노인의 건강상태

소희영,김현리,류명인,So, Hee-Young,Kim, Hyun-Li,Liu, Ming Ren 한국재활간호학회 2004 재활간호학회지 Vol.7 No.2

Purpose: This study examined the health status of elderly. Method: This is a survey using cross-sectional design. The subject were 122 elders who were 65 and over in Daejeon. Instrumental activity of daily living, nutrition and Body mass index for physical health status, social engagement for social health status, and depression and loneliness for emotional health status were measured. Results: Independent level was medium, and nutrition and BMI were normal level. Social engagement score was 2.38 which means low. Mean depression level was 7.71 and mean loneliness level was 56.77, which means high. The risk factors for vulnerable health status were no spouse, lower pocket money, living at institution, poor subjective health status. Conclusion: This finding indicates that the elderly subjects were in normal physical health status, but social and emotional health status were poor.

유방수술환자의 성역할정체감에 따른 자아개념 적응

소희영,김정환 충남대학교 의과대학 지역사회의학연구소 1992 충남의대잡지 Vol.19 No.2

The present study was designed to investigate the influence of sex role identity on adaptation after breast surgery, and to intervene on self concept for improving adaptation process by understanding & describing about psychological and emotional aspects of who had breast surgery. Self concept is the one of 4 adaption form including physical, personal, and interpersonal self according to Roy's adaption model. The subjects in this study were 107 patients being operated at general surgery deparment of Chungnam University Hospital in Daejon. Data was collected at postoperative 7-10th day using the Short Form Bem Sex Role Identity Iventory, Jacox & Stewart's Health Self Concept, Beck's Depression Inventory, Zung SPAS. and Osgood's Semantic Differential Method from Mar. 1989 to Feb. 1992. The data were analysed by use of frequency, ANOVA, t-test, Pearson Correlation Coefficients of SPSS program. The results of the study were as follows 1. There was no significant difference of degree of health self concept, depression, anxiety, body image according to sex role identity. 2. Among the demographic characteristics of subjects, level of health self concept was statistically significant difference in age(F=5.1349, P=.0007), marital periods(F=4.4120, P=0058), and educational level(F=8.4928, P=0004), level of depression was statistically significant difference in educational level(F=5.0424, P=0081), levle of anxiety was statistically significant difference in age(F=8.0675, P=0006), marital status(t=-2.40, p.018), marital periods(F=3.1459, P=.0283), and educational level (F=3.2507, P=.0427), and level of body image was statistically significant difference in age(F=7.7233, P=0007), marital periods(F=2.8781, P=.0369), and occupation(t=-1.99, 3. There was no significant correlation between health self concept, depression, anxiety, and body image. Considering these survey results, there is no discrimination of self concept according to sex role identity of the patient after breast surgery. This means, cancer diagnosing it self and surgical experience it self are might be conceived as much more influence on patient than the sex role identity. Accordingly, we could see that sex role identity is not affect the self concept(adaption) after breast surgery. When we do as a psycho-emotional nursing intervention for the patient of breast surgery, they could be positive and undistressed self concept during adaption process if we approach her with demographic characteristics rather than sex role identity.

심폐 소생술에 관한 간호원의 지식도

소희영 충남대학교 의과대학 지역사회의학연구소 1980 충남의대잡지 Vol.7 No.1

To save patient who is unexpected sudden death, nurses have to practice cardiopulmonary resuscitation (CPR). This study was done to facilitate nurse's need about CPR, for most of nurses don't have few knowledge & expert skill of CPR. This study subjects were 210 nurses of 4 Hospitals from 25 Feb. to 30 March 1930 though questionnaire consisting of 20 items about assessment, equipment, principles and procedures of CPR. The results are as follows: 1. There are significant relationships in terms of the knowledge about CPR between the experienced nurses in emergency room (ER) intensive care unit (ICU), and and nonexperienced nurses (P<0.1). 2. There are highly significant relationships in terms of the knowledge about CPR between the experienced nurses more than 3 years and less than 3 years (P<0.05).

간호사를 위한 재활간호 교육의 효과

소희영,김봉옥,송재금,심희숙 충남대학교 의과대학 의학연구소 2002 충남의대잡지 Vol.29 No.1

To explore the effects of the rehabilitation nursing education on registered nurses, this study was designed quasi-experimentally for one group pre-test and post-test respectively. The study employed the Client Satisfaction Questionnaire, Positive Feeling Questionnaire, Self-Attitude (Confidence) Inventory, and Nurses Attitude Scale. The study found that only the positive feeling of professional nurses toward their rehabilitation clientele increased after rehabilitation nursing education, which means both that nurses showed inadequate awareness of the disabled and that a change of nursing awareness was critical if a change in popular awareness was to be realized. One influence on positive feeling was the current job position of the nurse subjects, with the position of head nurse especially affecting positive feeling. Considering experiences and career of head nurse, the positive feeling could be the influence of professional life. Another influence on the self-confidence of the nurse subjects was the working ward, specifically the rehabilitation ward. Because the level of self-confidence in rehabilitation nurses should increase the level of rehabilitation nursing received by the clients, rehabilitation nursing education must continue in future. Since a significant positive correlation was found between rehabilitation nursing education and positive feeling, the higher satisfaction about rehabilitation nursing education could result more positive feeling of nurses toward the disabled. Therefore there should be further educational programming to increase client satisfaction. The opinions of educational participants should be considered in instituting improved educational programs for rehabilitation nurses.

