재가와상노인 서비스제공 모델 개발을 위한 연구

김금순,서문자,조남옥,김인자 한국간호과학회 2001 Journal of Korean Academy of Nursing Vol.31 No.4

Purpose: This study aims to identify the ADL and IADL of bed-ridden elderly. Also it is used to show fuctional status, and to investigate the content and the level of nursing services provided. Method: The subjects were 191 elderly who received visiting nurse service through public health centers in the Seoul Metopolitan and Chungnam Province. Data collection was conducted by public health center nurses during four months in 2000. Result: As for daily living activities, 100% of subjects had at least one difficulty in ADL and IADL. Among them, only 0.5% had moderate disabilities and 99.5% had severe disabilities by HFS, 27.9% were in a semi bed-ridden state and 72.1% were completely bed-ridden by JABC. The major service provided was a visiting nurse service which was preferable to the social welfare service. In the visiting nurse service, there was no significant difference according to the elderlys' functional status. In addition there was no standadization about the qualification of the visiting nurse, and single entry point for the nursing service. Conclusion: The researchers urgently suggest that a community based comprehensive service model has to be developed to respond to the needs of the elderly in Korea.

현행 정맥주입관리에 대한 실태조사 : 40개 3차 의료기관을 중심으로 in Forty Tertiary Hospitals

곽월희,최은숙,김복자,김금순 서울대학교 간호대학 간호과학 연구소 1998 간호학 논문집 Vol.12 No.1

The purpose of this study was to find out a current practice trend of intravenous therapy among tertiary hospitals. 180 cases(90%) out of 200 cases were collected from forty hospital. The questionnaire was comprised of seven major categories, with questions related to flushing and dressing protocols, types of vascular access device used, the availability of equipment, and educational experiences. The results of this study showed that scalp needle were used infrequently, while plastic catheters were used more frequently in peripheral IV therapy(95%). Nontunneled catheters were used more frequently than tunneled catheter, implanted port and PICC FOR CENTRAL VENOUS CATHETERS. Types of flushes is categorized into two: heparinized and non-heparinized. Flushing procedures and demonstrated a lack of consistency throughout the hospital. The type of dressing used, the skin preparation, change frequency, and techniques in dressing procedures were inconsistent. Tubing change intervals were varied from 24 hours to 72 hours. Participation of nurses in intravenous therapy is the highest in peripheral IV cannula insertion(65.4%), whereas the lowest percent were recorded in peripherally inserted central catheter, central venous catheter dressing, transfusion and chemotherapy. 69.5% of the respondents answered that they had received training of total 17 items which are the necessary elements for the IV therapy practice. In conclusion, standardization of IV therapy protocols is needed for the nursing practice. Participation of nurses in intravenous therapy is also needed to be encouraged to expand their role. Training and reeducation to nurses are needed about intravenous therapy practice.

디스코 춤을 이용한 간호중재가 정신질환자의 행동에 미치는 영향

함은미,김금순 서울대학교 간호대학 간호과학 연구소 1993 간호학 논문집 Vol.7 No.1

The purpose of this study was to identify the effect of the disco dance therapy on psychiatric patient's behavior. The subjects of this study were selected from the 2 neuropsychiatric wards of Seoul National University Hospital. The experimental group was 19 patients, who received the disco dance therapy of 45 minutes twice a week for 3 weeks. The control group was 18 patients, who did not receive the disco dance therapy. An adapted Wyatt and Kupper's Behavior Rating Scale was used as a tool for this study. Wyatt and Kupper's Behavior Rating Scale consisted of 26 items, including 6 factors: anxiety, bizarre behavior, suspicious behavior, anger, depression and withdrawal behavior. The data were collected from July,2,to August, 2,1992. The collected data were analyzed using the SPSS/PC+ program. It was confirmed by Cronbach's αanalysis that Wyatt and Kupper's Behavior Rating Scale was a suitable tool to analyze the psychopathic behavior of the subjects (Cronbach's α=.9088). Chi-Wquare Test, Fisher's Exact Test, and T-Test were used to test the homogeneity of the general characterstics, therapeutic related variables, and the behavioral score before treatment between the two groups. There was no significant difference in homogeneity test between the ??groups. Therefore, it was proved that the experimental and the control group were homogeneous. The results of the study were as follows: There was significant difference in psychiatric behavior between the experimental and the control group. In datail, there was significant difference in anger, depression and withdrawal behavior between the experimental and the control group. But there was no significant difference a anxiety, bizarre behavior and suspicious between the two groups. On the basis of these findings, the following suggestions are proposed. 1. It is necessary to implement the dance therapy as nursing intervention to improve psychiatric patient's behavior because it was proved that disco dance therapy was effective to improve(??) general behavior of psychiatric patient's by this study. 2. Another study will be needed to test the effectiveness of disco dance therapy on not only to psychiatric behavior but also the physical conditions such as vital signs and muscular tension the psychiatric patient.

