간호실무에 대한 간호원들의 태도조사 연구

전점이 최신의학사 1984 最新醫學 Vol.27 No.5

조깅 프로그램이 제2형 당뇨병 환자의 대사 및 심폐기능에 미치는 영향

전점이 연세대학교 간호정책연구소 1994 간호학탐구 Vol.3 No.1

This study was done for the purpose of testing effects of programmed jogging as one of the self care activities on glucose and lipid metabolism and cardio-pulmonary function in type II diabetic patients. Research design was a repeated measure as non-equivalent control group pre-post test quasi-experimental design. Thirty type II diabetic patients who received follow-up care regularly at the out patient department of internal medicine in two general hospitals which had diabetic clinic were studied. Fourteen were assigned to the experimental group and sixteen to the control group. The experimental group participated in the programmed jogging 3 times per week for 4 weeks and the control group didn't have the programmed jogging. The programmed was developed from a review of the literature done by the researcher. Data were analyzed by X²-test, t-test, paired t-test and MANOVA using SPSS/PC The results are summarized as follows ; 1. There were no significant difference between the experimental group and the control group for general characteristics and the pre-test of metabolism and cardiopulmonary function. 2. Hypothesis 1) that type II diabetic patients who participate in the programmed jogging will have a higher level of glucose metabolism than type II diabetic patients who don't do programmed jogging was partly supported(FBS ; between groups F=9.57, p<.05, time within the experimental group F=24.28, p<.001, .05, HbA₁C ; between groups t=1.09, p>.05, time within the experimental group t=2.32, p<.05). 3. Hypothesis 2) that type II diabetic patients who participate in the programmed jogging will have a higher level of lipid metabolism than type diabetic patients who don't do programmed jogging was rejected(triglyceride ; between groups F =.85, p>.05, time within the experimental group F=7.87, p<.05, total cholesterol ; between groups F=4.07, p>.05, time within the experimental group F=.02, p>.05, HDL cholesterol ; between groups F=2.72, p.>05, time within the experimental group F=9.81, p<.05,body weight ; between groups F=2.72, p>.05, time within the experimental group F=15.38, p<.001). 4. Hypothesis 3) that type II diabetic patients who participate in the programmed jogging will have better cardio-pulmonary function than type diabetic patients who don't do programmed jogging was partly supported(MVV; between groups F=11.60, p<.05, time within the experimental group F=9.03, p<.05, FEV₁; between groups F=1.60, p>.05, time within the experimental group F=13.57, p<.05). 5. Hypothesis 4) that there will be a significant difference in the amount of glucose metabolism before programmed jogging and after in type II diabetic patients was supported(FBS; F=31.20, p<.001, HbA₁C; t=2.32, p.<.05). As for the effects of programmed jogging on glucose metabolism according to the length of the jogging period ; FBS took effect after the first week and was stabilized after the third week, and HbA₁C took effect after the fourth week. 6. Hypothesis 5) that will be a significant difference in the amount of lipid metabolism before programmed jogging and after in type II diabetic patients was partly supported(triglyceride ; F=22.73, p<.001, total cholesterol ; F=3.89, p>.05, HDL cholesterol ; F=4.55, p>.05, body weight ; F=23.75, p<.001, body fat ; F=26.38, p<.001). As for the effects of programmed jogging on lipid metabolism according to the length of the jogging period ; a decrease in body weight and body fat was demonstrated in each week from the first to the fourth week, triglyceride from the second to the fourth week, HDL cholesterol after the fourth week, but the total cholesterol did not decrease during the study period of four weeks. 7. Hypothesis 6) that there will be a significant difference in the cardio-pulmonary function before programmed jogging and after in type II diabetic patients was supported(systolic blood pressure ; F=6.46, p<.05, diastolic blood pressure ; F= 8.00, p(.05, heart rate at rest; F=5.80, p<.05, MVV ; F=12.81, p<.05, FEV, ; F =14.83, <.05). As for the effects of programmed jogging on cardio-pulmonary function according to the length of the jogging period ; Diastolic blood pressure, systolic blood pressure, heart rate at last, MVV and FEV₁, were demonstrated in each week from the first to the fourth week. There was no change in the heart's recovery rate regardless of the length of time of the programmed jogging.

