자가혈당검사를 수행하는 당뇨병 환자의 자기조절행위에 관한 조사연구

구미옥,유주화,엄동춘 대한당뇨병학회 1994 Diabetes and Metabolism Journal Vol.18 No.3

건강신념모델과 한국인 만성 질환자의 환자역할 행위

구미옥,이은옥 대한간호협회 1990 대한간호 Vol.29 No.3

Evidence-Based Nursing의 연구동향

구미옥 한국간호과학회 2004 한국간호과학회 학술대회 Vol.2004 No.5

만성질환자의 자기간호행위 증진과 지속에 대한 자기조절교육 프로그램의 효과 -당뇨병 환자를 중심으로-

구미옥 한국간호과학회 1996 Journal of Korean Academy of Nursing Vol.25 No.2

This study was conducted to test the effect of a self regulation education program as a nursing intervention with chronically ill patients. A quasi experimental research(non equivalent control group pretest-posttest design) was used in this study. The subjects were 30 non insulin dependent diabetic patients(experimental group : 14 patients, control group : 16 patients). The study was carried out from May, 1995 to February, 1996. Data were collected before the education program, immediately after & 2 menths later and were analyzed with repeated measure ANCOVA, paired t-test and t-test. The results are as follows : 1. There was a significant difference in self efficacy between the two groups(F=27.61, P=0.000). There was a significant difference according to experimental stages(F=33.09, P=0.000) and interaction between education and experimental stages(F=30.21, P=0.000). 2. There was a significant difference in self care behavior between the two groups(F=27.05, P=0. 000). There was a significant difference according to experimental stages(F=31.14, P=0.000) and interaction between education and experimental stages(F=28.88, P=0.000). 3. There was a significant difference in glycemic control between before the education program and 2 months iater in the experimental group (t=2.88, P=0.013). But there was no significant difference between before the education program and 2 months later in the control group. These results suggest that a self regulation education program is effective in promoting & maintaining self care behavior and in improving glycemic control.. Thus this program can be recommended as an effective nursing intervention for chronically ill patients including diabetic patients.

국내 근거기반 임상간호실무지침의 주제 선정

구미옥,조명숙,조용애,정재심,정인숙,박정숙,김혜정,은영 병원간호사회 2011 임상간호연구 Vol.17 No.3

Purpose: This study was to identify topics for evidence-based clinical nursing practice guidelines in Korea. Methods: Data were collected from 330 staff nurses from 10 general hospitals and 53 nurses in charge of nursing education in 110 hospitals with over 500 beds. Using open questions, the nurses identified activities which could not be verified, which lacked consistency among nurses, clinical units and/or hospitals, which were not based on the up-to-date knowledge and which needed reform. The data were analysed by content analysis using a qualitative methodology. Results: Collected data consisted of 1882 clinical topics, which were classified into 50 topics, 207 mid-categories, and 456 sub-categories. The most frequent topics in order of frequency were medications, central line management, intravenous injections, urinary catheterization, perioperative nursing care, skin tests, pressure ulcer care, blood transfusions, laboratory examination-culture, respiratory care which were performed routinely in clinical setting by staff nurses. Conclusion: The research findings indicate the urgent need to develop evidence-based clinical nursing practice guidelines related to these research findings. Further research is needed to identify topics related to health promotion, and symptom/management of health problem.

노인 당뇨병 환자의 자기간호행위 : 중년기 성인 당뇨병 환자와의 비교

구미옥 노인간호학회 1999 노인간호학회지 Vol.1 No.2

The purpose of this study was to compare older adults with DM to middle aged adults with DM in terms of their self care behaviors and factors affecting self care behaviors. 106 middle aged adults and 60 older adults with DM participated in this study. Data were collected by a self report Questionnaire. The results were as follows: 1) Mean scores for self care behaviors of older adults were 4.73(diet) and 6.39(medication) on a 7 point scale. 2) Diet self care behaviors of older adults(mean : 5.15) were significantly higher than those of middle aged adults(4.92)((t=2.03, p=0.04), but there were no significant differences in medication self care behaviors and total self care behaviors between the two groups. 3) In older adults, self efficacy ((r=0.4890, p<0.01), self regulation(r=4694, p<0.01), situational barriers (r=-0.2668, p<0.05) , family support(r=0.2855 ,p<0.05) significantly correlated with self care behavior. In middle aged adults, self efficacy(r=0.6684, p<0.01), self regulation(r=0.3642, p<0.01), situational barrier s(r=-0.1891, p<0.06) .family support (r=0.2330, p<0.01) also significantly correlated with self care behavior. 4) In older adults, 36.16 % of the variance of self care behaviors was explanied by self efficacy (23.91 %) and self regulation(12.25 %). In middle aged adults, 48.29 % of the variance of self care behaviors was explained by self efficacy(44.67 %) and self regulation(3.62 %). This study is the first study to analyze the self care behaviors and factors affecting self care behaviors of older adults with DM in Korea. These results suggest that nurses should focus the self efficacy and self regulation in developing the nursing intervention for improvement in self care behaviors of older adults and middle aged adults with DM.

