수술 후 뇌종양 환자의 암 대처에 미치는 영향요인

허유진 ( Hur Yujin ) 이화간호과학연구소 2017 Health & Nursing Vol.29 No.2

Purpose: The purpose of this study was to identify the factors that impact cancer coping for patients with brain tumor. Method: Patients diagnosed with brain tumor within the past two years were recruited from one hospital in Seoul. Data were collected from October 12^th 2016 to November 18^th 2016. The structured Questionnaires included the Korean Cancer Coping Questionnaire (K-CCQ), the Mishel’s Uncertainty in Illness Scale-Brain Tumor (MUIS-BT), and the Tae’s healthcare professionals’ support in social support scale. The data were analyzed using SPSS version 23.0. Specifically, descriptive statistics, t-test, ANOVA, Scheffe’s test, Pearson’s correlation coefficient, and multiple regression were used. Result: The multiple regression analysis showed statistically significant results for economic status (β=.133, p=.009), decreased motor grade (β=-.125, p=.014), and healthcare professionals’ support (β=.785, p<.001). Conclusion: Results from this study indicated that economic status, decreased motor grade, and healthcare professionals’ support influenced cancer coping in brain tumor patients. Study results can be used to improve cancer coping of brain tumor patients. To improve cancer coping for brain tumor patients, it is necessary to use an integrative approach regarding economical problem, neurologic deficit, and healthcare professionals’ support.

환자 안전사고에 대한 간호사의 경험

허유진(Hur, Yujin),정미화(Chung, Miha),이진영(Lee, Jinyoung) 한국재활간호학회 2021 재활간호학회지 Vol.24 No.2

여성 뇌종양 환자의 수술 후 불확실성

허유진(Hur, Yujin) 대한여성건강학회 2017 여성건강 Vol.18 No.1

지역사회 거주 여성 노인에서 낙상 경험에 따른 낙상효능감과 주관적 건강상태 비교

허유진(Hur, Yujin),강윤희(Kang, Younhee) 대한여성건강학회 2018 여성건강 Vol.19 No.1

Purpose: The purpose of this study was to compare fall-efficacy and perceived health status between fallers and non-fallers among the community-dwelling elderly women. Methods: The design of this study was a descriptive-comparative survey study. A total of 63 elderly women participated voluntarily in this study. The structured questionnaires were used as survey tool. For the fall-efficacy, the Fall Efficacy Scale-Korean version (FES-K) was used. Fore the perceived health status, the Health Perceptions scale by Speake, Cowart, & Pellet was used. The data were analyzed with descriptive statistics, t-test, & Chi-squared test. Results: Faller group had significantly lower levels of both fall efficacy (t=-3.065, p=.003), and perceived health status (t=-.876, p=.008). Fallers had significantly higher BMI than non-fallers (t=2.733, p=.008). Conclusion: Among the community-dwelling elderly women, fallers had lower levels of fall efficacy. In summary, these study showed that fall efficacy, perceived health status, and BMI were significantly different according to the fall experience. There is a need to develop the program to increase fall-efficacy and physical activity for the elderly women.

임상간호사의 뇌사자 장기기증에 대한 지식과 태도에 영향을 미치는 요인

이현아,허유진,이영규,송가람,이은지,신수진,Lee, Hyun Ah,Hur, Yujin,Lee, Young Gew,Song, Garam,Lee, Eunji,Shin, Sujin 한국중환자간호학회 2017 중환자간호학회지 Vol.10 No.3

Purpose : This study investigated factors affecting the knowledge and attitude of organ procurement from brain dead patients in nurse clinicians. Methods : A survey was conducted with 160 clinical nurses from a university hospital in Seoul. Descriptive statistics, t-tests, an ANOVA, $Scheff{\acute{e}}^{\prime}s$ test, Pearson's correlation coefficient, and a multiple regression analysis were used. Results : The mean score for knowledge of organ procurement from brain dead patients was $12.41{\pm}2.16$ (mean correct answers = 62.1). Factors influencing the knowledge of organ procurement among nurse clinicians were working department (${\beta}=.454$, p < .001), a recent family death (${\beta}=.187$, p = .014), experience recognizing potential brain dead patients (${\beta}=.182$, p = .033), and experience referring to potential brain dead patients (${\beta}=-.192$, p = .048). Conclusion : To ensure effective organ procurement from brain dead patients, it is necessary to continually educate nurse clinicians to improve their attitude and knowledge concerning organ donation.

