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      • 교회중심 가정간호사업에 대한 부산교구 가톨릭신자 간호사들의 인지도

        이복순 부산가톨릭대학교 간호대학원 2006 국내석사

        RANK : 249631

        The purpose of this study was to investigate the degree of recognition and intention to participate on parish nursing services of catholic nurses in diocese of Busan. By descriptive survey, the study was important to provide the basic resources for developing a parish nursing program. The data were collected from April 8 to May 15, 2006 by using questionnaire method and the subjects were 227 catholic nurses. Data were analyzed by frequency, percentage, mean value and standard deviation with SPSS WIN 12.0 program. The summary of the study is as follows; 1.55.5% of the subjects have heard about parish nursing program. The advanced practice nurses(APNs) who has home health care certificate were 14.1%. 2.In the questionnaire about recognition of the purpose of parish nursing services, the rates of answer to realize the catholic spirit through the catholic community was 87.2%, to practice Jesus's love to the disadvantaged and neighborhood was 83.7% and to help poor neighborhood and to activate the service of church was 78.9%. 3.In the recognition about the subjects of parish nursing service, the rates of answer to hospice and terminal patients was 76.2%, to the long hospitalized patient who needs consult for medication and rehabilitation was 76.2% and to the aged patients with degenerative and functional disorder was 70.5%. 4.In the recognition about the needs for the resource of parish nursing service, the rates to the publicity and the participation of the Busan dioceses was 32.6%, and the recognition of nurses was 27.1%. 5.The degree of recognition of the needs for home health care was showed average 2.60±0.33. In the needs for nursing services in various categories, health education was 2.68±0.33, hospice and spiritual preparation for death was 2.64±0.48, the healer of whole person was 2.63±0.36, the liaison to community agency was 2.50±0.48, the advocator and consultant was 2.45±0.49, the education or guide of supporters and volunteers was 2.45±0.49 and the needs for the health counselor was 2.43±0.38. 6.In the degree of recognition of the educational contents for parish nursing service, the nursing and managing for the aged chronic patients was 82.4%, hospice 76.2%, team ministry 67.8% ect. 7.In the intention to participate parish nursing services, 65.2% was showed the approval for it and the rates of respondents who want to work for parish belonging to themselves was 87.8%. In the time of participation, 'after retirement' was highest 43.2%. Consequently, this study will be contribute on parish nursing services as the main role of catholic nurses in Busan diocese. And it will be a effective development of educational program in recognition and supports of parish nursing services.

      • 입원노인의 가족지지와 자아존중감 및 자가간호역량간의 관계

        송봉덕 부산가톨릭대학교 간호대학원 2002 국내석사

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        This study was designed to examine both the extent of the family support, self-esteem, self-care agency of the elders in the hospital and their relation to provide information about nursing intervention in order to improve quality of life among the old people. The study was subject to 254 old persons who were admitted to the general hospitals in Pusan. The study tool was the family support measurement instrument modified and used by Gang Hyun-Shook(1984), the self-esteem measurement instrument translated by Cheon, Byung-Jae(1974), and Yun, Young-Shook(1988)"s self-care agency measurement instrument, all modified and supplemented by this researcher to make a structured questionnaire used in the interview with the participants in the study. The data were collected from May 28, 2002 to June 28, 2002. The data were analyzed by SPSS 10.0 WIN program. The relation between family support, self-esteem, and self-care agency was analyzed by Pearson's Correlation Coefficients. The difference of family support, self-esteem, and self-care agency according to the general features of the hospitalized elders was analyzed by t-test and ANOVA. The results are as follows: 1. The relation of family support, self-esteem, and self-care agency showed a significant positive correlation between family support and self-esteem(r=.69, p<.001), between family support and self-care agency(r=.57, p<.001), and between self-esteem and self-care agency(r=.60, p<.001). 2. According to the general features of the hospitalized elders, the difference in family support appeared statistically significant in gender, type of living together, economic status, monthly allowance, and everyday activities(p<0.05). 3. According to the general features of the hospitalized elders, the difference in self-esteem appeared significantly in gender, age, education, economic status, monthly allowance, and everyday activities(p<0.05). 4. According to the general features of the hospitalized elders, the difference in self-care agency appeared significantly in gender, economic status, monthly allowance, and everyday activities (p<0.05).

