입원 환자용 초기 영양검색도구의 타당도 검증

김혜숙,이선희,김혜숙,권오란 한국영양학회 2019 Journal of Nutrition and Health Vol.52 No.4

Purpose: Poor nutrition in hospitalized patients is closely linked to an increased risk of infection, which can result in complications affecting mortality, as well as increased length of hospital stay and hospital costs. Therefore, adequate nutritional support is essential to manage the nutritional risk status of patients. Nutritional support needs to be preceded by nutrition screening, in which accuracy is crucial, particularly for the initial screening. To perform initial nutrition screening of hospitalized patients, we used the Catholic Kwandong University (CKU) Nutritional Risk Screening (CKUNRS) tool, originally developed at CKU Hospital. To validate CKUNRS against the Patient-Generated Subjective Global Assessment (PG-SGA) tool, which is considered the gold standard for nutritional risk screening, results from both tools were compared. Methods: Nutritional status was evaluated in 686 adult patients admitted to CKU Hospital from May 1 to July 31, 2018 using both CKUNRS and PG-SGA. Collected data were analyzed, and the results compared, to validate CKUNRS as a nutrition screening tool. Results: The comparison of CKUNRS and PG-SGA revealed that the prevalence of nutritional risk on admission was 15.6% (n=107) with CKUNRS and 44.6% (n=306) with PG-SGA. The sensitivity and specificity of CKUNRS to evaluate nutritional risk status were 98.7% (96.8~99.5) and 33.3% (28.1~39.0), respectively. Thus, the sensitivity was higher, but the specificity lower compared with PG-SGA. Cohen’s kappa coefficient was 0.34, indicating valid agreement between the two tools. Conclusion: This study found concordance between CKUNRS and PG-SGA. However, the prevalence of nutritional risk in hospitalized patients was higher when determined by CKUNRS, compared with that by PG-SGA. Accordingly, CKUNRS needs further modification and improvement in terms of screening criteria to promote more effective nutritional support for patients who have been admitted for inpatient care.

위 선종과 선암종에 있어서 Carcinoembryonic Antigen (CEA)과 Epithelial Membrane Antigen (EMA)에 대한 면역조직화학적 연구

김혜숙,허만하,이선경,김혜숙,허만하,이선경 대한병리학회 1989 Journal of Pathology and Translational Medicine Vol.23 No.1

「국어사 지식과 고전문학 교육의 상관성」에 대한 토론문

김혜숙 한국어교육학회(구-한국국어교육연구학회) 2001 한국어교육학회 학술발표논문집 Vol.2001 No.1

지속가능 경영노력이 공공기관 성과에 미치는 영향연구 -조직구서원의 인식을 중심으로-

김혜숙 한국정책학회 2013 한국정책학회 학술대회 Vol.2013 No.4

S . L . E . 환자 혈액에서 분리한 Listeria monocytogenes 의 세균학적 특성

김혜숙,정윤섭,이삼열 대한미생물학회 1973 大韓微生物學會誌 Vol.8 No.1

Listeria monocytogenes human infection is a relatively rare disease which usually is meningitis in newborn babies. The organism was isolated from blood cultures of a 52 year old female patient with meningitis. It was considered that the underlying disease, I.e. S.L.E., and the steroid therapy which the patient had been receiving played some role for the Listeria infection. The isoIate was showing characteristics of L. monocytogenes, I.e. diphtheroid like morphology, motility with four peritrichous flagella, hemolytic small colonies on blood agar, growth in the presence of 7. 5% salt and at 4 C, and inducing monocytosis in an experimentally infected rabbit. Serologically the organism was identified as L. monocytogenes 4b. The isolate was showing susceptibility to many antibiotics tested including ampicillin, penicillin and tetracycline which were the recommended drugs of choice for the treatment of Listeriosis. It is the general opinion that Listeriosis is not so rare as literatures are showing. It is considered that some of the isolate of the organism from clinical specimens are mistakenly discarded due to the fact that the organism shows diphtheroid like morphology and that not many laboratories are able to recognize the organism. Literatures are seen which emphasize more careful examination of gram positive bacilli with diphtheroid like morphology especially when they are isolated from blood or from spinal fluid of patient.