건조피부를 위한 목욕법이 피부상태에 미치는 효과

유정숙,김금순 서울대학교 간호대학 간호과학 연구소 1998 간호학 논문집 Vol.12 No.2

The purpose of this study was to identify the effects of the moisturizing and oiling bath for the inpatients with dry skin. The study was designed with nonequivalent control group repeated measures design. The subjects were selected from an intensive care unit of a hospital. They were composed of 34 patients; 17 patients were assigned to the experimental group and the rest of them to the control group. The experimental group was received the moisturizing and oiling bath for the dry skin one time per day for 6 days total 6 times. On the other hand, the control group received sponge bath one time per day for 6 days total 6 times. The tool of this study was modified SCDF (Skin Condition Data Forms). The data were collected from Octover, 10, 1996 to April, 3, 1997. The data were analyzed using the SPSS/PC+ programs; frequency, percentage, X²-test and t-test. The results of the study were as follows. 1. There was no significant difference in the modified SCDF scores before intervention between the experimental group and the control group. 2. There was significant difference in the modified SCDF scores after intervention between the experimental group. In conclusion, the finding of this study showed the moisturizing and oiling bath for the dry skin had therapeutic effect for the inpatient with dry skin. The data in this study suggest that the moisturizing and oiling bath for the dry skin is effective at least two times intervention and requires continuous intervention. Based on the result, the recommendations are; 1. Based on the finding of this study showed that the moisturizing and oiling bath for the dry skin had therapeutic effect for the inpatient with dry skin, application of the moisturizing and oiling bath for the dry skin is encouraged. 2. Continuous intervention of the moisturizing and oiling bath for the dry skin is needed to examine the rate the moisturizing and oiling bath for the dry skin and intervention period for complete improvement of the dry skin.

투약과 수혈간호의 간호과정 적용 평가도구 개발

김금순,김진아,권소희,송말순 병원간호사회 2010 임상간호연구 Vol.16 No.1

Purpose: This study was conducted to develop the nursing process based performance measurement tool and the evidence based care standards for nursing care in medication management and blood transfusion. Methods: The care standards and performance measurement tool were drafted through comprehensive review of relevant literature, national guidelines, hospital protocols, and standards of recognized international accrediting bodies. The proposed care standards and performance measurement tool were reviewed by the panel of experts and refined based on the panel's suggestions. Final care standards and performance measurement tool were validated by surveying the hospital nurses. Results: All items of the performance measurement tool for medication management and blood transfusion were evaluated appropriate. All contents of care standards and the measurable elements except the evaluation of discharge education were appropriate. The performance measurement tool developed in this study was found to be acceptable as a tool to evaluate quality of nursing care in medication management and blood transfusion. Conclusion: The outcomes of this study including the performance measurement tool and evidence based care standards would be the important indicators to monitor whether necessary nursing care is implemented and be the useful primary resources to improve quality of nursing care services.

Home Nursing Care Needs of the Elderly in Urban Areas of Korea

이소우,하양숙,김금순 서울대학교 간호대학 간호과학연구소 1999 간호학 논문집 Vol.11 No.2

본 연구는 가정간호사업확대를 위한 기초조사로 60세이상 노인들의 가정간호요구를 Andrew의 조사도구를 본 연구에 맞게 수정보완하여 조사하였다. 조사내용은 인구사회학적 변수, 신체적 건강, 일상활동정도, 생활방식 및 인지적 정신상태였다. 연구대상자는 서울에 거주하는 노인 248명, 부산에 거주하는 노인 125명이었다. 조사방법은 연구보조원을 훈련하여 직접면접으로 조사하였다. 중요한 연구결과를 요약하면 다음과 같다. 1) 70세이상 노인이 40%였으며, 배우자를 사별한 경우가 69%이었고 학력은 구졸이하가 75%였다. 86%에서 정규적으로 일하지 않고 있었으며, 일하기를 원하는 노인이 92%였고 수입은 용돈에 의존하는 경우가 79%였다. 2) 신체적 건강상태는 54.4%가 나쁜 것으로 인지하였으며 70%에서 건간문제로 일상호라동에 지장을 받고 있었다. 가장 호소하는 건강문제는 수면장애가 63.8%였으며 저작문제, 피로, 발쟁애 및 시력장애 순서로 나타났다. 4) 사회적 활동은 가족의 결혼이나 돌잔치등에 주로 참석하며 다른 활동은 상당히 저조한 것으로 나타났다. 그러나 가사활동에서 여성노인들은 주로 아이들을 돌보고 있었으며 가정에서의 결정권은 남녀노인 모두 50% 이상으로 나타났다. 5) 인지기능과 정신상태에서는 73%가 좋은 것으로 응답하였으며 장애를 나타나는 인지기능으로는 시간에 대한 지남력(년도, 날짜), 즉각적인 기억능력 등이었으며 정신상태에서는 근심, 걱정, 수면장애, 외로움, 기억력장애 등을 특히 호소하였다. 이상의 결과에서 나타난 바와 같이 노인들의 상당수가 건강문제를 호소하였으며 특히 신체적 건강이 매우 나쁘다고 인지하고 있었고 신체적 노화로 인한 정신적인 무능력과 경제적 어려움 등으로 슬픔이나 외로움 또는 근심 걱정등의 호소가 많은 것으로 나타나 이에 대한 구체적인 내용들을 노인가정간호에 적용해야 할 것이다.