      • 상급종합병원 간호사의 노인간호실천 영향요인

        차혜연 부산가톨릭대학교 간호대학원 2023 국내석사

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        본 연구는 상급종합병원 간호사의 노인간호실천의 영향요인을 확인하여 노인간호실천을 향상시키기 위한 프로그램 개발에 기초자료를 제공하기 위한 서술적 조사연구이다. 자료수집 기간은 2022년 11월 2일부터 30일까지였으며, 자료수집대상은 B 광역시 3개 및 Y 시 1개 소재의 상급종합병원에서 노인환자를 간호하는 경력이 3개월 이상인 간호사 158명을 대상으로 하였다. 자료분석은 SPSS 23.0 프로그램을 이용하여 빈도와 백분율, 평균과 표준편차, indepe-ndent t-test, one-way ANOVA, Scheffé test, Pearson’s correlation coefficients, stepwise multiple regression으로 분석하였다. 본 연구의 결과는 다음과 같다. 1. 노인간호실천의 정도는 평균 3.33±0.32점(4점 만점), 노인연령주의는 평균 2.57±0.40점(5점 만점), 의사소통능력은 평균 3.72점±0.35점(5점 만점), 노인간호 스트레스는 평균 3.17±0.33점(4점 만점)이었다. 2. 일반적 특성과 직무관련 특성에 따른 노인연령주의는 연령(F=5.19, p=.007), 총 임상경력(F=8.73, p<.001), 부서경력(F=6.88, p<.001)에 따라 유의한 차이가 있었으며, 의사소통능력은 노인관련 교육경험(t=2.12, p=.035)에 따라 유의한 차이가 있었고, 노인간호 스트레스와 노인간호실천은 유의한 차이가 없었다. 3. 노인간호실천은 의사소통능력과 유의한 양의 상관관계(r=.35, p<.001), 노인간호 스트레스와 유의한 양의 상관관계(r=.16, p=.036)가 있었다. 4. 노인간호실천에 영향을 미치는 요인은 의사소통능력(β=.35, p<.001)이 11.0%로 가장 높았고, 다음은 노인간호 스트레스(β=.16, p=.027)였으며, 총 설명력은 14.0%이었다. 이상의 연구결과에서와 같이 상급종합병원 간호사의 의사소통능력과 노인간호 스트레스는 노인간호실천에 영향을 미치는 요인임을 확인되었다. 따라서 본 연구결과를 토대로 상급종합병원 간호사의 노인간호실천을 향상시키기 위하여, 간호사의 의사소통능력 향상을 위해 노인의 특성을 반영한 표준화된 의사소통기법 개발과 간호사가 노인환자 간호시 경험하는 스트레스를 조절하기 위한 중재 방안이 필요하다.

