건강간호 상담소 설치에 대한 주부들의 반응

박오장 中央醫學社 1975 中央醫學 Vol.28 No.6

In an attempt to achieve nurse's health care for a community effectively, the author evaluated the propriety of the institution of the Nursing Care Counseling Center (tentatively designated) by surveying the attitude of 147 housewives in Kwang-Ju. The results were follows: 1) 43.5% of the housewives showed clear understanding of the nurses' role in the community health. They were much interested in health care, prevention of communicable diseases, pregnancy and family planning, emergency care, and child rearing. 2) Most of them showed deep appreciation of. nurses' carrier in the technical training and license acquirement. 3) 46.3% received health care from the nurses, but just 38.0% showed content with them. The housewives' discontent was mainly due to inequities between theory and practice performed by the nurses. 4) Most of the housewives who had not received health care from the nurses were the midtown dwellers, who could utilize medical facilities with ease. 5) 55.8% showed positive attitude toward the institution of the Nursing Care Counseling Center and 30.6% affirmative or conservative consent. The remainder showed distrust or .indifference to the Nursing Care Counseling Center. From these results it was concluded that most of the housewives recognized it pertinent and necessary to institute the Nursing Care Counseling Center.

노인 대퇴골 골전환자의 수술 후 기간별 일상생활기능 회복에 대한 종단적 연구

박오장,장현숙 전남대학교 간호과학연구소 2003 Nursing and Health Issues(NHI) Vol.8 No.1

Many elderly patients with a femur fracture could not fully recover their previous level in the activities of daily living (ADL). The purpose of this study was to evaluate longitudinaly the fun ctional recovery of daily living activities and to investigate the inf luencing factors on it in the postoperative elderly patients with fractured hip. The subjects were consisted of 31 patients over 60 years old who received surgery for femur fracture at Chonnam national University Hospital from May 1 st, 2000 to Mar. 31 st, 2001. Data were collected through individual interviews by using a questionnaire. The results may be summarized as follows. 1. The level of ADL recovery at the time of discharge from the hospital was - 46.8 point, recovery rate was 49.6%. The ADL recovery of 3 months after discharge was - 34.1 point and 66.8%, 9 f!1onth after was -10.6 point and 88.6%. 2. The factors on the recovery of 9 month after discharge were sex (t = 2.52, p = .02), associated disease (t = 4.54, p = .04), and using a dining table (t = 2.24, p = .04). Female was lower than male in the recovery of house working, the patients who had another disease were lower than those of the other in the recovery of total ADL, the group of not using a dining table was lower than those of the others in the recovery of pain.

입원환자가 지각하는 의료인의 불친절에 대한 연구

김란,신인주,박오장 성인간호학회 1996 성인간호학회지 Vol.8 No.1

This study was done in order to know the kind and degree of health professionals' unkindness(HPU) that admitted patients had experiences in hospital, and to determine the relation between the unkindness and the effect on the patients. The subject were 187 adult patients who admitted in two hospitals in Kwangju city. One was Kwangju Veterans Hospital(KVH) and the other was CU Hospital. Data were gathered from september 22 to 26, 1994 by questionnaires. Analysis of data were done by t-test, Anova, Pearson correlation coefficients. The results of the survey may be summarized as follows. 1. The average score of HPU that patients experienced in hospital was 74.25 of total 190 point. 2. The score of HPU that patiens experienced in KVH was very significantly lower than those who experienced in CUH (t=6.92, p<.001). 3. In twenties(F=8.4177, p<.001), unmarried(F=6.2965, p<.001), CUH(t=23.8214, p<.001) and students(F=2.6959, p<.05) showed significantly higher score of HPU than in older, married person and KVH. 4. Three items of the highest score of HPU are the deficiency of conversation with health professionals, unsatisfaction of diet, deficiency of explaining about lab. test. 5. In the patiens of the CUH(t=3.097, p<.05), in those of the single(F=3.772, p<.05) showed significantly higher score about deficiency of conversation with health professionals than those in KVH and married. In the patiens who had a religion(F=3.159, p<.05) and in the single(F=5.321, p<.01) showed significantly higher score about deficiency of laboratory explaining than those deficiency of laboratory explaining than those in none of religion and the married. 6. Three items of the highest score of the effects on patiens from the HPU were that they were stressed, injured in mind, puzzled in emotion. 7. The more experiences of HPU the patients had, the more negative effectiveness they had. The relation between the patients' experiences of HPU and the negative effectiveness on them was very significant(r=.6607, p<.001).