정맥주입요법 간호실무지침 수용개작

구미옥,조용애,조명숙,은영,정재심,정인숙,이영근,김미경,김은현,김지혜,이선희,김현림,윤희숙 병원간호사회 2013 임상간호연구 Vol.19 No.1

Purpose: This study was conducted to adapt the previously developed intravenous infusion guidelines with good quality for development of the evidence-based intravenous infusion nursing practice guideline in Korea. Methods: Guideline adaptation process was conducted according to guideline adaptation manual version 2.0 developed by NECA (Kim, Kim et al., 2011) which consisted of three main phases, 9 modules including a total of 24 steps. Results: Adapted intravenous infusion nursing practice guideline was consisted of 19 domains and 180 recommendations. The domains and number of recommendations in each domain were: general guide, 4; assessment, 1; vascular access device selection, 4; site selection, 14; site preparation, 5; site care, 29; maintaining patency, 11; blood sampling via vascular access, 4; vascular access device exchange and removal, 9; add-on device selection, 27; infusion related complications, 63; education, 7; and documentation and report, 2. There were 11.9% of A, 28.4% of B, 58.7% of C in grade of recommendations. Conclusion: Adapted intravenous infusion nursing practice guideline is expected to contribute providing an evidence based practice guides for intravenous infusion. The guideline is recommended to be disseminated to nurses nationwide to improve the efficiency of intravenous infusion practice.

배뇨장애

구미옥 대한간호협회 1993 대한간호 Vol.32 No.2

자기효능 이론이 적용된 건강행위 관련 연구의 분석

구미옥,유재순,권인각,김혜원,이은옥 한국간호과학회 1994 Journal of Korean Academy of Nursing Vol.22 No.4

This article reviewed and analyzed 39 studies on self efficacy theory applied to health related behavior. The following analysis was done : 1) study subjects 2) measurement tools 3) analysis according to the type of research design(intervention re-search, explanatory research). Some findings are summarized as follows : The study subjects were both healthy people in various developmental stages and patients with various illnesses. The health related behaviors examined in the studies were also various including exercise, smoking cessation, self care behaviors, etc. The measurement of self efficacy was done with specific tools in most studies. In the tools, activities that measured the health behavior domain were listed according to increasing difficulty or contexual arrangement or in combination of both of them The analysis of 17 intervention research studies showed that generally the intervention program increased the self efficacy level of subjects and then the increased strongly self efficacy influenced behavioral changes. Most studies used more than one intervention method for increasing the self efficacy level. these were derived from sources of self efficacy suggested by Bandura. The analysis of 21 explanatory research studies showed that self efficacy strongly influenced behavior change and persistence. The major independent variable to affect the self efficacy was performance accomplishment in the past. Self efficacy explained more of the variance in health related behavior when it was applied with the variables in the health belief model, health promotion model, and reasoned action theory. On the basis of the above findings, the following suggestions are made : 1. For a desirable research design, self efficacy should be the intervening variable. That is, desirable designs would include intervention-self efficacy-behavior in intervention research studies and antecedent-self efficacy-behavior in explanatory research studies. 2. More prospective, longitudinal studies are needed to test the effect of self efficacy on persistence in health related behavior. 3. Studies comparing the effects of intervention methods are needed for each health related behavior, subject group, and context. 4. It is necessary to develop a reliable, valid measurement tool for self efficacy for each health related behavior. 5. Studies to differenciate the effect of self efficacy from that of outcome expectation on the health related behavior are necessary. 6. The antecedents of self efficacy should be investigated further.

건강증진 정책 방향과 연구 : 건강증진행위의 영향요인과 모형검증 ; 노인의 건강증진행위

구미옥 서울대학교 간호과학연구소 2004 서울대학교 간호과학연구소 학술대회 자료집 Vol.2004 No.-