      • 교회중심 가정간호사업에 대한 인지도 조사 : 가톨릭 부산 교구민 대상으로

        박남희 부산가톨릭대학교 간호대학원 2006 국내석사

        RANK : 249631

        This is descriptive investigation study to investigate recognition level of catholic believers in Diocese of Busan and need according to executing parish nursing services of Busan Diocese and its purpose is to be used as basic resources to activate parish nursing services. The data were collected from April 25 to May 30, 2006, and 417 questionnaires were used as final analysis data. Collected data were analyzed by frequency, percentage, mean, and standard deviation using SPSS 12.0 WIN program. This study is summarized as follows: 1.13.9% of subjects knew about executing parish nursing services and this was very low percentage. 2.The persons who subjects consider as the object of parish nursing were old persons living alone(81.5%), first, and the persons who need service volunteers' assistance(79.5%), second in the order. 89.7% of subjects considered the check of temperature, pulse rate, and blood pressure as work that church nurses could perform and this was the highest percentage. 3.The result of investigating subjects' need of parish nursing services is as follows: 94.3% of subjects expressed it would be helpful in missionary service and 85.3% of them expressed believers' pride would also get higher. The result of investigating economic need of parish nursing services is as follows: 59.0% of subjects considered actual cost in expense of parish nursing services, and 59.9% of them hoped that church would support it with expense under 500,000 won per month in expense to support. 91.7% of subjects considered community resources(government, insurance, benevolent person, religious organization, and church) in supplying resources to activate parish nursing services and this was the highest percentage. 43.5% of subjects expressed that Diocese should pay parish nurses and this was the highest percentage, and 34.6% of them considered 1000,000 won ~ 1500,000 won per month as parish nurses' salary level and this was the highest percentage. 4.77.8% of subjects expressed the intention that they would cooperate if parish nursing services is executed in the church that they belongs to and 89.8% of them expressed the intention that they would be nursed directly if they become the object persons of parish nursing, in one's own participation level. It appeared that recognition level of catholic believers in Diocese of Busan on parish nursing services was very low but, their need level of it and hope level of their participation in it was high, in the conclusion of this study. Hereupon, it is considered that parish nursing services of Busan Diocese need be activated necessarily as missionary service that could enhance believers' health, increase their pride, and practice Christ's idea. Therefore, I expect this study could be basic resources to activate parish nursing services.

      • 교회봉사활동에 참여하는 가톨릭신자 노인의 생의 의미와 정신건강

        채영선 부산가톨릭대학교 간호대학원 2007 국내석사

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        The purpose of this study was to examine the meaning in life and mental health of elderly Catholics who were at the age of 60 and up in age and took part in church service activities in an effort to pave the way for developing church programs geared toward providing them with physical, psychological, social and spiritual support, as church is the final place for their lives. And it is also meant to lay the foundation for improving ministry for the elderly. The data were collected from November 1 to 30th day, 2006. By using questionnaires method and subjects were 200 the elderly Catholics. The instrument used in the study was Elderly Meaning in Life(EMIL) Scale developed, and the other employed to assess their mental health was a Mental and Emotional Health Inventory for the Elderly.. For the data analysis, SPSS 12.0 for Windows program were used for descriptive statistics, t-test, ANOVA, Pearson Product Moment Correlation Coefficient, Scheffe-test and Cronbach alpha test. The results of analysis were as follows: 1. In terms of meaning in life, the elderly Catholics got a mean of 107.40±10.01(range: 37-148), which indicated that they were in a stage of seeking after the meaning in life without finding it yet. 14 percent of the elderly people got 118 or higher scores, which showed they were in a stage of finding a meaning in their lives. 45 percent were in a stage of seeking after the meaning in life, and 41 percent were in a state of existential emptiness. 2. As for mental health, their collective average was 73.83±9.55(range: 17-85). When their mental health was evaluated from cognitive and emotional perspectives, they got a mean of 19.01±1.79(range: 4-20) and a mean of 54.82±8.92(range: 13-65) in cognitive and emotional mental health respectively. Their emotional mental health scores were lower than their cognitive ones. 3. Concerning connections between the general characteristics of the elderly Catholics and their meaning in life, the level of their meaning in life was statistically significantly different according to their living standard(F=1.450, p=.017), life satisfaction level(F=7.235, p=.001), monthly allowance(F=3.878, p=.022), and self-perceived health status(F=7.579, p=.000). With whom they lived together(F=5.405, p=.000) and who paid for their living(F=5.785, p=.000) made a statistically significant difference to that as well. Their mental health also significantly varied with their living standard(F=4.068, p=.019), life satisfaction level(F=9.594, p=.000), monthly allowance(F=5.919, p=.003) and self-perceived health state (F=6.824, p=.000), and with whom they lived together(F=5.721, p=.000) and who paid for their living(F=5.781, p=.000) made a significant difference to that as well. 4. There was a positive correlation between the level of their meaning in life and mental health(r=.473, p=.000). The findings suggested that most of the elderly people were in a stage of pursuing the meaning in life or in a state of existential emptiness without finding it yet, and that their meaning in life was significantly correlated to their mental health. Elderly people are gifts that are given to church and society from God, and they are believers who have plenty of profound experience in life. There is a necessity for preparing church programs to provide spiritual and mental nursing intervention for them to stay fit mentally and to find a meaning in life, and nurses and ministers should fully be educated to get an accurate grasp of the spiritual needs of elderly people.

