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      • 간호학생 및 간호원들의 죽음의 공포와 임종환자 간호에 대한 태도 조사 연구

        안홍자 충남대학교 의과대학 지역사회의학연구소 1976 충남의대잡지 Vol.3 No.2

        This study was conducted by the freshmen, the senior of nursing department, and the nurses of C national university, S university and the affiliated hospital for 30 days, from 16 August 1976 to 15 Sept. 1976. It compare and examines fear and attitude for their death and general death by t-test, influenced by school education, clinical experience and difference between a beliver and non-beliver through questionnaire for total 327 persons. It showed percentage the attitude of the nurse for dying patient for three groups whether attitudes are affirmative or negative. Its difference was examined by X²-test. Its outcomes are as follows. 1. Though a term of education increases, the fear of death is not decreased. 2. Though clinical experience increases, the fear of death is not decreased. Rather, as to general fear of death, the nurse is much severer than the senior. 3. Whether one is a beliver or non-beliver odes not make difference of the fear of death. For senior, a beliver feels the general fear of death ot a great extent. 4. For the attitude for the dying patient care, the dying patient must be comforted by the many visitors. (X²=21.1) When the patient asked about his disease, the nurse should be answer frankly. In item (X²=18.35), the senior affirms most. The nurse affirms least. The nurse feels more fruitful for the care of revivable patient than that of non-revivable patient (X²=26.43), most patient does not know their death. The suicide of the patient who has incurable disease is under standable(X²=11.84). The dying patient should be isolated from the other patients. In items(X²=28.45), the nurse affirms most, the freshmen affirms least. When the nurse cares the dying patient, the nurse should be sympathetic(X²=10.45). The nurse cares the dying patient with the same feeling as she cares the other patients. In item(X²=14.92), the senior affirms most. The freshmen affirms least.

      • 老人患者의 看護的 要求에 對한 硏究

        安鴻子 충남대학교 의과대학 지역사회의학연구소 1975 충남의대잡지 Vol.2 No.2

        The purpose of this study is to find out the nursing needs of aged patients according to their complaints and the blood pressure. For the purpose, 407 charts of aged patients who visited the Chungnam National University Hospital from Jannuary, 1973 to July, 1975, were analyzed by sex and age. 1. The highest frequency of complaints and signs is abdominal discomfort and pain, the second is anorexia and indigestion and the third is cough. 2. The signifcant difference in sign between male and female are cough, sputum, disfunction of evacuation, anorexia and indigestion. The frequency of the signs of male is higher than female's. However female has more headache, itching sensation. 3. Regarding the frequency order of senile diseases are stomach disease, vascular disease and lung disease. 4. Significant differences in disease between male and female are vascular disease, skin disease. The frequency of the disease of female is higher than male's, but male has more liver disease, nervous disease, bronchial disease. 5. Concerning the correlation of blood pressure between sex and age, significant correlation is found in male's systolic pressure but not in female's. However significant correlation in diastolic pressure is found in female's not in male's. 6. Means of systolic and diastolic pressure of aged patient under 80 years old are nomal, but the aged over 80 are higher than normal. 7. In regard to hypertension, male is 30%, female is 32%: male is 4%, female is 7% in systolic pressure, male is 6%, female is 7% in diastolic pressure, male is 19% female is 18% in systolic and diastolic pressure.

