모-영아 상호작용에서의 영아의 역할에 관한 문헌연구 : 영아의 상태, 행동, 신호를 중심으로

김태임 대전대학교 韓醫學연구소 1998 혜화의학회지 Vol.6 No.2

결혼 이주여성의 피임 지식과 실천

김태임,김지영,정계현,최선미 여성건강간호학회 2012 여성건강간호학회지 Vol.18 No.4

Purpose: The purpose of this study was to investigate the contraceptive knowledge and practice among married immi-grant women. Methods: A cross-sectional survey design with a conbenient sampling was used. 170 married immi-grant women were recruited in Daejeon city and Chungcheong area. A structured questionnaire was self-ad-ministered from November 1, 2011 to January 13,2012. Results: 48.2% of subjects have used contraceptive practice. The widely used contraception methods were IUD, condom, oral pill and withdrawal. 73.2% of subjects got in-formation about contraception from family and friends, and 18.3% of subjects had no source of information. The sub-jects' employment state (p=.006), duration of marriage (p=0.21), family type (p=.046) have a significant influence on their contraceptive practice. The subject' mean score of contraceptive knowledge was very low (5.72 points out of 15 points). There were significant differences in subjects' contraceptive knowledge depending on their education level (p=.002), employment state (p<.001), country of origin (p=.001), and family type (p=.003). Conclusion: To improve contraceptive knowledge and practice for married immigrant women, it is necessary to develop a proper contraceptive education program to enhance contraceptive knowledge and practice. Adjusted education program by this results will contribute to increase sexual health for married immigrant women.

국내 노인 건강증진 간호중재연구 분석

김태임,이강이,박영임,전명희,김인자,김은주,김동옥,권윤정 지역사회간호학회 2005 지역사회간호학회지 Vol.16 No.4

Analysis of Research on Nursing Intervention for Elderly Health Promotion from 1994 to 2004Purpose : The purpose of this study was to analyse research on nursing intervention for elderly health promotion, Method: A literature review of 38 research was carried out using guidelines developed by the present researchers. Result: The research papers studied in this research were theses written for doctoral or master's degree and published between 1994 to 2004. These researches applied nursing intervention for health promotion of elderly and used experimental study design. The average period of nursing intervention was about 9 weeks and the average frequency was three times per week. As for major characteristics of subject groups, most of them were over 65 years old (76.3%) and resided in community (65.8%). and each group consisted used in these studies included physiological variables (blood pressure, blood cholesterol level, pulmonary function, fasting blood sugar, blood cortisol level, body mass etc.), psychologic variables (depression, quality of life, life satisfaction, loneliness, anxiety etc.), cognitive variables (perceived benefits, perceived barriers, self-efficacy, self- concept, subjective health status etc.), activities of daily livings, health promotion behavior, pain, risk of fall, and variables related to Trans Theoretical Model. The majority of these studies (78.9%) applied exercise programs for health promotion including exercise motivating programs (15.8%). Conclusion : We suggest that more various nursing interventions must be applied to promote elders' health and to take care of their chronic diseases.