      • 간호사의 노인에 관한 지식, 태도 및 간호수행도

        김혜은 부산가톨릭대학교 간호대학원 2009 국내석사

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        본 연구는 간호사의 노인에 관한 지식, 태도 및 간호수행도를 살펴보고, 이와 관련된 요인을 파악함으로서 효과적인 노인간호 교육개발의 기초자료를 마련하기 위해 시도된 서술적 조사 연구이다. 자료수집은 2008년 10월 20일부터 10월 30일까지 부산광역시에 소재한 P 대학병원에 근무하는 간호사 250명을 대상으로 하였다. 노인에 관한 지식을 측정하기 위한 도구로는 Palmore(1977)에 의해 처음 개발되었고, 1998년에 수정 보완된 True-False version의 Fact on Aging Quiz part-1(FAQⅠ)을 양경미 등(2002)이 한국 노인 실정에 맞추어 수정 보완한 도구를 사용하였다. 노인에 관한 간호사의 태도는 Sanders 등(1984)이 개발한 어의 분별척도(Semantic Differential Scale)를 임영신(2002)이 번안한 도구, 간호수행도는 노인간호학 관련 문헌을 기초로 본 연구자가 연구 목적에 맞게 개발한 도구를 사용하였다. 수집된 자료는 SPSS 14.0 for Window 프로그램을 이용하여 분석하였으며, 기술적 통계, Independent t-test, ANOVA, Pearson Correlation Coefficient로 분석하였다. 본 연구의 결과를 요약하면 다음과 같다. 1. 간호사들의 노인에 관한 지식 총점은 총 25점 만점에 전체 평균은 12.56(±2.64)으로 평균 정답률은 50.48%이었다. 2. 간호사들의 노인에 관한 태도는 총 140점 만점에 평균 76.33점(±11.56)으로 중립적인 범위(70~90점)내에 있었다. 3. 간호사들의 간호수행도는 총점 265점 만점에 평균 163.03점(±22.55)으로 중립적인 범위(132.5~185.5점)에 있었다. 4. 대상자의 특성에 따른 지식 정도는 노인봉사활동 유무와 노인간호 선호 여부에 따라 유의한 차이가 있는 것으로 나타났다. 5. 대상자의 특성에 따른 태도 정도는 노인과의 거주경험과 노인간호 선호 여부에 따라 유의한 차이가 있는 것으로 나타났다. 6. 대상자의 특성에 따른 간호수행도는 노인간호 선호여부에 따라 유의한 차이가 있는 것으로 나타났다. 7. 간호사들의 노인에 관한 지식과 태도 간에는 유의한 약한 상관관계가 있는 것으로 나타났으나, 지식과 노인간호수행도 간, 태도와 노인간호수행도 간에는 유의한 상관관계 없는 것으로 나타났다. 이상의 결과를 통해 간호사의 노인에 관한 지식과 태도는 서로 관련성이 있으나 간호수행도와는 관련성이 없음을 알 수 있다. 따라서 노인에 관한 지식수준을 높이고, 노인에 관한 다양한 측면을 이해함으로써 긍정적인 태도를 형성할 수 있는 교육 프로그램의 개발이 필요하며, 간호수행도를 향상시키기 위한 실질적인 교육 프로그램 개발이 필요하다. The purpose of this study was to investigate nurses's knowledge and attitude regarding to the elderly, and the degree to which nurses take care for the elderly patients at bedside in hospital. The data were collected from 250 nurses working at a university hospital located in Pusan, Korea, during the period from Oct. 20 to Oct. 30, 2008. This research was used the structured questionnaires, including the Fact on Aging Quiz part-1(FAQⅠ)(Palmor, 1998), Semantic Differential Scale on the attitude on the elderly(Sanders et al., 1984), and the instrument measuring nursing performance of elderly care which developed by the researcher and colleague. The data were analyzed with SPSS 14.0 for Window Program, using such statistical methods as descriptive statistics, t-test, ANOVA and Pearson's Correlation Coefficient. The research results were as the followings: 1. The mean score(±standard deviation score) of the knowledge regarding the elderly that nurses had was 12.56(±2.64), on the range from zero to 25. The correct rate that nurses chose right answer was 50.48%. 2. On the range from 20 to 140, the mean score (±standard deviation score) of the nurses attitude on the elderly was 76.33(±11.56), which means neutral attitude (neither too positive, nor too negative) on the elderly. 3. The mean score(±standard deviation score) of the performance level that nurses did care for the elderly patient at bed side was 160.03(±22.55) at score level with the minimum of 53 and the maximum of 265. 4. There was statistically significance of the relationship between knowledge and attitude regarding the elderly (p<.05). However, the relationships of knowledge and attitudes to nursing performance on elderly care, was not showed at significant level. This research provides the evidence that the education regarding the elderly that nurses as well as nursing students were given, was not much enough as nurses are more capable to know about the elderly and their attitude is more positive on the elderly, compared to the others in non-nursing fields. In addition, the further academic effort would be needed for developing educational context and methods in elderly care in order that nurses' knowledge and attitudes regarding the elderly are more effective on their performance in taking care for the elderly at bedsides.

