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병원 외래 이용 환자의 의료 커뮤니케이션 유형, 역량 및 만족도
양유리 ( You Lee Yang ),오의금 ( Eui Geum Oh ) 대한의료커뮤니케이션학회 2015 의료커뮤니케이션 Vol.10 No.2
Purpose: Health communication is an important component of patient-centered care to meet successful health outcomes. However, there is limited study about patients`` communication style or competence. This study was to explore the relationship among health communication style, competence and satisfaction of hospital outpatients, and to identify relating factors. Methods: A descriptive survey was conducted with convenient sample of 109 outpatients in a general hospital. Reliable and valid self-questionnaires were used and SPSS win 20.0 software was used for data analysis. Results: The mean age was 46.33 (SD=13.90) years, and more than 52% had visited hospital for less than 3 years. 39.4% of patients`` health communication style was ``functional`` while others were ``non-functional``. The level of health communication competence and the health communication satisfaction were moderate. Furthermore, functional communication style group was higher on health communication competence than non-functional (t=3.17, p<.01), and health communication competnece was also significantly correlated with health communication satisfaction (r=.314, p<.01). The health communication competence (β=.304, p<.01), and doctor``s consulting time (β=.184, p<.05) were influencing factors of the communication satisfaction (R2=.131, p<.01). Conclusion: This study result indicates that health professionals should consider patients`` health communication style and competence during health consulting to improve their satisfaction and health outcomes.
세포벽의 형태학적 변화와 ABC Transporter에 기초한 벼키다리병원균 Fusarium fujikuroi CF337의 살균제 prochloraz에 대한 저항성 반응
양유리 ( You Ri Yang ),이시우 ( Si Woo Lee ),이세원 ( Se Won Lee ),김인선 ( In Seon Kim ) 한국환경농학회 2012 한국환경농학회지 Vol.31 No.1
BACKGROUND: The resistance of rice bakanae disease pathogens against the fungicide prochloraz has been reported. Understanding the resistance mechanisms is an important for better control of the pathogens. In the present study, we investigated the resistance mechanisms of Fusarium fujikuroi CF337 (CF337) against prochloraz. METHODS AND RESULTS: Morphological changes in the cell wall of CF337 grown in potato dextrose broth (PDB) with or without prochloraz was investigated by transmission electron microscopy. Growth inhibition of CF337 was examined in PDB containing prochloraz or an ABC transporter inhibitor or both of them. Cell wall thickness of CF337 grown in PDB with prochloraz was significantly increased from 80.73±1.99 nm to 193.11±7.07 nm. Significant inhibition in the growth of CF337 was observed in the presence of both prochloraz and the inhibitor, but no growth inhibition was observed in the presence of the inhibitor or prochloraz. Sequence analysis of ATP-binding cassette transporter (ABC) gene of CF337 showed 70 to 80% similarities to the genes of the pathogens resistant to other fungicides. CONCLUSION: Efflux transporter system and changes in cell wall thickness were suggested as resistance mechanisms of CF337 against prochloraz.
항암치료 중인 유방암환자를 대상으로 한 운동중재에 관한 국내 연구동향
이현주(Lee, Hyun Joo),양유리(Yang, You Lee),추상희(Chu, Sang Hui) 대한종양간호학회 2015 Asian Oncology Nursing Vol.15 No.4
Purpose: Cardiotoxicity following cancer chemotherapy or radiotherapy is an emerging issue for breast cancer patients. The purpose of this study was to analyze the current domestic research trends for exercise intervention for Korean breast cancer patients under chemotherapy or radiotherapy, focused on cardiovascular indices as study outcome measures and to make suggestions for future nursing studies. Methods: A literature search was done using PubMed, CINAHL and two Korean databases to identify experimental studies reported in Korean or English between 2,000 and 2015. We identified five studies independently reviewed by two reviewers. The quality and risk of bias of the selected studies were assessed by RoBANS criteria. Results: Tai-chi exercise was used in three studies and aerobic exercise programs or yoga and walking exercise in the remaining studies. Two studies evaluated cardiovascular outcomes and showed positive findings for breast cancer patients. For cardiovascular indices, heart rate and blood pressure were used. Conclusion: This study showed the need for conducting well-designed experimental studies including clinical cardiovascular outcomes to generate evidence on exercise intervention for cancer therapy-induced cardiotoxicity prevention. Additional studies are warranted to accelerate the potential use of exercise as a nursing intervention for cancer patients under chemotherapy or radiotherapy.
수술 후 폐 합병증 예방을 위한 심호흡 운동의 효과에 대한 체계적 고찰
이월숙(Lee, Worlsook),양유리(Yang, You Lee),오의금(Oh, Eui Geum) 기본간호학회 2014 기본간호학회지 Vol.21 No.4
Purpose: This study was done to evaluate effectiveness of deep breathing exercise as a postoperative intervention to prevent pulmonary complications. Methods: A search of databases from 1990 to 2012 was done including MEDLINE, EMBASE, CINAHL, Cochrane Library and eight Korean databases. Ten studies met eligibility criteria. Researchers trained in systematic review, independently assessed the methodological quality of selected studies using the Cochrane’s risk of bias tool. Data were analyzed using RevMan 5.2 program. Results: Among ten RCTs in four studies, deep breathing exercise was compared with an instrument using interventions such as incentive spirometry, in the other four studies deep breathing exercise was compared with non-intervention, and in last two studies bundles of interventions including coughing and early ambulation were assessed. A significant difference was found between deep breathing exercise group and non-intervention group. The odds ratio (OR) of occurrence of pulmonary complications for deep breathing exercise versus non-intervention was 0.30. However, there was no significant difference between deep breathing exercise group and incentive spirometry group (OR=1.22). Conclusion: Deep breathing exercise is vital to improving cost-effectiveness and efficiency of patient care in preventing postoperative pulmonary complications. For evidence-based nursing, standardized guidelines for deep breathing in postoperative care should be further studied.