previous study. Within subject repeated measures design using random order allocation was used to control extraneous variables among participants. During the experiment, each participant had to drink 400mL water before lunch, whereas when in the control, they only had their lunch. Blood pressure and heart rate were measured for both times before lunch and at 15 minutes intervals up to 90 minutes after lunch. Data were analyzed using descriptive statistics, repeated measures of ANOVA, paired t-test and Bonferroni adjustment as Post-hoc analysis. Results: Water drinking before lunch elicited significant pressor effects by increasing systolic and diastolic pressure 13.9±4.7/5.2±2.2㎜Hg compared blood pressure during the control (p<.005, p<.022). Heart rate, however, did not change significantly at either time. Conclusion: Drinking water before meal is recommended for elders who experience postprandial hypotension. However, the appropriate volume of water to prevent postprandial fall in blood pressure should be further studied.
식후운동이 식후저혈압 발생 노인의 혈압과 맥박에 미치는 효과
손정태(Son, Jung-Tae),이은주(Lee, Eun-Joo) 한국체육과학회 2011 한국체육과학회지 Vol.20 No.5
The purpose of this study was to examine the preventive effects of exercise on postprandial blood pressure fall in the elderly who had undergone postprandial hypotension. After the informed and written consent, 19 elders from a community center and a nursing home participated in 2 separate interventions; rest after meal and 10 minutes leg exercise with 10 minutes walking after meal using within subject repeated measures design. Blood pressure and heart rate were measured before the meal as baseline and then 15 minutes intervals from immediately after meal till 90 minutes after meal. Data were analyzed by descriptive statistics, repeated measures of ANOVA, paired t-test with Bonferroni adjustment using the SPSS 14.0. There was no significant fall of blood pressure after exercise, whereas significant fall of postprandial systolic and diastolic pressure were shown in the rest after meal group by 18.7±7.7/9.0±7.7mmHg respectively compared with baseline blood pressure. Incidence of PPH was significantly lower in the exercise group than the rest group. Exercise after a meal should be recommended for the elderly who had experience of postprandial hypotension. However, specific types and duration of exercise should be investigated using more controlled study design.
간호대학생의 보호동기 및 감염관리 태도가 감염관리 자신감에 미치는 영향
손정태(Jung Tae Son),이보경(Bo Gyeong Lee),이은경(Eun Kyung Lee) 한국데이터정보과학회 2019 한국데이터정보과학회지 Vol.30 No.4
본 연구는 간호대학생의 보호동기와 감염관리에 대한 태도를 파악하고, 이러한 요인들이 감염관리 자신감에 어떻게 영향을 미치는지를 파악하기 위해서 시도된 서술적 조사연구이다. 자료 수집은 임상실습을 경험한 간호대학생 3학년과 4학년 학생 총 104명을 대상으로 2018년 11월 20일부터 12월 28일까지 진행되었으며, 수집된 자료는 t-test, Pearson correlation coefficients, Multiple regression analysis를 이용하여 분석하였다. 간호대학생의 보호동기와 감염관리 태도는 감염관리 자신감과 유의한 상관관계가 있는 것으로 나타났으며, 보호동기와 감염관리 태도가 긍정적일수록 감염관리 자신감이 높은 것으로 분석되었다. 이러한 결과로 미루어볼 때, 간호대학생의 보호동기 및 감염관리 태도를 향상시키기 위해 간호대학생을 대상으로 한 표준예방지침 등의 표준화된 감염관리 프로토콜을 활용한 적극적 감염관리 교육을 시행할 필요가 있다. 이를 통해, 간호대학생의 감염관리 자신감을 향상시킴으로써 추후 미래의 간호사들의 감염관리 활동에도 긍정적인 영향을 미칠 수 있을 것으로 기대한다. The purpose of this study was to identify the protective motivation, standard precaution attitude and infection control confidence of nursing college students, and try to understand the effect of protection motivation and standard precaution attitude on infection control confidence. A convenience sample of 104 nursing students who attended nursing college and experienced clinical practice answered the questionnaires. Data were analyzed by t-test, Pearson correlation and multiple regression analysis. The results showed that protective motivation and standard precaution attitude of nursing college students had a significant relationship with infection control confidence, and the more positive the protective motivation and standard precaution attitude were, the more the infection control confidence improved. It is necessary to strengthen infection control education using standardized protocols and to provide various direct and indirect training opportunities related to infection control to nursing college students in order to improve protection motivation and induce positive standard precaution attitude. This will improve the infection control confidence of nursing college students and ultimately lead to active infection control activities.
토론식 AIDS 교육이 대학생의 AIDS 관련 지식, 편견, 사회적 상호작용 및 예방의도에 미치는 효과
손정태(Son Jung Tae),이은주(Lee Eunjoo),김현미(Kim Hyeon Mi) 기본간호학회 2007 기본간호학회지 Vol.14 No.4
Purpose: The purposes of the study were to determine the effects of AIDS education which includes discussion on knowledge, prejudice, social interaction, and intention for AIDS prevention in college students. Method: A convenience sampling method was used to collect data, and 136 university students participated in the study. One group pretest-post test design was used and questionnaire for measuring knowledge about AIDS and attitude to AIDS were administered before and after 100 minutes of AIDS education, The education program consisted of a 50-minute lecture with video aids and 50 minutes of small group discussion. Means, SD, and paired t-test with the SPSS program were used to analyze the data. Results: There were significant increases in knowledge (p= .000) and social interaction (p= .002) after the education, but no significant changes in prejudice (p= .832) nor in intention for AIDS prevention (p= .074). Conclusion: AIDS education including discussion was found to be an effective method for improving know ledge and social interaction of college students. The results suggest that education which includes discussion sessions should be used with college students to improve social interaction with people who are HIV positive and enhance knowledge about AIDS.
태극권 수련이 간호대학생의 체력, 스트레스반응, 자아탄력성에 미치는 효과
손정태(Son, Jung Tae),이진주(Lee, Jin Ju) 대한근관절건강학회 2017 근관절건강학회지 Vol.24 No.3
Purpose: The aim of this study was to identify the effects of Tai Chi training program on physical fitness, stress response and ego-resiliency in nursing students. Methods: 28 nursing students of D metropolitan city participated in non-equivalent control group pre- and post-test group test in quasi experimental design with written consent. Fourteen participants in the control group who did usual activities and 14 experimental participants who promised to participate 24 Tai Chi training sessions for 12 weeks. Both groups completed pre- and post-test measurement for physical fitness, a questionnaire regarding their stress response and ego-resiliency. Each 60-minute Tai Chi session was consisted of 5-minute warm up, 10-minute meditation, 40-minute Tai Chi, and 5-minute finishing exercise. Results: After 12 weeks, participants in the Tai Chi group reported significantly higher score in muscle endurance (t=3.77, p=.001), leg muscular strength (t=2.14, p=.042), and balance (t=2.12, p=.044) compared to the control group. The Tai Chi group recorded significantly lower score than the control group on stress response (t=2.75, p=.011). Conclusion: The findings highlight the importance of Tai Chi for a reduction in stress response and promotion in physical fitness in nursing students. Applying Tai Chi training to nursing program will help nursing students to have better academic performance.