문학 작품을 활용한 어휘 교육

전점이 한국국어교육학회 2007 새국어교육 Vol.0 No.77

Vocabulary education using literary works 기존의 어휘 교육은 인지적 측면에서 어휘의 언어학적 지식을 바탕으로 하여, 정확한 언어 사용 능력을 향상시키는 데에 주안점을 두었다. 그러나 인지적 측면 외에, 새로운 어휘 결합이 엮어 내는 ‘말맛’과 다양한 파장을 지닌 ‘정서적 어휘’ 역시 교육에서 주요하게 다루어야 할 내용이다. 이러한 정서적 측면을 효과적으로 가르치기 위해서는 문학 작품을 활용하는 것이 바람직하다. 인지적 관점에서 정확한 언어 사용 능력을 향상시키는 한편, 정서적 관점에서 문학 교육과 연계하여 상황 맥락에 적합한 창의적이고 말맛 나는 표현 능력을 신장시킬 때 삶의 질 향상이라는 국어교육의 궁극적인 목표와도 만나게 된다.

당뇨병 환자의 자가관리 경험에 관한 연구

전점이 동의대학교 기초과학연구소 1997 基礎科學硏究論文集 Vol.7 No.1

This study was investigated to explore the experience of self-care in diabetic patients with complications. Research design was a descriptive study using phenomenological method. Seven diabetic patients with complications who admitted to the ward of internal medicine in D general hospital were participated to the study. The data were collected through in-depth interviews with participants using unstructured and open-ended questions about the experience of self-care during January and February in 1996. Interviews were tape recorded and transcribed verbation. Van Kaam's phenomenological method was used for the analysis of the transcribed data. The results are summarized as follows : The experience of self-care was classified with 18 common elements and 86 descriptive expressions from 202 raw data. The data was categorized with self-care and factors influencing self-care. 1. Self-care The contents of self-care include diet regimen, glucose test and managing blood sugar, exercise regimen, alternative regimen, drug regimen, visiting a hospital and trusting in God. 2. Factors influencing self-care A lack of will for combating illness, hopelessness, experience of complications, lack of cognition of illness, lack of social support, problem of teeth, anxiety and stress have bad influence on self-care, Family support, resolution and expectation have favorable influence on self-care.