Fawcett의 C-T-E 구조에 의한 일 간호연구논문 분석

박오장,박영주,송남호,오현자,이난희,주정란,최인희 전남대학교 간호과학연구소 2002 Nursing and Health Issues(NHI) Vol.7 No.1

This research was done to analyze the internal consistencies between Conceptual Model Concept-Theoretical Concept-Empirical indicators(C-T -E) in Han’s paper(1998) by Fawcett’s C-T -E structure(1 999). The result was summarized as follows. The first step: The concepts of Han’s paper(1 998) was induced from the Self Care Model of Orem(1995), and Han used only two theories of three in it : the ’health deviation self-care requisites’ deducted from self-care theory and ’supportive education system' deducted from nursing system theory. The supportive education system of the Orem’s model was integrated with the interactive role theory of Dracup and Meleise(1982) before applying it to this research. The second step: Three concepts of middle-range theory within the Han's paper (1998) are self-care performance, family support activities, and patient education participated with family in patients with. coronary artery disorders. The third step: Han(1 998) used 8 prepositions(5 existence and 3 relaional statments) deducted from Orem’s self care model and the interactive role theory of Dracup and Meleis(1982)., and 12 propositions(3 existence and 9 relational statments) in the middle range theory of the Han’s paper(1 998). The fourth step: Propositions were classified by the level of abstractness into abstract propositions, somewhat concrete propositions, more concrete propositions, and most concrete propositions. The fifth step: Han did not show the diagram of C - T -E structure. The researchers presented Han’s paper as the diagram of Fawcett’s C-T -E structure(see figure 1). Finaly, Han’s paper(1 998) was showed well its internal consistencies between concepts of conceptual model, middle range theory and empirical indicators despite that it did not showed the diagram of C-T -E structure. During this analysis of the paper on the C-T -E structure, the hierarchical structures of research concepts could be clearly grasped between the each concepts in each theories deduced from the conceptual model. The researchers agreed to suggest as follows: 1. The research errors could be reduced by using the diagram of C-T-E structure before collecting research data. 2. The theory evaluation on logical adequacy could be more convenient by using the diagram of C-T -E structure. 3. The diagram of C-T -E structure could help understanding nursing theory or nursing science between nursing scientists or those of multi-disciplinary.

관상동맥 중재술후 추적 관상동맥조영술 실천에 대한 조사연구

김유정,박오장 성인간호학회 2000 성인간호학회지 Vol.12 No.1

Coronary intervention is now a well established method for the treatment of coronary artery disease. Coronary restenosis is one of the major limitations after coronary intervention. So medical teams advise the patients to get the follow-up coronary angiogram in 6 months after coronary intervention to know if the coronary artery stenosis recurs or not. This study was done in order to know how many patients complied with the advice, and to identify the relative factors to the compliance with getting the follow-up coronary angiogram. The subjects were 101 patients (male: 58 female: 22, mean age: 61±15), who received coronary interventions from Jan. 1st to Mar. 31st 1997, and their data were collected from them by questionnaires one year after intervention. The questionnaires consisted of family support scale, self efficacy scale and compliance with sick role behavior scale. The result may be summarized as follows. 1. The number of patients who complied with getting the follow-up coronary angiogram were 37 people(36.6%) and did not comply with it were 64 people(63.4%). All scores of family support(t=5.56, p<.0001), self efficacy(t=4.13, p<.001) and compliance with sick role behavior(t=5.56, p<.001) were significantly higher in the patients who got the follow-up coronary angiogram than in those who did not get it. But there was not any relative factor in demographic variables(p>.05). 2. The major motivations for getting follow-up coronary angiogram were recurrence of subjective symptom(40.5%), the advice of medical team(32.4%), and fear of recurrence(27.1%). The restenosis rate in patients who got the follow-up coronary angiogram was 37.8%. 3. The restenosis rate was higher in the patients who had subjective symptoms than in those who did not have any subjective symptom. So subjective symptom and restenosis rate showed a high positive correlation(r=39.9, p<.001). However, 27.2% of the patients who did not have any subjective symptom showed coronary retenosis. 4. The reasons why they did not get the follow-up coronary angiogram were economic burden(37.5%), improved symptom(34.4%), busy life schedule(10.9%), fear of invasive procedure(9.4%), negative reaction of family member(3.1%), no helper for patient(3.1%) and worry about medical team's mistake(1.6%). The relative factors on compliance with getting the follow-up coronary angiogram after coronary intervention were family support, self-efficacy and Compliance with sick role behavior. And the most important reason why the patients did not get the follow-up coronary angiogram after coronary intervention was an economic burden.