      • 일부지역 대학생들의 죽음의식과 태도 및 호스피스에 대한 인지도

        노순희 부산가톨릭대학교 간호대학원 2004 국내석사

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        The purpose of this study was to aware of the necessity of the death - preparation education which helps people to consider the meaning of life and death carefully, to have new understanding of their lives, and to regard their deaths as more meaningful through grasping what university students think of deaths or hospice, and furnishing basic data to the program for the death - preparation education. The subjects of this study were 591 students' who are in college located in B city, and the data was collected from October 1 to 15 in2003 distributing the questionnaire papers to the subjects after obtaining their approval, then having them make out and withdrawing their papers on the spot. The instrument was used for this study consists of the Death Orientation the Attitude on death, Cognition degree of hospice. The collected data was analyzed into real number, percentage, average, the standard deviation, 1-test, ANOVA and Cronbach's α by using SPSS 10.0 WIN Program. The results of this study are as follows: 1.In view of sexual distribution of general characteristics, the number of the male subjects were bigger than that of the female subjects. Also, they were 21.98 years old as average, and there were more subjects who believed in a religion than religionless subjects. 2.The university students' got a score of 2.12 on the Orientation on death as average. The reason is judged that death is not yet pressing them at all and ahead of their lives they have many days to live. 3.In view of the attitude on death, this study showed most subjects had ever thought about death. Also, they seemed not to have such big fear, because they were likely to feel that death would happen to them far into the future, and the most people answered that, when thinking about death, they worried about their dreams the most, which they had not yet achieved. Moreover, 24.7% of them had ever had desires to commit suicide, and there were actually some students who had ever tried to commit suicide. On the basis of the above results, it is judged that the urgentest matter is providing governmental realistic system and chance to get a death - preparation education for individuals. 4.This study showed the channel, through which the university students recognize the hospice, was affected by information gathering from mass-media. In addition, for putting the hospice in operation vigorously, systematic support from government is needed to fix the hospice system in Korea, and for growing recognition about hospice, it is needed to publicize the effect of the hospice positively and to be supported systematically from government for solution of economic problem. 5.There was not meaning difference in the recognition about the hospice along with their general characteristics. On the basis of results from this study, I would make suggestions as follows. 1,It is in need of qualitative study about university students' attitudes on death. 2,It is in need of both developing a program for the death-preparation education and verification study about its effect for university students.