간호중재로서 운동요법의 분석

전점이 동의대학교 기초과학연구소 2000 基礎科學硏究論文集 Vol.10 No.1

This study aimed at analyzing the trend of research on the use of exercise therapy in Korea, suggesting directions for future research and implementation of the various exercise therapies. The target population was taken from studies on Exercise Therapy as a nursing interverntion in Domestic Nursing Science, Physiology, Rehabilitation Medicine, and Athletics. Research studies were taken from dissertations and theses selected from Academic Society Journals of nursing science, physiology, rehabilitation medicine and athletics, Journals from universities, medical and nursing schools, and research institutes in various universities, the Central Journal of Medicine, and the New Medical Journal. The studies selected were conducted between 1970 and 1997. The total sample number was 86 different research papers. These studies were analyzed according to Time of Presentation, Theses for a Degree, Experimental Design, Subject, Sample Size, Dependant Variables, Exercise Therapy, and Effort of Exercise Therapy. The results were as follows: 1. The Learning Domain included: 59.3% from Nursing Studies, 22.1% from Athletics research, and 18.6% from the Medical field. 2. Research on exercise therapy has increased rapidly in the 1990's. At the time of this presentation 80.2% of the studies were from the 1990's, and 19.8% were from the 1980's. 3. Thesis areas included: 62.8% non-degree research 20.9% Doctoral studies, and 16.3% Master's theses. 4. Experimental design parameters included: 59.3% non-equivalent control group pre-test design, 30.3% one group pre-test/post-test design, and 10.4% one group post-test only design. 5. Of the Subjects: 54.7% were healthy individuals, and 45.3% were patients with various health problems. 6. Sample size included: 46.5% with above 31 subjects, 15.1% with 11∼15 and 12.8% with 6∼10. 7. Dependent variables were categorized as: Glucose Metabolism, Lipid Metabolism, Cardio-pulmonary function, Body Composition, Physical Strength, Physical Response, Psychological Response, Activities of Daily Living and the others. Cardio-pulmonary function was measured as a dependant variable in 91.8%, Body Composition in 89.6%, Lipid Metabolism in 72.1%, Psychological Response in 55.9%, Physical Strength in 47.7%, Physical Response in 46.4%, Glucose Metabolism in 31.4%, Activities of Daily Living in 11.6% and others composed 3.5%. 8. Each Exercise Therapy was analyzed by Type, Intensity, Frequency, Duration, and Period according to each Learning Domain. 1) In the area of Nursing Science: the Type-Rhythmic Exercise at 31.4% was the most common, Walking, Jogging, and Running composed 25.5%, Muscle Building Exercise made up 19.6%, and Aquatic Exercise were the least common at 11.8%. Exercise with 40∼65% Intensity-comprised 25.5%, Frequency-3∼5 X weekly was the most common at 78.4%, while Duration-of 15∼60 minutes at 76.5%, and Periods-of more than 5 weeks at 82.3% were the most common in their categories. 2) In the area of Medicine: the Type-Walking, Jogging, and Running was the most common at 81.3%, Intensity- of 50∼80% was the most common at 31.3%, Frequency of 2∼3 X a week was the most common at 31.3% also, while 4∼5 X a week at 25.0%, and 6 X weekly was the least common at 12.5%. Duration-of 15∼60 minutes per session was the most common at 50.0%, while sessions of more than 2 hours were 18.8% and 5∼10 minutes sessions were only 12.5%. Periods-of 5 weeks the most common at 75.0%. 3) In the area of Athletics : the Type-Walking, Jogging, and Running at 47.4% was the most common, with Rhythmic Exercise second at 31.6%, and Aquatic Exercise third at 15.8%. In tensity-of 50∼80% was the most common at 73.7%. Frequency-of 3∼5 X a week was the most common at 84.2%. Duration-of 30∼60 minutes per session being the commonest choice, while session of 6∼12 minutes or more than 90 were 15.8%. Exercise periods-of more than 8 weeks were the most common at 78.9%,while those of 6 weeks were 15.8%. The exercise methods used to attain Intensity (66.7, 26.3,62.5%). Frequency(3.9, 15.8, 25.0%), Duration(15.8, 21.4, 18.8%) in Nursing Science, Athletics and Medicine were not described in detail. 9. The effect of Exercise Therapy was categorized into 'positive'. 'partially positive', 'no effect' according to dependant variables: Having a positive effect-Glucose Metabolism and the Others (80.0%), Physical Response (75.7%), Activities of Daily Living(75.0%), Physical Strength (70.7%), Body Composition(67.0%), Psychological Response(62.7%), Cardio-pulmonary Function(61.8%), and Lipid Metabolism(55.1%). The following suggestions can be made on the above findings: 1. Research which includes patients with chronic disease needs to be studied. 2. Research findings on Exercise Therapy as a Nursing Intervention need to described by their elements of Type, Intensity, Frequency, Duration and Period. 3. To properly research the positive effects of Exercise Therapy, there needs to be (1) appropriate research design, (2) selection criteria for the subjects of the studies, (3) sample size parameters, and (4) measurement criterion for the dependant variables. 4. Meta-analysis on Exercise Therapy needs to be done analyze and integrate the various results. 5. The patterns of Exercise Therapy need to be compared with existing international research and current trends for the most effective program design and implementation.