Fawcett의 C-T-E 구조에 의한 일 간호연구논문의 분석과 평가

박오장,고미혜,김남영,김희자,양진주,조미자 전남대학교 간호과학연구소 2003 Nursing and Health Issues(NHI) Vol.8 No.1

The purpose of this study was to analyze and evaluate a nursing research pqper by Fawcett' s Conceptual-Theoretical-Empirical structure and the criteria for theory development (1999) in order to reduce mistakes of planning the researches and developing theories, and enhance the quality of nursing researches. For these, we selected Seo' s paper (2003), and got permission from the author before setting about this study. The Results were summarized as follows: 1, Analyzing the paper by Fawcett's C-T -E structure The first step: The concepts of Seo’'s paper (2003) were induced from the Transtheoretical Model by Prochaska and Di Clemente (1983), the concepts of which were cognitional factors (self efficacy, decisional balance) , stages of change, stage based process of change (stage based program using process of change, experimental change, behavioral change) , The second step: The concepts of middle-range theory in the Seo' s paper (2003) were the decisional balance and exercise specific self-efficacy, planning stages and behavior stages, stage based exercise program, physical functions, psychological states in stroke survivors. The thi rd step: Seo (2003) used 14 Hypothesis deducted from Transtheoretical Model (Prochaska and DiClemente, 1983), and accepted 6 of them in middle一range theory. The forth step: We classified propositions into abstract proposition, somewhat concrete proposition, more concrete proposition, and most concrete proposition according to the level of abstractness The fifth step: Seo (2003) showed the diagrams of C•T -E structure in the paper, and we presented the diagram (fig. 1) by Fawcett’es C - T -E structure (1999) 2. Theoretical evaluation by Fawcett' s Criteria First, the summary of conceptual framework was clear and simple in the specification adequacy, so it got 3 point on Conceptual Model Usage Rating Scale in the linkage adequacy. Second, the importance, internal consistency, parsimony, and verification of the theory were all fulfilled. Third, the instruments for exercise specific self efficacy and stages of change were somewhat inadequate, and that experimental adequacy was lack because of partially supported hypothesis. Fourth, Seo‘os paper (2003) satisfied the criteria of the appropriateness in the practice. Finally, the reliability of the conceptual framework was partially satisfied in the verification of the Transtheoretical Model by Prochaska and DiClernente (1983). So, we suggest as follows 1. The logical relationship of the concepts in the C-T -E structure should be realized as a diagrarn from the research beginning in order to avoid the logical defect of the research. 2. Further studies on analysis and evaluation of nursing research papers by C-T-E structure are needed not only about the testing theories but also about the ge nerating thories.