      • 발반사 마사지가 여성노인의 수면과 피로에 미치는 영향

        진수진 부산가톨릭대학교 간호대학원 2005 국내석사

        RANK : 249615

        The purpose of this study is to examine the effects of foot reflexologic massage on sleep and fatigue of elderly women. The research design applied for this study is the nonequivalent control group pretest -posttest design. The subjects chosen for the study were 50 elderly women who use the three senior citizen's houses located in C city and they are split into 2 groups. One is the experimental group composed of 25 elderly woman who took the foot reflexologic massage and the other is the control group composed of remaining 25 elderly women who did not take any massage. The foot reflexologic massage was performed for 45 minutes every three days. The data for the study were collected over a four month period from April 6, 2004 thru July 30, 2004. The tools used in this study are Sleep Check List designed by Oh et al. and Fatigue Check List designed by the Labor and Health Institute of Japan. The data analysis methods consist of frequency, percentage, mean, standard deviation, Chronbach's ?, Chi-Square test, 1-test and Repeated measures ANOVAusing SPSS Win 10.0 program. The results obtained from this study are as follows : 1.The sleep score of the experiment group who took the foot reflexologic massage is significantly higher than that of the control group (t= -5.944,p= .000) . 2.For the experiment group who took the foot reflexologic massage, it is seen that the sleep score increases as the frequency of the foot reflexologic massage increases (F=96.362, p= .000). 3.The fatigue score of the experiment group who took the foot reflexologic massage is significantly lower than that of the control group(t=4.356,p=.000) . 4.For the experiment group who took the foot reflexologic massage, the fatigue is relieved gradually as the frequency of the foot reflexologicmassage Increases (F=118.444, p=.000). In conclusion, the foot reflexologic massage is considered to be effective for elderly women in promoting a good sleep and relieving the fatigue. Therefore, it is proposed that the foot reflexologic massage should be applied to elderly women asa method for treating the troubles with sleep or fatigue.

      • 가정간호요구도 파악을 위한 퇴원환자의 신체상태 조사

        여환숙 부산가톨릭대학교 간호대학원 2003 국내석사

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        This study was to evaluate the physical state of the patients discharged from a university hospital for the identification of their demand and recognition of home health care. This study was conducted between December 2, 2002 to December 29, 2002 and the subjects were 300 patients discharged from a university hospital. The data were collected through interviews and evaluation of the physical state. The physical state evaluation tool developed by the Home Health Care Demonstration Project Center of Yonsei Medical Center (1997) and the home health care recognition tool developed by Choi.(2001) were used with some modification and supplementation. The data were analyzed by using SPSS 10.0 WIN Program that included number, percentage, average, standard deviation and Cronbach's α. The results were as follows : 1. In evaluating the physical state of the subjects, 60.3% demanded home health care, demonstrating a relatively high rate. 2. In evaluating the physical state of the subjects who demanded home health care, those who got 13 scores accounted for 62.3% in evaluating demands by physical state areas, nutrition accounted for 51.4% sense and exercise 27.1%, vitality symptom 25.4% and skin 21.6%. 3. In evaluating the disease-related characteristics of the subjects who demanded home health care, cancer accounted for 24.0% 4. In evaluating the recognition of home health care of the subjects, 87.7% responded that they have never heard of home health care and 97.0% did not aware of the procedures needed for receiving home health care. 84.3% said that they would receive home health care if it was made avaliable. 53.7% who wanted to receive home health care said because they could get emotional rest. But 15.7% said that they wouldn't it receive home health care. 40.4% who didn't want to receive home health care said because the nurse's visit to their home could be troublesome.