관상동맥질환자를 위한 심장재활프로그램 효과에 대한 메타분석

전점이 한국자료분석학회 2007 Journal of the Korean Data Analysis Society Vol.9 No.4

Purpose: This study was to determine the effectiveness of cardiac rehabilitation and prevention programs(CRPP) in patients with coronary artery disease(CAD). Method: A statistical meta-analysis of 16 randomized controlled trials that evaluated the effects of phase II CRPP from documented CAD was performed. It was focused on cardiopulmonary function, metabolism, muscle strength, psycho-social function and quality of life. Results: Studies had evaluated 1316 patients who received phase II CRPP vs 879 control subjects. The experimental groups demonstrated a positive effect on fractional shortening(d=0.59), MV-A(d=0.47), MV-E(d=0.19), arm curl(d=0.82), triceps extension(d=0.74), military press (d=0.50), lateral pull downs(d=0.45), depression(d=1.21), anxiety(d=0.92), hostility(d=0.96), somatization(d=0.70), well being(d=1.08), vitality(d=0.59), physical functioning(d=0.45) and general health(d=0.40). Conclusions: Phase II CRPP had a positive effectiveness on muscle strength and psycho-social function but partially effect on cardiopulmonary function, metabolism and quality of life compared to the control groups. 관상동맥질환자에게 제 2기 심장재활프로그램을 적용한 무작위 대조군 전-후 실험설계 연구 16편을 대상으로 메타분석을 실시한 결과 유산소운동, 저항운동, 교육 및 상담을 포함하고 있는 경우가 6편이었고, 유산소운동, 교육 및 상담 5편, 유산소운동과 저항운동 3편, 유산소운동만 포함하고 있는 경우가 2편이었다. 심폐기능을 나타내는 효과변수 중 동질적이면서 효과가 있는 것으로 나타난 것은 fractional shortening(d=0.59), MV-A(d=0.47), MV-E(d=0.19)였고, 대사 상태를 나타내는 효과변수는 LDL 콜레스테롤(d=0.22)이었고, 삶의 질을 평가할 수 있는 효과변수는 안녕감(d=1.08), 활력(d=0.59), 신체기능(d=0.45), 전반적 건강(d=0.40)이었다. 그리고 근육강도와 사회·심리적 기능을 평가할 수 있는 효과변수는 모두 이질적이고 효과가 있는 것으로 나타났는데, 전자는 arm curl(d=0.82), triceps extension(d=0.74), military press(d=0.50), chest press(d=0.35), lateral pull downs(d=0.45), rowing(d=0.39)이었고, 후자는 우울(d=1.21), 불안(d=0.92), 적대감(d=0.96), 신체증상화(d=0.70)였다.

유방절제술 환자를 위한 재활프로그램 효과에 대한 메타분석

전점이 한국자료분석학회 2008 Journal of the Korean Data Analysis Society Vol.10 No.1

Purpose: This study was to determine the effectiveness of rehabilitation programs after mastectomy. Method: A statistical meta-analysis of 18 non-equivalent control group pre-post quasi-experimental researches that evaluated the effects of rehabilitation programs from documented mastectomy was performed. It was focused on physical function, immune function, emotional function and quality of life. Results: Studies had evaluated 336 breast cancer patients who received rehabilitation program vs 328 control subjects. The experimental groups demonstrated a positive effect on internal rotation (d=1.12) and flexion (d=0.91) of operated shoulder, grip strength (d=0.75), cancer-related physical symptoms (d=0.34), natural killer cell(d=0.55), perceived stress(d=1.19) and body image (d=1.92). Conclusions: The results suggest basic data for education of post-mastectomy patients and development, application, research of rehabilitation program. 본 연구는 최근 20년간 국내 유방절제술 환자에게 재활프로그램을 적용하여 그 효과를 검증한 비동등 대조군 전-후 실험설계 연구 18편에 대해 메타분석을 실시하였다. 그 결과 동질적이면서 효과가 있는 것으로 나타난 변수는 환측 어깨관절의 내회전(d=1.12)과 굴곡(d=0.91), 악력(d=0.75), 암 관련 신체증상(d=0.34), 자연살해세포(d=0.55), 스트레스지각(d=1.19) 및 신체상(d=1.92)이었다. 그러나 제지방량, 총콜레스테롤, 고지방단백 콜레스테롤, 저지방단백 콜레스테롤, 성호르몬, T8은 효과가 없는 것으로 나타났으며, 환측 어깨관절의 외전, 신전 및 외회전과 피로, 체지방률, 기능상태, 불안, 우울, 분노, 사회심리적 기능 및 삶의 질은 이질적이었으므로 병합이 불가능하였다.본 연구는 유방절제술 환자를 위한 교육 및 재활프로그램을 개발, 적용, 연구하는데 기초자료로 활용될 수 있을 것이다.