      • 老人 生活에 影響을 주는 要因과 그들의 生活 適應에 關한 硏究

        安鴻子 이화여자대학교 간호과학대학 1975 이화간호학회지 Vol.- No.9

        現代醫學과 科學의 發達로 人間의 壽命이 길어져서 老齡의 時期가 延長되고 老人 人口의 數도 增加됨에 따라 社會學者, 人口學者, 家庭經濟學者, 心理學者들이 老人問題를 깊이 硏究하고 있으며 醫學者들도 老人病學을 專問的으로 硏究하고 있으므로 老人病 看護學은 看護學 교과과정에서 專問的인 分野로 되어야 하며 看護學者들도 많은 관심을 돌이켜야 한다. 人間의 正常的인 老化過程과 老人疾病을 理解하여서 老人生活들을 評價하여 全人的인 老人看護를 計劃, 實踐하여야 한다. 著者는 老人들이 當面하고 있는 社會 經濟的, 肉體的, 精神的 問題와 老人生活에 影響을 주는 要因을 調査 硏究하여 老人 健康管理와 看護에 도움이 되고자 1975年 7月 1日부터 8月 15日까지 大田市內 老人 300名(男子 108 名, 女子 192名)을 任意抽出하여 老人 生活에 影響을 주는 要人들의 主成分 分析과 相關關係, 그리고 一般的 特性에 따라 老人生活의 差異를 分析한 結果 다음과 같은 結論을 얻었다. 1. 老人들의 生活에 影響을 주는 要因을 主成分 分析한 結果 세 개의 主成分이 나타났다. 즉 男子 老人의 第1主成分은 呼吸 및 循環機能要因으로서 消化器系障害와 運動 및 感覺機能의 障害와 相關이 높았고, 第2主成分은 記憶力 및 充滿感 要因으로서 孤獨感 및 憂鬱感, 不安 및 不滿感과 相關이 높았으며 第3主成分은 經濟 및 餘暇善用 要因으로서 家庭的 生活과 相關이 높았다. 女子 老人들의 生活에 影響은 주는 세개의 主成分은 第1主成分이 經濟 및 餘暇善用要因으로 家庭的 生活과 相關이 높았고, 第2主成分은 安定感 要因으로 社會的 生活과 相關이 높았으며 孤獨感 및 憂鬱感, 記憶 및 지남력 障害와는 逆相關이 있었다. 第3主成分은 消化 및 외모적 要因으로서 呼吸器系 障害와 運動 및 感覺機能의 障害와 相關이 높았다. 2. 老人들 生活에 影響을 주는 여러 項目들 間에서로 相關關係가 컸던 要因은 男子 老人에서는 經濟的 生活과 餘暇 및 趣味生活(r=0.49, P<05), 處無感 및 悲觀과 죽음에 對한 恐佈(r=0.49, P<05), 經濟的 生活과 家庭的 生活(r=0.47, P<05)이 相關關係가 컸으며 女子 老人에서는 呼吸器系 障害와 循環器系 障害(r=0.55, P<05), 經濟的 生活과 家庭的 生活 (r=0.51, P<05), 孤獨感 및 憂鬱感과 不安 및 不滿感(r=0.49, P<05)이 서로 相關關係가 컸었다. 3. 老人들의 生活을 點數에 依한 測定을 하기 爲해 點數가 적을수록 問題가 큰 것으로 生覺하고 社會 經濟的 問題는 72點, 肉體的 問題는 84點, 精神的 問題는 96點을 總點으로 計劃하여 平均點數를 낸 結果 社會 經濟的 問題에서 男子 老人이 32.75點(45.5%), 女子 老人이 27.87點(38.7%)이고 肉體的 問題에서 男子 老人이 61.53點(73.3%) 女子 老人이 50.72點(67.5%)이며 精神的 問題에서 男子 老人이 64.1點 (66.8%), 女子 老人이 61.75點(64.4%)으로 男女 老人 모두에서 老人의 生活問題는 社會 經濟的 問題가 가장 컸고, 다음으로 精神約 問題, 肉體的 問題의 順位였다. 4. 老人들의 社會 經濟的 問題, 肉體的, 精神的 問題의 程度를 性別, 年齡, 敎育, 宗敎, 主生活地, 配偶者有無, 現職業 有無, 過去 職業別, 老人 모임에의 參加有無, 同居人別, 子女數別, 日日雜費 程度에 따라 分類하여 分析한 結果 統計的으로 有意한 差異가(P<05) 있었다. The proportion of older people in the population has increased along with the development of modern science and medicine. The phenomena of old age has been studied by sociologists, demographers, home-economists and psychologists. The care of older persons is an essential aspect of professional nursing just as the treatment of older people is an important aspect of medicive. Comprehensive nursing care should be planned throughout the process of aging and in relation to illness prevalent in old age. This study was undertaken to determine the physical, psychological, social and economic problem of the elderly. The purpose was to contribute to the improvement of nursing care toward promoting the health of older persons. The random sample of 300 persons included 108 men and 192 women 65 years and over, living in the city of Daejon. The study was carried out from July 1, to August 15, 1975, using an interview schedule developed and pretested by the investigator. Analytical methods included factor analysis and correlation. 1. Men stated that the factors, primarily influencing their lives were problems related to respiratory and circulatory functions. These factors correlated to disturbances of digestion and of mobility and sensory functions. The next most frequently cited f actors were memory loss and dissalisfaction, which correlated to lonliness, sadness, anxiety and discontent. The next most frequently cited factors were those economics and leisure time, which were correlated to home life. Women stated that the factors primarily influencing their lives were problems related to economics and leisure time, both correlated to home life. The next most frequently cited factors was stability which were correlated to social life and negatively correlated to lonliness, sadness and disturbance of memory. The next most frequently cited factors were those of digestion and appearance, which were correlated to disturbances of respiration, mobility and sensory functions. 2. Factors highly correlated for men were economics and leisure (r=0.49, p <05), meaning-lessness and the fear of death(r=0.49, P<05), and economics and family life(r=0.47, P<05). Correlated factors for women were disturbances of 1·espiratory and circulatory functory (r=0.55, P<55, P<05), economics and family life(r=0.51, P<05), lonliness and sadness, and anxiety and discontent (r =0,49, p <05 . 3. Prioritics for nursing care for this sample were needs related to socioeconomic, psychological and physiological problems. In the social economic aspect with 72 points the average score of old men is 32.75(45.5%), that of old women is (27.87(38.7)%), in the physical aspect with 84, oldmen is 61.53(73.3%), old Women is 56.72(67.5%), and in the psychological aspect with 96 points, old men is 64.1(66.8%), old women is 61.78(64.4%). 4. Sociocconomical needs, physical needs and psychological needs were analyzed for significant differences between sex, age, education, religion, residence, the existence of a spouse, Present occupation, past occupation, participation in old age groups, family size, the member of children, and daily pocketmoney.