      • 神門穴과 內關穴 白芥子 자극이 국소마취하 감마나이프수술 환자의 상태불안과 통증에 미치는 효과

        하소영 부산가톨릭대학교 간호대학원 2007 국내석사

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        본 연구는 神門穴(신문혈)과 內關穴(내관혈) 백개자(白芥子) 자극이 국소마취하 감마나이프수술 환자의 상태불안과 통증에 미치는 영향을 알아보기 위한 유사실험 연구로서 비동등성대조군 전후설계이다. 자료수집은 2007년 1월부터 6월까지 부산소재 I 대학병원에서 국소마취하 감마나이프수술을 받는 자로서 실험군 35명, 대조군 35명을 대상으로 하였다. 실험군에게 실험처치로 神門穴(신문혈)과 內關穴(내관혈)에 백개자씨앗을 종이테이프로 고정한 후 수술시작 5분전부터 수술 1~2단계, 3단계 시작 30분 후까지(60~80분 소요)의 과정동안 약간의 통증을 느끼지만 상쾌한 기분이 들도록 하는 쾌압(고광석, 2000)을 적용하여 처음 1-2초간 자극을 시작하고, 3-4초간 압력을 더 가하고 5-6초 후에 서서히 떼는 것을 반복하였다(Ming 등, 2002). 대조군에게 다른 관심전환요법이나 백개자 자극 없이 진행하였다. 사전조사로 수술당일 아침 수술실 입실 시에 기질불안, 상태불안, 불안VAS, 수축기 혈압, 이완기 혈압, 맥박수를 측정하였으며, 사후조사로 수술 3단계 시작 30분 후에 기질불안, 상태불안, 불안VAS, 수축기 혈압, 이완기 혈압, 맥박수, 통증VAS를 측정하였다. 본 연구의 결과는 다음과 같다. 1) 가설 1 ‘백개자 자극을 받은 실험군은 백개자 자극을 받지 않은 대조군보다 상태불안이 낮을 것이다.’라는 가설은 평균 상태불안이 실험군에서 11.09점, 대조군에서 16.37점으로 두 집단간에 유의한 차이가 있어 가설 1은 지지되었다(t=-10.147, p=.000). 2) 가설 2 ‘백개자 자극을 받은 실험군은 백개자 자극을 받지 않은 대조군보다 불안 VAS가 낮을 것이다.’라는 가설은 평균 불안VAS가 실험군에서 2.90점, 대조군에서 5.04점으로 두 집단간에 유의한 차이가 있어 가설 2는 지지되었다(t=-8.190, p=.000). 3) 가설 3 ‘백개자 자극을 받은 실험군은 백개자 자극을 받지 않은 대조군보다 수축기 혈압이 낮을 것이다.’라는 가설은 평균 수축기 혈압이 실험군에서 121.29mmHg, 대조군에서 138.89mmHg로 두 집단간에 유의한 차이가 있어 가설 3은 지지되었다(t=-5.508, p=.000). 4) 가설 4 ‘백개자 자극을 받은 실험군은 백개자 자극을 받지 않은 대조군보다 이완기 혈압이 낮을 것이다.’라는 가설은 평균 이완기 혈압이 실험군에서 79.86mmHg, 대조군에서 85.86mmHg으로 두 집단간에 유의한 차이가 있어 가설 4는 지지되었다(t=-2.289, p=.025). 5) 가설 5 ‘백개자 자극을 받은 실험군은 백개자 자극을 받지 않은 대조군보다 맥박수가 적을 것이다.’라는 가설은 평균 맥박수가 실험군에서 72.51회, 대조군에서 79.03회로 두 집단간에 유의한 차이가 있어 가설 5는 지지되었다(t=-2.915, p=.005). 6) 가설 6 ‘백개자 자극을 받은 실험군은 백개자 자극을 받지 않은 대조군보다 통증이 적을 것이다.’라는 가설은 평균 통증이 실험군에서 2.66점, 대조군에서 3.91점으로 두 집단간에 유의한 차이가 있어 가설 6은 지지되었다(t=-5.923, p= .000). 이상의 결과를 볼 때 신문혈과 내관혈 백개자 자극이 국소마취하 감마나이프 수술 환자의 상태불안과 통증감소에 영향을 미치는 것으로 나타나 신문혈과 내관혈 백개자 자극은 감마나이프수술 환자에 대한 근거중심 한방간호중재로 적용할 수 있을 것이다. This study is a quasi experiment of nonequivalent control group pre-post test design, conducted to identify the effect of Shinmun(Heart Meridian : HT7) and Naegwan(Pericardium Meridian : PC6) semen sinapsis albae stimulus on state anxiety and pain of regional anesthesia patients during the Gamma-knife radio surgery. The subjects were 35 patients as the experimental group and 35 patients as the control group, who fit into the selection standard, during regional anesthesia Gamma-knife radiosurgery at I University Hospital located in Busan from January to June 2007. Experimental group was treated Shinmun(HT7) and Naegwan(PC6) semen sinapsis albae