NICU 에 입원한 미숙아 어머니의 스트레스

金泰任 대전대학교 韓醫學연구소 1999 혜화의학회지 Vol.8 No.1

With advances in neonatal medicine, smaller and sicker infants are surviving premature birth. As these tiny patients battle for their lives, their parents also struggle with psychological consequences of an unexpected role. The birth of a sick infants has long been documented as stressful events for the parents. High stress levels may alter parents' interaction with their baby and impair their communication with health professionals, which can in turn affect parents' participation in care planning and decision making. Nursing interventions aimed at reducing the parental stress and anxiety levels during this crisis may have a positive impact on their ability to form an attatchment to their baby and make prudent decisions about his care. The planning of such interventions would be inhanced if the contributions of various factors to increased parental stress levels were identified. This descriptive study was conducted to understand the contents and degree of parental stress in the NICU during their premature's hospitalization, and to give a baseline data in developing nursing intervention program. Subjects were the 60 mother of hospitalized newborn in NICU of 2 University Hospital in Taejon City from April 1st, 1999 to June 30th, .1999, who agreed to take part in this study. The instrument used in this study were Parental Stressor Scales:NICU(PSS:NICU) developed by Miles et al.. and validated by 3 NICU practitioners and 3 child health nursing faculties. The questionnaire has 4 dimensions and 45 items', sight and sounds of NICU(5 items), babies' appearance and behavior nursing intervention(19 items), parental role alteration and relationship with their babv(10 items), health team communication(11 items). The questionnaire asks parents to rate each item on a five-point Likert type scale that ranges from "not stressful" (1) to "extremely stressful"(5). Total scores representing overall stress from the NICU environment are calculated by summing response to each item. A high score indicates high stress. A subscale score is calculated by summing the responses to each item in the subscale. Cronbach's α coefficients were .93. The data was analyzed as average, Frequency, Standard deviation, t-test, ANOVA, Pearson correlation coefficient by use of SPSS/PC+. The results of this study is summarized as follows 1. The total perceived stress level score of mothers of premature baby was slightly high(3.66 1.1). The highest scored dimension was 'relationship with their baby and parental role change' (4.21±0.9), and next were 'appearance and behavior of the baby' (3.92±1.1), 'communication with health team' (3.32±1.3), 'sight and sounds of NICU' (3.30±1.1). 2. There were statistically significant correlation noted ; mother's perceived severity of the baby's condition(F=8.0012, P= .0125) and baby's gestational age(r = -.4724, P = .0500). In summary, information about physical environment of NICU, the mother's perceived severity of premature baby's state, maternal role change related variables and the knowledge of characteristics of premature baby must be included in nursing intervention program of mother's of premature baby in reducing the parental stress and anxiety level. It is suggested that each NICU needs to develop a nurse managed supportive care program for parents of premature baby. Also, it is suggested that there need to investigate the coping mechanism of mother of premature baby.

개별 건강코칭과 건강교육을 포함한 노인 운동프로그램이 노인의 건강상태, 삶의 질 및 우울에 미치는 영향

김태임,김지현 한국간호과학회 2008 한국간호과학회 학술대회 Vol.2008 No.10

Analysis of the Factors Causing Bladder Irritation after Transurethral Resection of the Prostate

김태임,송재만,정현철 대한비뇨의학회 2010 Investigative and Clinical Urology Vol.51 No.10

Purpose: Approximately 20% to 30% of patients with benign prostatic hyperplasia (BPH) require medication or supplementary treatment for their continuous irritative bladder symptoms after transurethral resection of the prostate (TURP). The purpose of this study was to identify any factors related to continuous bladder irritation in patients after TURP. Materials and Methods: Of all patients who underwent TURP from January 2000 to December 2007, 160 who underwent long-term follow-up were selected for this study. The International Prostate Symptom Score (IPSS) was assessed 12 months after TURP, and the patients were divided into two groups: one group with an irritative bladder symptom score on the IPSS of 7 or less (non-irritative group) and another group with an irritative bladder symptom score on the IPSS of 8 or greater (irritative group). Preoperative urodynamic study variables, preoperative and postoperative IPSS, and the shape of the prostate upon transrectal ultrasonography (TRUS) were analyzed. Results: Of the 160 patients, 93 patients were assigned to the non-irritative group, and 67 were assigned to the irritative group. Initial irritative bladder symptoms were significantly different between the two groups (p<0.05). Also, a retrourethral enlarged prostate was more frequently observed upon TRUS in the irritative group. Symptoms of urinary frequency, incontinence, and urgency were significantly greater in the irritative group. Although there was no significant difference in the preoperative quality of life between the two groups, postoperative quality of life was significantly worse in the irritative group. Conclusions: The shape of the prostate and the preoperative irritation score correlated significantly with the postoperative severity of irritative bladder symptoms. Therefore, physicians should be cautious when performing TURP in patients with a retrourethral enlarged prostate and severe irritative symptoms.

선천성 비후성 유문협착증 환아의 사례연구 보고서

김태임 대한간호협회 1987 대한간호 Vol.26 No.2

미국의 노인간호 시설현황 : Nursing Home과 Home Care Nursing을 중심으로 Nursing Home and Home Care Nursing

김태임 中央醫學社 1996 中央醫學 Vol.61 No.6

This study was done to give a baseline data in, elderly care. Admission to a nursing home is a significant event in the lives of older persons and their families. Nursing home care is an inevitable consequence of aging in approximately 25 % of all Americans ; in many cases it is the best solution to a difficult problem. Nurses are in a particularly good position to provide creative, innovative, and independent care in nursing home. They can work with patients, families, and other health care professionals in a leadership role that may not be possible in any other health care setting. As the number of elderly in the population continues to increase, nursing home care will become increasingly important and valued. This study describes the nursing home and home care nursing in America as a system of care and discuss it's strength and weakness.