모유수유 전화 상담 내용의 분석

김혜숙 한국간호과학회 1995 Journal of Korean Academy of Nursing Vol.37 No.2

This study was done to analysis data on breastfeeding mothers. This stud was conducted using data from telephone counseling in one metropolitan area. The subjects who had received consultation about breastfeeding were 100 breastfeeding mothers. The period of consultation was from Mar. 9, 1994 to August 23, 1994. Consultants were referred from UNICEF, hospitals, TV, newspapers or magazines. Analysis of the problem patterns resulted in 11 classifications. These were physio -anatomical factors(11 cases) , psychological factors(15 cases), breastfeeding methods(21 cases), breastfeeding intervals and frequency(19 cases) , disease in the breastfeeding mothers(13 cases), disease in the babies (12 cases), lack of support (4 cases), food and drugs while breastfeeding(5 cases), weaning(11 cases), others(27 cases). The highest frequency was for breastfeeding methods (21 cases). When the contents of the counselling were analyzed for the 100 cases, 36 problem patterns were identified. Patterns with over 10 responses were diarrhea, insufficient milk supply, sore and cracked nipples, weaning, inverted nipples and jaundice. The age of infants when mothers were telephoned was as below : 1 week(28 cases), 2 weeks(12 cases), 3-4 weeks(18 cases), 5-8 weeks(7 cases), 9 weeks-3 menths(4 cases), 4 menths-6 months(12 cases), over 6 months(2 cases), and the number of pregnant women was 12. The nursing diagnosis were classified according to problem patterns and each diagnosis was assigned an appropriate Problem Pattern The total number of nursing diagnoses was 22. When clients are referred for counselling nurses need guidelines about problems, possible causes and nursing. In this study, the example of guidelines for sore nipples is suggested. The recommendations based on the telephone counseling results are as follows : Prenatal education about the advantages of breastfeeding and breast care, and home visits after delivery for counseling related to breastfeeding. During the hospital stay, nursing intervention such as education on breastfeeding methods using slides, audio-visual tapes, pamphlets are needed as well as an initial trial of breastfeeding. Further research is indicated on the perceived lack of breast milk and on the effectiveness of nursing interventions to pro-mote breastfeeding.

신장이식 수혜자의 삶의 질 예측모형 구축

김혜숙,소향숙 한국간호과학회 2009 Journal of Korean Academy of Nursing Vol.39 No.4

Purpose: The purpose of this study was to identify factors influencing quality of life in kidney transplant recipients and to understand the concrete pathway of influence and the power of each variable, so that integrated prediction model to promote the quality of life of kidney transplant recipients could be developed. Methods: The sample was composed of 218 patients in follow-up care after a kidney transplant in one of 4 university hospitals in the Honam area. A structured questionnaire was used and the collected data were analyzed for fitness, using the LISREL program. Results: This model was concise and extensive in predicting the quality of life of kidney transplant recipients. Conclusion: The research verified the factors influencing quality of life for kidney transplant recipients and it verified that direct factors such as perception of health state, compliance, self-efficacy, stress and indirect factors such as self-efficacy and social support can be important factors to predict the quality of life for recipients. Moreover, those variables represent 87% of variance in explaining quality of life in a prediction model so that the variables can be utilized to predict quality of life for kidney transplant recipients. Purpose: The purpose of this study was to identify factors influencing quality of life in kidney transplant recipients and to understand the concrete pathway of influence and the power of each variable, so that integrated prediction model to promote the quality of life of kidney transplant recipients could be developed. Methods: The sample was composed of 218 patients in follow-up care after a kidney transplant in one of 4 university hospitals in the Honam area. A structured questionnaire was used and the collected data were analyzed for fitness, using the LISREL program. Results: This model was concise and extensive in predicting the quality of life of kidney transplant recipients. Conclusion: The research verified the factors influencing quality of life for kidney transplant recipients and it verified that direct factors such as perception of health state, compliance, self-efficacy, stress and indirect factors such as self-efficacy and social support can be important factors to predict the quality of life for recipients. Moreover, those variables represent 87% of variance in explaining quality of life in a prediction model so that the variables can be utilized to predict quality of life for kidney transplant recipients.