장애아 부모의 스트레스와 적응:어머니와 아버지의 비교

소희영,김봉옥,민현옥 충남대학교 의과대학 지역사회의학연구소 1997 충남의대잡지 Vol.24 No.1

Stress in families with children who have disabilities is usually assessed solely from a maternal perspective. But whole family should be regareded as a client of rehabilitation team. The purpose of this study were to compare perceived stressor, belief and coping strategies of parents who have children with disabilities and to examine similarities and differences of mother and father in their perceptions of stressors, beliefs, and coping. Hemovich's Parent Perception Inventory was used for data collection. A sample of 70 mothers and 51 fathers of children with disabilities participated in the study. Data was collected from 1995. Dez. to 1996. Mar. Statistical tests in SAS were used to analyze data. Frequencies, means, standard deviations were determined. ANOVA and t-tests identified differences between variables. The results are as follows: 1. There was no statistically significant difference in stressor between mother and father. 2. There was no statistically significant difference in belief between mother and father. 3. There was no statistically significant difference in degree of applying coping strategy between mother and father. To summerize, it appears that fathers and mothers of children with severe disabilities differ little in their perceptions of stress and coping. With awareness and knowledge of parent concerns and coping, the health care provider can more effectively integrate holistic family-centered coping in the fabric of caregiving for the family having a child with special health care need, thus preventing family dysfunction. For the health care provider, and important implication has do with developing a family-focused way of viewing concepts of health and illness. It is important for rehabilitation nurses to develop a partnership with parents in which they serve as consultant to families.

도시 노인의 인지기능

소희영,주경옥,정미하,김혜영,So, Hee-Young,Ju, Kyong-Ok,Jung, Mi-Ha,Kim, Hae-Young 한국재활간호학회 2004 재활간호학회지 Vol.7 No.2

Purpose: This study was performed to assess the degree of cognitive function of elderly by MMSE-K performances and of that effect. Method: The subjects were 185 aged over 65 in Daejeon Metropolitan city. Data were collected through personal interview using the questionnaire from 10 to 31, Jan. 2003. The measures were Korean version of Mini-Mental State Examination(MMSE-K). Results: The mean score of MMSE-K was $22.60{\pm}5.39$. The prevalence of cognitive impairment was estimated as 48.6% by MMSE-K ${\leq}23$ and significantly age, gender, and education effect. The subtype score of MMSE-K were significantly lower in female group in each items : orientation in time and place, attention/calculation, language except registration and recall. And the scores were significantly lower in the older group and non-educated group in the all items of MMSE-K. Conclusion: Gender, age, and education showed significant effects on total and subtype MMSE-K score. Cognitive function decline were higher in female, older age group, and non-educated group. Therefore, those three factors are thought to be one of important risk factors for development of dementia, also it is assumed to be affected by other variables than age, gender, education effect.

학령전기 아동 어머니의 환자역할 기대

소희영 충남대학교 의과대학 지역사회의학연구소 1991 충남의대잡지 Vol.18 No.2

This study has been conducted to explore a expectation on the sick role of mothers who have children at the age of preschool and or school. The objective of study was to investigate the impact upon the health of woman according as childrearing. Sample subjects were mothers living in Daejon City and having preschool/school children. Data had been collected from February to March of 1991, according to the famililsm(Cronbach^α=.8687) and sick role expection tools (Cronbacha^α=.7320) developed by the investigator from the literature. And then data was analysed by using frequency, T-test, and ANOVA by SPSS Program. The results are as follows : Ⅰ. Hypothesis 1 : "There will be differences in the degree of the expectation on the sick role of mothers according to family structures." was not supported. Hypothesis 2 : "There will be differences in the degree of the expectation on the sick role of mothers according to numbers of preschool children." was not supported. Hypothesis 3 : "There will be differences in the degree of the expectation on the sick role of mothers according to numbers of relatives living together." was not supported. Hypothesis 4 : "There will be differences in the degree of the expectation on the sick role of mothers according to the family structures, regardless the numbers of preschool children relatives living in community." was not supported. Hypothesis 5 : "There will be differences in the degree of the expectation on the sick role of mothers according to the number of preschool children, regardless the family structure or the relatives living in community." was not supported. Hypothesis 6 : "There will be differences in the degree of the expectation on the sick role of mothers according to the numbers of relatives live in community, regardless of family structure of the number of preschool children." was not supported. Ⅱ. The correlationship between familism and sick role expectation was not supported. Ⅲ. There is a significant difference statistically in the degree of sick role expectation according to family life. Coming as resultant, it's identified that health of woman is dependent on family life, regardless the existence and or non-existence for those, of number of preschool child, of early growth and developed stage of child, of family structure, and of the number of relatives living in community.

