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.

妊娠中毒症의 臨床的 比較考察

張玉子 최신의학사 1984 最新醫學 Vol.27 No.4

일부 종합병원 간호사가 경험한 간병인의 업무 실태 조사

장옥자 혜전대학 2003 論文集 Vol.21 No.-

This study attempted to analize nurse's experiences about care giver including nurse's recognition of care giver's existence, the helping part of occupational care giver's activities, problems between occupational care giver and nurse, readucation contents, and to be wanted management organ and each variable. The subjects of the study are 246 nurses who are working at general hospitals. The study informations gathered using structured questionnaire which consisted of 25 items. The reliability of the instrument was cronbach's α = 0.8219. The collected data was analized by SAS program for the statistics of percent, t-test, ANOVA, and friedman test. The study results were as follows: 1.For the nurse's recognition of care giver's existence 90.2% of nurses(224 nurses) who felt occupational care giver's existence was helpful. 2.Care giver's conditions which were wished to nurses were in oder of following: attitude(1.67), skill(2.80), services mind(2.85), experience(3.67), and educational level(4.00). 3.For the nurse's recognition of care giver's needed readucation 99.2%(244 nurses) of nurses who felt occupational care giver's existence was helpful. 4.Care giver's readucation which needed to nurses were in oder of following : decubitus ulcer, personal hygiene, position, emergency care, nasal inhalation, exercise, naso gastric feeding, urination, nutrition, sitz bath. 5.Care giver's activities which were implementated service were in oder of following : personal hygiene, elimination aids, humidifiers operation, reduce anxiety and discomfort, feeding, change position, exercise, apply hot bag and ice bag, lifting, early ambulation, deep breathing, coughing, saftey management, arrangement, suction, drug fed and conform and collecting the specimen et al.

중등도 비만 성인 여성의 식이섭취 실태와 섭식 행동 양상에 관한 연구

장옥자 혜전대학 1999 論文集 Vol.17 No.-

Obesity is becoming a critical health problem in our country and the rate of obesity among adolescent is increasing. This study was accomplished to investigate the prevalence of obesity and the factors related to obesity of college women. 12 subjects were selected as a obesity to their BMI and 84 subjects were selected as a normal group, 69 subjects were selected as a low weight group among the 165 womens. For each subject, physical measured, vein blood puncture, nutrient intakes and dietary intake, eating hahits, eating behavior that lead to obesity that the subjects were obtained by questionnaire. Data were analyzed using ANOVA, X² test, and Duncan's multiple range test. Dietary intake data showed that average daily intake of all the nutrients exceeded Korean recommened diatary allowances for the age group. These results suggest that nutrition education program and methods for the prevention of obesity shoud be developed.

영양과잉에 따른 간호과정

장옥자 혜전대학 1996 論文集 Vol.14 No.-

Nursing diagnosis related to the client's nutritional status can be made after assessment data have been collected and analyzed. Nursing diagnoses may cite actual or potential nutritional problems, deal with how nutritional problems affect other areas of human functioning, or be related to nutritional knowledge deficits. The following examples of nutritional diagnoses include assessment priorities, client goals, nursing interventions, and evaluative criteria.

인슐린 비의존성 당뇨병 환자의 성기능장애에 관한 연구

장옥자,전현숙 혜전대학 2005 論文集 Vol.23 No.-

Purpose: The aim of this project was identify and explore the sexual dysfunction in type 2 diabetic patients. Method: The study involved 72 patients enrolled by diabetes outpatient clinics. Data were collected from september 1 to October 31 in 2004. Patients were asked to complete a questionnaire investigating their perceptions of the relative sexual dysfunction. Result: Sexual dysfunction was present in 49 patients (68.0%); male patients 68.2%, women patients 67.9%. Erectile dysfunction(63.5%) is the highest in diabetic male and impaired sexual desire(39.3%) is frequently in women. Many subjects(93.1%) still don't have professional therapeutic method and counselling. Sexual dysfunction showed a positive correlation with history of diabetes, but was not correlated to sex, diabetic complications, hypertension, exercise, HbAlc, FBS and Self-care. Conclusion: It is necessary to individual approach according to sexual life, which is usually hidden due to social and cultural limitations. Especially, more concern and intervention of sexual dysfunction are necessary for the diabetic women.

일부대학생의 식습관과 식행동에 관한 연구

장옥자 혜전대학 2001 論文集 Vol.19 No.-

This study was conducted to investigate the nutritional study and food habits according to college student in Hong Sung. For each subject, physical measured, nutrient intakes and eating habits, eating behavior that lead to man and women that the subjects were obtained by questionnaire. Data were collected to 4 weeks from March 10 to April 3 1999. Data were analyzed using ANOVA, X² test and Duncan's multiple range test. Average height, weight, BMI, abdominal obese, skin thickness of subjects in men were 168.08cm, 60.97kg, 22.35, 0.79, 17.05mm. Average height, weight, BMI, abdominal obese, skin thickness of subjects in women were 159.05cm, 53.121%, 21.52. 0.74, 31.30mm. These results suggest that nutrition program and methods for the prevention of obesity should be developed.

뇌졸중 환자의 사례연구

張玉子 혜전대학 1993 論文集 Vol.11 No.-

IMOGENE. M. KING의 Open System Model의 간호학적용

張玉子 혜전대학 1991 論文集 Vol.9 No.-

King's theory is the open system theory. She suggests four concept of the model; person, environment, health, nursing. The primary cncerns of nursing are human behavior, social interaction and social movements. thus, within the context of the metaparadigm concept of person. King inclueded three dynamic interacting systems-individuals(personal systems), group(interpersonal systems)and society(social system). Concepts related to the personal system were identified as perception, self, growth and development, body image, time and space. The interpersonal system is composed of two as more individuals interacting in a given situation. The concepts associated with this system are interaction, communication, transaction, role and stress. King defined a social system as an organised boundary system of social roles, behaviors, and practices. The concepts related to social systems are organigation, authority, power, status, and decision making. Despite the limited documentation of the utility of this model, it appears to be suited for use of science knowledge of professional nurses in many practcial settings.

新生兒 健康狀態에 關聯된 要因分析

張玉子 혜전대학 1986 論文集 Vol.4 No.-

This analysis was made on the medical records of 454 newborn babies who were born at one general Hospital in Dae Jeon, from January 1, 1982 to December 31, 1983. The newborn babies figure out the influencing factors on the Apgor score. The mother's age, antenatal care, birth weight, gestational period, conplications during pregnoncy, 2nd stage of delivery were examined as the influencing factors. The conclsion are summarised as follows: 1. The proportin infants with low Apgar score was increased by the 30 years or more and 19 years or less. 2. The proportion of infants with low Apgar score was decreased by the experience of receiving antenatal care by their mothers. 3. The Apgar score of 73.1 percent of newborn infants with 1500 gm or less birth weight was 3 or less. While the proportion of 3 or less score in newborn infant with birth weight of 1501~2500g was 7.7 percent. 4. The Apgar score of 50.0 percent of 50.0 percent of newborn infants with 27 weeks or less gestational period was 3 or less. 5. The Apgar score was low among newborns of mothers with antepartam or intraparture complication. 6. The proportion of low Apgar score was increased by the delay of 2nd labor stage.