      • 새마을 診療事業의 效果的 管理를 爲한 保健行政學的 硏究

        沈雲澤,崔在圭,安鴻子,金明淑 忠南大學校 1974 論文集 Vol.13 No.1

        In order to investigate effective management of Sae Ma Eul medical project in the public health and administrative aspect, surveys were conducted on realities of some of Sae Ma Euls and Health centers in Chungnam Province from August 1 to December 31, 1973, and the following results have been obtained. 1) 71.6% of Sae Ma Eul has participated in the Sae Ma Eul medical project, and it's contents in order were as follows; environmental sanitation, family planning, vaccination, and maternal and child health. The rate of participation in the isolated island was meagre. 2) Most of residents in Sae Ma Eul were not concerned in utilization of health center, while the members of this organization visited them frequently. 3) There were 34 doctorless Myon in Chungnam Province, and 366, 247 of residents were not in medical benifits. 4) Total number of Sae Ma Eul medical projects in Chungnam province in 1973 were performed 785 times, and 73 times of them were carried out by members of Medical College. 5) A team of Sae Ma Eul medical projects was composed of 4 members in Health Center team, and 20 members in medical school team. The former team cared average 99 patients per a day, and the later 107 patients. The ratio of patients per a member was 25 in the former team and 5 in the later. 6) Only 1% of public health budget was invested in drug expenditure for Sae Ma Eul medical project. 7) The more careful plan and closer interconference were needed for perfomance of Sae Ma Eul medical project. 8) It seems to be likely that present unit of district is changed to educational unit for Sae Ma Eul medical project.

      • 一部忠南地域의 出産力과 家族計劃事業이 人口 增加率에 미치는 影響에 關한 調査 硏究 : 出産力에 미치는 諸要因을 中心으로

        洪春實,金明淑,安鴻子 충남대학교 의과대학 지역사회의학연구소 1975 충남의대잡지 Vol.2 No.1

        This studies was carried out to find the effects of some general factors on fertility of 1,644 "eligible"women residing in Gong-ju Gun, Chung Nam Province during April to August 1974. The factors observed were the age of the "eligible"women, the continuance duration of marriage, the educational standard, the living standard, and the outlook on children. The results obtained from this study were as follows: 1. The mean age of marriage interviewed was found to be 22 years old. And the mean age of the first delivery was 23 showing 3 years older than that reported in"A survey on the Status of the Maternal and Child Health in RuralArea" in 1971. 2. The continuance duration of marriage of the respondents was 11 years. 3. In comparison with parity and delivery conditions of the respondents, normal and the rest, 9.8% (1,085 times of delivery) were abnormal. 4. The frequency of pregnancy by age group was the highest frequency with "one time" in 56.9% of 20-24 age group, "2 times" in 27.1% of 25-29 age group, "4 times" in 30.2% of 30-34 age group and 41.0% of 35-39 age group, and with "3 times" in 48.8% of "over 40" age group. 5. The artificial abortion rate by age was the highest with 1t-2 times in 71.1 % of "below 19" age group. About 88% (87.8%) in. 40-44 age group reported that they had not experienced artificial abortion. 6. The artificial abortion rate by the educational standard ranked the highest with 26.4% in the highschool graduation group and the lowest with 15.1% in illiteral women group. 7. The "ideal" number of children by the age group was 1-2 highest 60.1% with in 25-29 age group and 3-4 the majority (50.4%) of 30-34 age group. And 30.3% in 40-44 age group suggested "over 5" the "ideal" number of children. 8. The "ideal" number of children was shown big variation depending on the educational standards of the respondents. 42 (42.1%) of the respondents of college education suggested that 2 was the ideal number of children, but only 3.8% in the illiteral respondents did so.

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