응급실 임상교육을 위한 기초 일 연구 : 내·외과 응급환자에 대한 조사 연구 A study on the Emergency Patients withMedical-Surgical Problems

소희영,최명애,김종임 충남대학교 의과대학 지역사회의학연구소 1981 충남의대잡지 Vol.8 No.2

This study was conducted to analyze the emergency patients with medical-surgical problems of Chungnam National University Hospital from 1978 Jan. to 1980 Dec.. Results through this study were as follows: 1. The total number of patients was 14,120, sex ratio was 1.64:1 with predominant in male. The number of patients by month was the highest in July with 11.10%. 2. The number of patients by age showed that the 21-30 years with 31.45% was the highest and the next was 31-40 years with 17.32%. 3. The number of patients by department showed that internal medicine was the highest with 57.85% and the next was general surgery with 17.86%. 4. Diseases were classified by the Korean Standard Classification of Diseases. The most common disease was injury and poisoning(45.85%) followed by gastrointestinal disease (13.04%) and then next was circulatory disease(8.65%). 5. After emergency management, 62.41% among total patients were discharged, 30.64% were admitted, and 4.14% were dead. 6. Hours of staying at emergency room by department showed that 19.79% among total patients stayed less than one hour, and 26.88% stayed less than 2 hours. 7. Injury and poisoning among all systemic diseases was the highest with 45.85%, laceration(30.57%), drug intoxication(27.74%) and traffic accident (17.42%) of injury and poisoning showed high frequencies. Furthermore we would recommend as thus; In order to practice emergency nursing more efficiently, contents regarding laceration, drug intoxication and traffic accident should be reinforced in adult nursing.

入院患者 家族의 不安에 關한 硏究

蘇喜永 충남대학교 의과대학 지역사회의학연구소 1983 충남의대잡지 Vol.10 No.1

This study was done to determine the relationship between the anxiety of patients' family in hospital and various influencing variables. The purpose of this study was to determine factors that may lead to lower level of anxiety of patients' family and provide basic data for family in hospital setting. The subject for this study were 81 family members selected from ICU, ER, OR, and ward at Chungnam National University Hospital in Daejeon. Data was collected from March 1, 1982 to Feb. 10, 1983 using the questionaire method and analysed by the use means, standard deviations, intercorrelations, analysis of variance and T-test. The results obtained were as follows: 1. Six variables related to families anxiety were relationship with medical personnel, lack of medical knowledge, family problem, patients' illness, hospital environments and economics, in order. 2. Families anxiety caused by hospital environments, there was significant difference iin hospitalized unit of patient, the family of patients who were in emergency unit were significantly higher than the other unit (P<0.05). 3. Families anxiety caused by the encounter with medical personnel, there was significant difference in families marital status, the unmarried family members were significantly higher than the family members who were married(P<0.05). 4. Families anxiety caused by patients' illness, there was very significant difference in hospitalized unit of patient, the family members of patient who were in ICU were very significantly higher than the other unit(F=10.764, P<0.01). 5. Families anxiety caused by economics, there was significant difference in patients' marital status, the family of married patients' were higher than unmarried (p<0.05). 6. Families anxiety caused by lack of medical knowledge, there was very significant difference in patients' marital status, the families anxiety of married patients' was higher than unmarried(P<0.01).

수술환자의 불안요인 분석

소희영,김현리 충남대학교 의과대학 지역사회의학연구소 1987 충남의대잡지 Vol.14 No.2

The purpose of this study is to determine the level of anxiety of preoperative patients and thereby to develop the anxiety rating scale. The factor of anxiety was aquired from survey which was performed to 120 nursing students. And their responses were divided into 25 items. Based on 4 points Likert type, we were made 25 items anxiety rating scale. This anxiety rating scale was conducted to 121 preoperative patients, hospitalized in two Medical center, Daejon, Chungnam Province. This scale has Cronbach alpha value. 7888 and each items was classified into 4 factors. The results of factor analysis are as follows; 1. Four factors express 65.1% operative anxiety. 2. Preoperative anxiety factors consist of 4 subdimensions; A. interpersonal relationship dimension (44.6%) B. disease itself dimension (9.3%) C. physical dimension (6.0%) D. economic dimension (5. 1%).