간호대학생 임상실습을 위한 멘토링 프로그램의 개발 및 효과

김혜숙 한국간호과학회 2012 한국간호과학회 학술대회 Vol.2012 No.10

돌말류 분석 자료 정도 관리의 현황 및 전망

김혜숙,김종성,박진순,KIM, HYESUK,KHIM, JONGSEONG,PARK, JINSOON 한국해양학회 2021 바다 Vol.26 No.3

Diatoms are a type of microalgae which inhabits a wide variety of environments as one of the most important primary producers of freshwater and marine ecosystems. They have been widely used as bioindicators which represent the environmental characteristics, thus proper quality control of diatom data is very important to ensure for the researches from many scientists from various different regions to have scientific unity and objectivity. At present, diatom data analysis is primarily based both on morphological features and DNA sequences of given species. Challenge for the morphology-based analysis of diatoms is the consistent species identification among different taxonomists who interpret diatom community, while challenge for the molecular analysis of diatoms to secure reliable reference data. In the present study, we have reviewed the current status of data quality control of diatom analysis in Korea as well as the world. Finally, suggestions for the better data quality control for Korean marine diatoms have been also made. 돌말류는 미세조류의 일종으로서 담수 및 해양의 여러 다양한 환경의 수생태계에서 가장 중요한 1차 생산자 중 하나이다. 환경을 대표할 수 있는 생물 지표로서 널리 이용되고 있으며, 여러 지역에서 서로 다른 과학자들에 의한 연구 결과들이 과학적 통일성과 객관성을 갖추도록 하기 위해서는 돌말류 분석 자료의 정도 관리가 매우 중요하다. 현재 돌말류 분석은 형태적인 특징으로 분류하는 형태 기반의 분석과 DNA 서열로 종을 식별하는 DNA 바코드 분석이 사용되고 있다. 형태학 기반의 돌말류 분류는 분석 자료를 해석하는 분류학자들 간의 일관된 종 식별이 요구되는 한편 분자 분류 기반의 돌말류 분류는 신뢰성 있는 참조데이터가 필수적이다. 본 논문에서는 돌말류 분석 자료 정도관리의 국내외 현황을 우선 살펴보았으며, 그에 기반하여 국내 돌말류 분석 자료의 정도 관리에 대한 의견을 또한 제안하였다.

여성주의 성찰성과 치유의 인문학: 탈북여성문제를 중심으로

김혜숙 한국여성철학회 2012 한국여성철학 Vol.18 No.-

본 논문은 철학, 넓게는 인문학이 인간의 치유에 관여한다는 일반적 사유를 여성주의 관점에서 재검토 하고, 인문학이 치유의 기능을 하기 위해서는 인문학 자체가 젠더 관점에서 치유되어야 함을 주장한다. 치유된 인문학의 관점에서 중요한 방법으로서 ‘성찰성’이 여성주의 방법, 나아가 인문학의 방법으로 어떤 역할을 할 수 있는지를 살펴본다. 본 논문은 이를 바탕으로 탈북여성의 문제를 분석하고자 한다. 탈북여성의 직접적 진술이나 간접적 경험 기술과 이야기 전달에 있어서 인식론적 관점이 어떻게 작동해야 하는지, 이들 이야기를 들을 때 성찰성이 어떻게 작동할 수 있는지를 살펴본다. 성찰성은 안과 바깥, 주체와 객체를 통합하는 것이라기보다는 대립되고 차이를 지니는 관점들의 중첩성을 유동적으로 포괄하는 태도로 규정한다. 이런 방법을 통해 탈북여성 경험을 좀더 잘, 그리고 객관적으로 이해할 수 있으리라 기대한다.