Comparison of Toric Foldable Iris-Fixated Phakic Intraocular Lens Implantation and Limbal Relaxing Incisions for Moderate-to-High Myopic Astigmatism

김태임,김응권,David Sung Yong Kang,이훈,최진영,Jeihoon Lee 연세대학교의과대학 2016 Yonsei medical journal Vol.57 No.6

Purpose: To compare the effectiveness of toric foldable iris-fixated phakic intraocular lens (pIOL) implantation and non-toric foldableiris-fixated pIOL implantation with limbal relaxing incisions (LRIs) for correcting moderate-to-high astigmatism in myopic eyes. Materials and Methods: The medical records of 146 patients (195 eyes) with myopic astigmatism who underwent toric foldable iris-fixated pIOL implantation (toric group; 94 eyes) or non-toric foldable iris-fixated pIOL implantation with concurrent LRIs (LRI group; 101 eyes) were retrospectively reviewed. For subgroup analysis, the two groups were subdivided according to preoperative astigmatic severity [moderate, 2.00 to <3.00 diopters (D); high, 3.00–4.00 D]. Visual and astigmatic outcomes were compared 6 months postoperatively. Results: The uncorrected distance visual acuity was at least 20/25 in 100% and 98% of the toric and LRI group eyes, respectively. The toric group had lower mean residual cylindrical error (-0.67±0.39 D vs. -1.14±0.56 D; p<0.001) and greater mean cylindrical error change (2.17±0.56 D vs. 1.63±0.72 D; p<0.001) than the LRI group, regardless of the preoperative astigmatic severity. The mean correction index (1.10±0.16 vs. 0.72±0.24; p<0.001) and success index (0.24±0.14 vs. 0.42±0.21; p<0.001) also differed significantly between the groups. Conclusion: Both surgical techniques considerably reduced astigmatism and had comparable visual outcomes. However, toric foldableiris-fixated pIOL implantation was more reliable for correcting moderate-to-high astigmatism in myopic eyes.

미숙아, 후기 미숙아와 조기 만삭아의 모유수유 실태 및 모유수유 임파워먼트 비교

김태임,장군자,Kim, Taeim,Jang, Gunja 한국데이터정보과학회 2013 한국데이터정보과학회지 Vol.24 No.4

The purpose of this study was to compare the breast feeding practice rates and mothers' breast feeding empowerment in preterm (gestation age [GA]<34), late preterm ($34{\leq}$GA<37), early term infants ($37{\leq}$GA<39). We surveyed 33 preterm, 22 late preterm, and 30 early term infants at a 'Baby-Friendly Hospital' in D city. The data were collected from October 1st, 2008 to February 28th, 2010 through the medical records of the infants and their mothers. We also checked the mothers' breast feeding empowerment at discharge day. The rate of breast feeding in the late preterm and preterm infants was significantly lower than that of the early term infants. The score of mothers' breast feeding empowerment in the late preterm and preterm infants was also significantly lower than that of the early term infants. The breast feeding education program is required for the mothers who have preterm and late preterm infants considering the low rate of breast feeding. 모유는 아기에게 필요한 풍부한 영양분을 고루 갖춘 우수한 영양 공급원으로 특히 미숙아의 성장발달에 매우 중요하지만 미숙아의 모유수유 실천정도는 매우 저조한 실정이다. 본 연구는 재태 연령을 기준으로 34주 미만 미숙아, 34주 0일에서 36주 6일의 후기 미숙아, 37주 0일에서 38주 6일의 조기 만삭아를 분만한 어머니를 대상으로 모유수유 실천율과 모유수유 임파워먼트를 비교 분석하기 위함이다. 병원 퇴원 당시 모유수유 실천율은 세 군 간에 유의한 차이가 있었다. 즉, 후기 미숙아와 34주 미만 미숙아의 모유수유 실천율은 조기 만삭아의 모유수유 실천율보다 낮았다. 또 모유수유 임파워먼트 총점에서도 34주 미만 미숙아 모와 후기 미숙아 모는 조기 만삭아 모보다 더 낮은 것으로 나타났다. 이는 국내 모유수유 실천율을 향상시키기 위해 미숙아 모를 대상으로 한 모유수유 증진 방안이 마련되어야 하고 이 때 모유수유 실천에 대한 자신감 부여가 필요함을 나타내는 결과이다.