전문간호사 성과지표에 관한 델파이 조사

김금순,강지연,김복자,이영희,이은남 병원간호사회 2010 임상간호연구 Vol.16 No.1

Purpose: The purpose of this survey was to identify a set of performance indicators for Korean APNs (Advanced Practice Nurses). Methods: A convenience sample of 78 APNs working in 2 leading hospitals in south Korea participated in the three-round Delphi survey. In the first round, subjects were asked to propose performance indicators to evaluate the effectiveness of their practice. They rated the relevancy of each indicator during the second round. In the final round of survey, subjects rated the relevancy of indicators again in the light of second round's overall results and they also were asked to check on current and future use of indicators. Results: After 5 months of three-round Delphi survey, 60 performance indicators were identified. In regard to relevancy, the 10 highly ranked indicators were patient satisfaction, self-care ability, expertise of service, family satisfaction, nurse satisfaction, satisfaction in nursing education, advanced nursing service count, education for patient/ family, education for nurse, and compliance. Advanced nursing service count, education for patient/ family, and education for nurse are currently used as indicators by more than 70% of respondents. Conclusion: Additional research is needed to identify subsets of performance indicators for specialized areas and to determine the validity and sensitivity of indicators.

학령전기 자녀를 둔 어머니의 추가접종 의도에 미치는 영향요인

김금순,김경희,권소희,김복자,김수강 한국아동간호학회 2007 Child Health Nursing Research Vol.13 No.4

학업적 자기효능감, 자아탄력성, 전공만족도가 간호대학생의 주관적 행복감에 미치는 영향

김금순,윤영주 중소기업융합학회 2021 융합정보논문지 Vol.11 No.1

본 연구는 간호대학생의 학업적 자기효능감, 자아탄력성 및 전공만족도가 주관적 행복감에 영향을 미치는 요인을 파악하기 위한 서술적 조사연구이다. 2020년 10월26일부터 11월 2일까지 4년제 간호학과 학생을 대상으로 131명을 편의 표집으로 조사하였고, 수집된 자료는 SPSS Statistics 25.0을 이용하여 기술통계, t-test와 ANOVA, Scheff’e, Pearson correlation coefficient, multiple regression analysis으로 분석하였다. 연구 결과 주관적 행복감으로 학업적 자기효능감 (β=.26, p=.002), 자아 탄력성(β=.32, p<.001), 전공만족도(β=.27, p<.001)이었으며, 주관적 행복감을 43% 설명하였다. 결 론적으로 간호대학생의 주관적 행복감에 영향을 미치는 요인은 자아탄력성, 전공만족도, 학업적 자기효능감 순으로 나타났 다. 따라서 간호대학생의 주관적 행복감을 증진시키기 위한 프로그램 개발의 기초 자료로 활용할 수 있을 것이다. This study is a descriptive research study to identify the factors that influence the academic self-efficacy, self-resilience, and department satisfaction of nursing college students on subjective happiness. From October 26th to November 2nd, 2020, 131 students from the four-year nursing department were surveyed by convenience sampling. The collected data were analyzed by descriptive statistics, t-test and ANOVA, Scheff'e, Pearson correlation coefficient, and multiple regression analysis using SPSS Statistics 25.0. As a result of the study, subjective happiness was academic self-efficacy (β=.26, p=.002), self-resilience (β=.32, p<.001), and department satisfaction (β=.27, p<.001), 43% explained subjective happiness. In conclusion, the factors that influence the subjective happiness of nursing students were in the order of self-resilience, department satisfaction, and academic self-efficacy. Therefore, it is necessary to develop and apply programs to improve subjective happiness in nursing college students.

Wee 프로젝트와 CYS-Net와의 만남

김금순 한국카운슬러협회 2010 相談과 指導 Vol.45 No.-

최근 증가하고 있는 청소년 위기 문제의 증가와 이에 대해 국가적 개입의 중요성에관한 인식이 증가함에 따라 여성가족부, 교육과학기술부 등 정부의 여러 부처에서 지역사회내 위기청소년을 지원하기 위한 여러 가지 대책들을 마련하여 서비스를 제공하기 시작하였다. 현재 여성가족부의 청소년정책에서 시행하고 있는 위기청소년 및 잠재적 위기청소년에게 One-Stop 서비스를 하는 시스템이 CYS-NET이다. 지역사회청소년통합지원체제<Community Youth Safety Net; 이하 CYS-NET>는 2005년 정부의 청소년정책이 국가청소년위원회로 통합되면서 핵심정책으로 청소년상담지원센터를 중심으로 전국으로 확산되었다. CYS-NET 정책은 청소년상담정책이 이 땅에 탄생한지 15년 만에 상담이라는 소극적 접근방법에서 벗어나서 청소년 현장으로 직접 찾아가는 적극적이고 총체적인서비스로 확대 전환되는 계기가 되었다. 정부의 확고한 의지와 획기적인 예산을 투입 하여서 현재는 안정화 단계를 지나 활성화 단계에 이른 정책이라고 할 수 있다.