stimulus. Each accupoint was pressed for 6 seconds each time, when these points are pressed with paper-tape on to the semen sinapsis albae. The initial application of pressure was carried out for one~two seconds, pressure was applied continuously for three~four seconds, and a slow release of pressure was carried out for five~six seconds. This formed a cycle, which was repeated from the period of 5 minutes before the operating starts to 30minutes after the third stage of operation. The pressure method is used one must gradually go from light to heavy, so that the patients feels a definite pressure, but no pain. Control group was not treated semen sinapsis albae stimulus. In this study method , the pre-test was measuring the trait anxiety, state anxiety, anxiety-VAS, systolic blood pressure, diastolic blood pressure and pulse rate, when the patients was went into the operation room on operation day. The post-test was measuring the trait anxiety, state anxiety, anxiety- VAS, systolic blood pressure, diastolic blood pressure, pulse rate, and pain- VAS at 30minutes after the third stage of operation. The results are as follows: 1. The patient given Shinmun(HT7) and Naegwan(PC6) semen sinapsis albae stimulus in the experimental group had a lower state anxiety than control group(t=-10.147, p=.000). 2. The patient given Shinmun(HT7) and Naegwan(PC6) semen sinapsis albae stimulus in the experimental group had a lower anxiety-VAS than control group(t=-8.190, p=.000). 3. The patient given Shinmun(HT7) and Naegwan(PC6) semen sinapsis albae stimulus in the experimental group had a lower systolic blood pressure than control group(t=-5.508, p=.000). 4. The patient given Shinmun(HT7) and Naegwan(PC6) semen sinapsis albae stimulus in the experimental group had a lower diastolic blood pressure than control group(t=-2.289, p=.025). 5. The patient given Shinmun(HT7) and Naegwan(PC6) semen sinapsis albae stimulus in the experimental group had a lower pulse rate than control group(t=-2.915, p=0.005). 6. The patient given Shinmun(HT7) and Naegwan(PC6) semen sinapsis albae stimulus in the experimental group had a lower pain-VAS than control group(t=-5.923, p=.000). In conclusion, Shinmun(HT7) and Naegwan(PC6) semen sinapsis albae stimulus reduced the state anxiety and pain. Therefore, based on the results, Shinmun(HT7) and Naegwan(PC6) semen sinapsis albae stimulus is proposed as an oriental nursing intervention for Gamma-knife radiosurgery.

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