일 지역보건소에 등록된 농촌 여성노인의 신체적 건강상태, 생활만족도, 건강증진 행위

박오장 전남대학교 간호과학연구소 2004 Nursing and Health Issues(NHI) Vol.9 No.1

The purpose of this study was to suggest some basic information about physical health status, life satisfaction, health promoting behavior of the elderly women in a rural community for elderly health promoting program. The subjects were 60 female elderly women over 65 years resident in a rural area, Data was collected from May 1 st to 7th, 2002, and analyzed by frequency, percentage, t-test, ANOVA and Duncan test using SAS program. Instruments of the study were questionnaires to measure perceived physical health status, life satisfaction, and health promoting behavior of the elderly women. The result was summarized as follows: 1. The mean score of physical health status was 48.8 point of 60 point. The physical health status was differentiated in age (F = 2.44, P = .001), monthly income (F = 5.81, P = .005), and persons living with them (F = 3.04, P = .024). Duncan test estimated that the score of physical health status was significantly lower in the seventy or eighty aged group than those of sixty aged, in group of not having an occupation than that of having one, in group of living with their married son than those of living alone or living with their married daughter. The less the monthly income, the lower the score of physical health status was. 2. The mean score of life satisfaction was 36.8 point of 60 point. The life satisfaction was differentiated in educational level (t = 2.09, P = .041), occupation (t = 2.37, P = .015), and monthly income (F = 7.17, P = .001), Duncan test estimated that the score of life satisfaction was significantly lower in group of not having a formal education than that of having formal one, in group of not having an occupation than that of having one. The less the monthly income, the lower the score of life satisfaction was. 3. The mean score of health promoting behavior was 71.2 point of 96 point. The health promoting behavior was differentiated in monthly income (F = 8.85, P = .001). Duncan test told that the less the monthly income, the lower the score of health promoting behavior was. Conclusion: The elderly women in a rural community had relatively higher scores than those of urban area in physical health status, life satisfaction, and health promoting behavior. Monthly income and educational level were important factors to affect physical health status, life satisfaction, and health promoting behavior of the elderly women resident in a rural area.

사회적 지지가 당뇨환자의 역할행위 이행에 미치는 영향에 관한 연구

박오장 대한당뇨병학회 1985 Diabetes and Metabolism Journal Vol.9 No.2

外科的 胃癌患者의 統計的 考察

朴梧張 中央醫學社 1977 中央醫學 Vol.32 No.2

From Jan. 1971 to Dec. 1975, for 5 years, 153 gastric cancer patient were admitted surgical ward of Chonnam National University Hospital. Among these patient, 129 cases were operated. Following results were obtained after statistical review of these 129 operated patient with gastric cancer. 1. Sex ratio was 2.1 : 1 male to female. 2. This disease is predominate at age of 40 to 59 of life, 62. 0%. 3. "A" blood group is seemed to be most commonly affected (39.6%) and "0" group is second. 4. The sign & symptoms are nonspecific but there are Epigastric pain (65.8 %), postprandial epigastric fullnes (58.1%), indigestion (54.3%), and palpable mass (62.0%). 5. The duration of illness was predominated within 3 months. 6. Duration of hospitalization was the most common in the 2 weeks to 3 week (46.5%). 7. On the location of tumors, 55.8% found in pylorus & antrum. 8. On the post operative medication, antibiotics, analgesics, fluid, were used for all patient and coagulant was used for most patient. 9. Total of the patient with post operative complication were 21%, among these patient, most common complication was wound infection (14%). 10. The start of post operative diet was the most common in the 4th to 6th day after operation. 11. The first eliminated day after operation is the most common in the 4th to 6th day (46.5%). 12. The first Ambulated day after operation is the most common in the 3rd to 5th day.

투석환자가 지각한 가족지지와 삶의 질에 관한 연구

주정란,박오장 성인간호학회 1996 성인간호학회지 Vol.8 No.1

This study was done to understand the degree of quality of life and perceived family support, and to identify the relationship between quality of life and perceived family support in dialysis patients. The subjects were consisted of 140 patients who had been treated by dialysis at the 6 dialysis units of 6 hospitals located in Kwangju and Chunju cities. Data were gathered from July 8 to October 27, 1992 through interviews by questionnaire. Analysis of data were done by frequency, t-test, ANOVA, and Pearson Correlation. The results were summarized as follows : 1. The mean score of perceived family support was 48. 5 of total 64 points. 2. In general characteristics, influencing factors to the perceived family support were age(F=6.87, p<.001), religion(F=2.45, p<.01), marital status(F=8.55, p<.001), monthly income(F=3.96, p<.05), present occupation(F=3.48, p<.05), using erythropoietin(F=3.48, p<.01), and supportive resource person(F=7.02, p<.001). 3. The mean score of the quality of life was 134.2 of total 220 points. 4. In general characteristics, influencing factor to the quality of life was only the present occupation(t=2.70, p<.01). 5. The relationship between perceived family support and quality of life showed a positive correlation(r=.3486, p<.001).The higher family support they perceived, the higher quality of life they had.