간호중재로서 운동요법의 분석

전점이 성인간호학회 1999 성인간호학회지 Vol.11 No.2

This study aimed at analyzing the trend of research on the use of exercise therapy in Korea, suggesting directions for future research and implementation of the various exercise therapies. The target population was taken from studies on Exercise Therapy as a nursing interverntion in Domestic Nursing Science, Physiology, Rehabilitation Medicine, and Athletics. Research studies were taken from dissertations and theses selected from Academic Society Journals of nursing science, physiology, rehabilitation medicine and athletics, Journals from universities, medical and nursing schools, and research institutes in various universities, the Central Journal of Medicine, and the New Medical Journal. The studies selected were conducted between 1970 and 1997. The total sample number was 86 different research papers. These studies were analyzed according to Time of Presentation, Theses for a Degree, Experimental Design, Subject, Sample Size, Dependant Variables, Exercise Therapy, and Effect of Exercise Therapy. The results were as follows : 1. The Learning Domain included: 59.3% from Nursing Studies, 22.1% from Athletics research, and 18.6% from the Medical field. 2. Research on exercise therapy has increased rapidly in the 1990's. At the time of this presentation 80.2% of the studies were from the 1990's, and 19.8% were from the 1980's. 3. Thesis areas included : 62.8% non-degree research, 20.9% Doctoral studies, and 16.3% Master's theses. 4. Experimental design parameters included : 59.3% non-equivalent control group pre-test/post-test design, 30.3% one group pre-test/post-test design, and 10.4% one group post-test only design. 5. Of the Subjects : 54.7% were healthy individuals, and 45.3% were patients with various health problems. 6. Sample size included : 46.5% with above 31 subjects, 15.1% with 11∼15 and 12.8% with 6∼10. 7. Dependant variables were categorized as : Glucose Metabolism, Lipid Metabolism, Cardio-pulmonary function, Body Composition, Physical Strength, Physical Response, Psychological Response, Activities of Daily Living and the others. Cardio-pulmonary function was measured as a dependant variable in 91.8%, Body Composition in 89.6%, Lipid Metabolism in 72.1%, Psychological Response in 55.9%, Physical Strength in 47.7%, Physical Response in 46.4%, Glucose Metabolism in 31.4%, Activities of Daily Living in 11.6% and others composed 3.5%. 8. Each Exercise Therapy was analyzed by Type, Intensity, Frequency, Duration, and Period according to each Learning Domain. 1) In the area of Nursing Science : the Type-Rhythmic Exercise at 31.4% was the most common, Walking, Jogging, and Running composed 25.5%, Muscle Building Exercise made up 19.6%, and Aquatic Exercise were the least common at 11.8%. Exercise with 40∼65% Intensity-comprised 25.5%, Frequency-3∼5 X weekly was the most common at 78.4%, while Duration-of 15∼60 minutes at 76.5%, and Periods-of more than 5 weeks at 82.3% were the most common in their categories. 2) In the area of Medicine : the Type-Walking, Jogging, and Running was the most common at 81.3%, Intensity-of 50∼80% was the most common at 31.3%, Frequency-of 2∼3 X a week was the most common at 31.3% also, while 4∼5 X a week at 25.0%, and 6X weekly was the least common at 12.5%. Duration-of 15∼60 minutes per session was the most common at 50.0%, while sessions of more than 2 hours were 18.8% and 5∼10 minutes sessions were only 12.5%. Periods-of 5 weeks were the most common at 75.0%. 3) In the area of Athletics : the Type-Walking, Jogging, and Running at 47.4% was the most common, with Rhythmic Exercise second at 31.6%, and Aquatic Exercise third at 15.8%. Intensity-of 50∼80% was the most common at 73.7%. Frequency-of 3∼5 X a week was the most common at 84.2%. Duration-of 30∼60 minutes per session being the commonest choice, while sessions of 6∼12 minutes or more than 90 were 15.8%. Exercise periods-of more than 8 weeks were the most common at 78.9%, while those of 6 weeks were 15.8%. The exercise methods used to attain Intensity(66.7, 26.3, 62.5%), Frequency(3.9, 15.8, 25.0%), Duration(15.8, 21.4, 18.8%) in Nursing Science, Athletics and Medicine were not described in detail. 9. The effect of Exercise Therapy was categorized into 'positive', 'partially positive', 'no effect' according to dependant variables : Having a positive effect-Glucose Metabolism and the Others (80.0%), Physical Response(75.7%), Activities of Daily Living(75.0%), Physical Strength (70.7%), Body Composition(67.0%), Psychological Response(62.7%), Cardio-pulmonary Function(61.8%), and Lipid Metabolism(55.1%). The following suggestions can be made on the above findings : 1. Research which includes patients with chronic disease needs to be studied. 2. Research findings on Exercise Therapy as a Nursing Intervention need to described by their elements of Type, Intensity, Frequency, Duration and Period. 3. To properly research the positive effects of Exercise Therapy, there needs to be (1) appropriate research design, (2) selection criteria for the subjects of the studies, (3) sample size parameters, and (4) measurement criterion for the dependant variables. 4. Meta-analysis on Exercise Therapy needs to be done to analyze and integrate the various results. 5. The patterns of Exercise Therapy need to be compared with existing international research and current trends for the most effective program design and implementation.

