糖尿疾患者에 대한 個別指導와 集團指導間의 比較硏究

김매자,하양숙 中央醫學社 1976 中央醫學 Vol.30 No.1

This study was made by surveying 40 diabetic patients whose age were above 15 .years old. They were composed of 21 hospitalized patients and 1Q patients at out patient department of inter gal medicine at Seoul National University Hospital from April 15 to October 20, 1975. We made a pretest for them before they were taught the knowledge of diabetics and made a post-test for them after they were taught within a week. We reviewed what educational effects were happened in sex, age, duration of since onset, the number of admission, the level of education and complication. The results of this study were reviewed in a statistical method analysis of variance and t-test to obtain the following findings: 1. There was no significant difference between the effects of individual and group teaching in diabetes. They were, in other words, effective in education for diabetic patients regardless of the method of individual teaching or group teaching. 2. There was no significant difference in the educational effects of sex, age, duration of since onset, the level of education and complication. 3. There was no significant difference in the influence of individual and group teaching in sex, age, duration of since onset, the number of admission, the level of education and complication. 4. Those who were hospitalized one time or more than one time had more signific?ant difference than those who weren't.

노인환자에 대한 간호학생과 졸업간호원들의 태도에 관한 조사

김매자 中央醫學社 1978 中央醫學 Vol.34 No.2

여대생들의 흡연에 관한 연구 -서울 일부 대학-

김매자 中央醫學社 1981 中央醫學 Vol.41 No.2

암환자의 신체적 욕구

김매자 대한간호협회 1988 대한간호 Vol.27 No.1

수면

김매자 간호사 1980 월간 看護 Vol.1980 No.12

간호사 보수교육 실태조사 연구

김매자,신경림,유지수,강현숙,박성애,이정희,임난영,김애정,Kim, Mae-Ja,Sin, Gyeong-Rim,Yu, Ji-Su,Gang, Hyeon-Suk,Park, Seong-Ae,Lee, Jeong-Hui,Im, Nan-Yeong,Kim, Ae-Jeong 대한간호협회 1997 대한간호 Vol.35 No.5

간호사 보수교육 실태조사 연구

김매자,신경림,유지수,강현숙,박성애,이정희,암난영,김애정 대한간호협회 1996 대한간호 Vol.35 No.5

성공적인 간호실무를 위한 지름길

김매자,Kim, Mae-Ja 대한간호협회 1989 대한간호 Vol.28 No.5

만성폐색성 폐질환 환자에 있어서 호흡근 강화를 위한 흡기근훈련의 효과에 관한 연구

김매자 서울대학교 간호대학 간호과학연구소 1988 간호학 논문집 Vol.3 No.1

This is a quasi-experimental research to test the effects of respiratory muscle training. The purposes of the study were 1) to determine the effects of respiratory muscle training in patient with COPD, 2) to determine the duration of training necessary for effective respiratory muscle strengthening and 3) to identify the differences between two different training methods (strength training and the combination of strength and endurance training). Sixteen participants were selected according to the criteria from the outpatient clinics of two university hospitals from September 1, 1985 to March 14, 1987, but only ten participants completed the training. These ten were assigned as matching on age to two groups and received respiratory muscle training for 8 weeks. Participants in Group I received strength training only, and the participants in Group II received strength training and endurance training by one of two methods; 12 minutes of walking or 20 minutes of treadmill training. To obtain the baseline data of the effects of training, maximal inspiratory pressure (PImax) and maximal voluntary ventilation (MVV) of each patient were measured three times with intervals of 4 to 7 days prior to the training. To evaluate effects of training PI?, sustainable inspiratory pressure (SIP) and MVV were measured once a week for 8 weeks during the training period. While 12-minute walking distance, bronchitis-emphysema symptoms checklist (BESC), activities of daily living (ADL), and psychosocial adjustment to illness scale (PAIS) were measured before and after 8th week of training. The effect of strngth training were measured by PImax. The effect of endurance training were meausred by SIP and MVV. And the combined effects were meausred by distance walked in 12-minute, BESC, ADL, and PAIS. Wilcoxon Signed-Rank Test, Friedman Two-Way Analysis of Variance, and Mann-Whitney U Test were used to analyze differences in pre-test and post-test scores, time interval measurements and the differences between the two groups, respectively. The findings of this study were as follows: PImax. SIP, 12-minute walking distance and parts of BESC and ADL, increased at the completion of the 8 weeks of training. PImax began to increase at the completion of 3-weeks of training then there was a plateau until the 7th week followed by a dramatic increase to normal level. SIP gradually increased after 3 weeks of training. The MVV and PAIS showed a little improvement with respiratory muscle training until the completion of the training. The effects between the two method of respiratory muscle training measured by PImax, SIP, 12-minute walking distance and BESC were not significantly different except in the level of personal care of the ADL. From this study, it can be concluded that respiratory muscle training by use of the reisistive inspiratory muscle trainer is effective for the strengthening respiratory muscles, increasing PImax, SIP and 12-minute walking distance, and improving BESC and ADL in COPD patients. Since the resistive respiratory muscle trainer is a simple and cheap inspiratory muscle training device, it is desirable to use it at home for rehabilitation of the COPD patient. The main reasons for there being no difference in training effects using strength training only and a combination of strength and endurance training could be a variability of the subject's characteristics and the small sample size. Further comparative study is needed using more strictly controlled samples. Other surveys and exploratory studies are also needed to identify normal values of SIP. Then it can be evaluated the effects of respiratory muscle training according to the subjects' nutritional status.

폐경기 비만증 환자의 단기간 금식요법으로 인한 내분비학적 변화

김매자,경난호,성연아 대한내분비학회 1992 Endocrinology and metabolism Vol.7 No.3

Fasting in obesity results in weight loss as well as endocrinologic and metabolic changes. In young women, delayed menarche, dysfunctional uterine bleeding, inadequacy of luteal phase, and amenorrhea can occur. The goal of this study was to elucidate the mechanism of endocrinologic changes accompanied by short-term fasting. Ten obese postmenopausal women were studied for 10 days of fasting. Blood and urinary levels of pituitary gonadotropins (LH and FSH), their respnoses to GnRH stimulations. Stress hormones such as epinephrine, norepinephrine, dopamine and cortisol and melatonin were measured. The results were as follows; 1) Daily serum LH and FSH concentration did not change significantly during fasting compared with that of control days. 2) Urinary excretion of gonadotropins increased in accordance with increase of blood and urinary ketone significantly during fasting, than that of control days(p$lt;0.01) 3) There was no significant difference in LH or FSH responses to GnRH during fasting compared with that of control days. 4) Plasma norepinephrine concentrations and serum melatonin concentrations during fasting increased significantly(p$lt;0.01), while plasma epindephrine, dopamine and urinary excretion of cortisol did not change significantly during fasting. In conclusion, the stress of short term fasting activates only certain components of the neuroendocrine system without any appreciable changes in the function of the gonadotropin secreting system. Fasting induced gonadotropinuria may be due to altered renal handling of hormone molecules.(J Kor Soc Endocrinol 7:243~250, 1992)