A Concept Analysis of Nurses’ Grit

Jiyeon Lee,Jung Eun Oh,Won Jin Lee,Yujin Hur 위기관리 이론과 실천 2019 Crisisonomy Vol.15 No.5

본 연구의 목적은 간호사의 그릿의 개념을 정립하고 정의하기 위해 시행되었다. 문헌고찰과 심층면 접을 통해 개념을 규명하는 방법인 Schwartz-Barcott & Kim의 혼종모형(Hybrid model)을 이용하였다. 자료수집은 이론적 단계에서 다양한 관련 문헌으로부터 수집하고, 현장작업단계에서는 종합병원에 근무하는 10명의 간호사를 대상으로 심층면접을 통해 수집하였다. 본 연구결과 간호사의 그릿은 인지, 행동, 감정 세 가지 차원으로 분류되었고 세 가지 속성과 21가지 지표로 정의되었다. 결론적으 로 간호사의 그릿이란 노력을 지속하여 전문성 함양을 위한 행위를 하며, 흥미를 갖고 장기적인 목표를 달성해나가는 힘으로 정의되었다. 본 연구의 결과로 도출된 간호사의 그릿 개념은 간호사의 그릿을 강화하기 위한 전략을 개발하기 위한 가이드라인을 제공하였다는 점에서 의의가 있다. 또한 추후 간호사의 인력관리 측면과 교육 측면에서 간호사의 그릿 속성과 지표를 파악하여 그릿을 간호 전략으로 활용할 수 있는 기초자료를 제공하였다는 점에서 큰 의의가 있다. The purpose of this study was to identify and define the concept of a nurses’ grit. Using Schwartz-Barcott & Kim’s Hybrid model that identify the concept by extensive literature at the theoretical stage of the research, and the analysis of the in-depth interview data conducted by the career nurses in the fieldwork stage, are compared and analyzed. The participants in dept-interview were 10 nurses who working in a general hospital. As a result of this study, the concept of nurses’ grit was categorized into 3 dimensions: the cognitive, the behavioral, and emotional dimensions. Three attributes and twenty-one indicators were defined. Nurses’ grit was defined as the power to persistent effort to foster professionalism and to achieve long-term goals with interest. The concept of nurses’ grit derived from this study is meaningful in that it provided guideline for developing a strategy to reinforce grit in nurses. It is also expected to be a useful reference for personnel management and teaching by be aware of the attributes and indicators of nurses’ grit to strength the grit in nurses.

S-269 Role of high-sensitivity troponin I for risk stratification in non-cardiac surgery

( Yu Jin ),( Ahram Yi ),( Mina Hur ),( Soo-nyung Kim ),( Hyun Suk Yang ) 대한내과학회 2016 대한내과학회 추계학술대회 Vol.2016 No.1

Background: As an internal medicine doctor, consulting on risk stratification in patients undergoing non-cardiac surgery is not always clear.?Objective: We test the sensitive and specific cardiovascular biomarker high sensitivity troponin I (hs-cTnI) to predict 30-day events.?Methods: From June 2014 to May 2015, we prospectively enrolled patients age≥45years who underwent in-patient non-cardiac surgery. hs-cTnI was measured before and the first 3 postoperative days.Results: A total of 175 patients (66±12 years, F/M 85/90) were enrolled as ASA class in I(7%), II(55%), III(30%), and IV(8%). The revised cardiac risk index for the operation was low in 1(0.6%), moderate in 172(98%), and high in 2(1.1%). The hs-cTnI was elevated in D1, and D2 compared with D0 (10.35[4.8-25.75] and 11.15[5.05-30.25] vs. 7.85[3.0-20.6] pg/mL, all p<0.05). The 30-day events were observed in 16 patients (death in 6, cardiac arrest in 4, NSTEMI in 5, heart failure in 11). Pre-operative basal hs-cTnI or perioperative maximum hs-cTnI level significantly predicted 30-day events (AUC 0.658, p=0.037; AUC 0.784, p<0.001, respectively); the cut-off values were 7.85 pg/mL for basal hs-cTnI (sensitivity 62.5%, specificity 72.3%) and 53.0 pg/mL for max hs-cTnI (sensitivity 68.8%, specificity 78.6%).?Conclusions: Preoperative as well as perioperative maximum hs-cTnI showed predictive value for 30-day events in patients undergoing non-cardiac surgery. It may provide additional risk stratification in ages ≥45 who undergo non-cardiac surgery.