복부 수술환자의 체온변화와 체온불편감에 대한 가온요법 효과 비교

전점이,김미경 한국자료분석학회 2006 Journal of the Korean Data Analysis Society Vol.8 No.5

본 연구는 수술환자를 가온수액과 가온담요의 체온변화와 체온불편감에 미치는 영향을 알아보고자 2005년 7월 1일부터 8월 31일까지 울산광역시 1개 대학병원에서 복부수술을 받기로 예정되어 있는 환자 32명에게 가온수액과 가온담요를 적용하였다. 그 결과, 복부수술 환자의 수술 후 체온변화와 객관적 체온 불편감에는 차이가 없었다. 그러나 가온수액요법은 수술 중 체온변화와 수술 후 주관적 체온 불편감을 가온담요보다 유의하게 더 감소시켰으므로 복부수술환자에게 효율적으로 사용할 수 있는 가온요법임을 확인하였다. This study was to identify the effect of warming fluid and warming blanket on temperature change and hypothermic discomfort in the abdominal surgery. The data were collected from July 1 to August 31, 2005 at Ulsan university hospital. The subject consisted of 32 patients on abdominal surgery. Warming fluid was more effective than warming blanket on perioperative temperature change and postoperative hypothermic subjective discomfort. But there was no significant difference between warming fluid and warming blanket on postoperative temperature change and hypothermic objective discomfort.

수술환자 가온요법 효과에 대한 메타분석

전점이 한국자료분석학회 2009 Journal of the Korean Data Analysis Society Vol.11 No.4

Purpose: This study was to determine the effectiveness of warming method for postoperative patients. Method: A statistical meta-analysis of 10 non-equivalent control group pre-post quasi-experimental researches that evaluated the effects of warming methods from documented warming methods for postoperative patients was performed. Results: Studies had evaluated 311 postoperative patients who received warming method vs 214 control subjects. The experimental groups demonstrated a positive effect on time required for normal body temperature(d=0.545), VO2(d=0.739), shivering(d=0.617), thermal discomfort (d=1.731). Conclusions: Postoperative warming methods analyzed in this study were relatively effective in metabolic demand. The results suggest basic data for application and research of warming methods for operative patients. 1980년부터 2005년까지 국내·외 학술지에 게재된 연구논문과 학위논문 중 수술환자에게 수술직후부터 마취에서 회복될 때까지 가온요법을 적용하여 그 효과를 보고한 10편을 대상으로 메타분석을 실시하였다. 두 편이상의 논문에서 효과변수로 사용한 10개 변수의 효과크기를 비교한 결과 동질적이면서 효과가 있는 것은 정상체온 회복시간(d=0.545), 최대산소소모량(d=0.739), 전율(d=0.617) 및 체온 불편감(d=1.731)이었고, 심부체온, 수축기혈압, 이완기혈압, 맥박 및 호흡은 효과가 없었으며, 피부체온은 이질적이라 병합이 불가능하였다. 본 연구는 수술환자의 가온요법 효과측정을 위해 유용한 자료로 활용할 수 있을 것이며, 향후 연구에서는 가온요법 효과변수의 효율적인 측정을 위해 적절한 체온계, 측정 부위 및 측정시기를 고려할 필요가 있겠다.