간호대학 신입생의 비판적 사고성향, 문제해결능력 및 자기주도적 학습능력

정복례 경북대학교 간호혁신연구소 2011 경북간호과학지 Vol.15 No.1

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암 환자의 통증특성

정복례 慶北大學校 醫科大學 1989 慶北醫大誌 Vol.30 No.2

본 연구는 1988년 9월부터 12월까지 대구시내 1개 종합 병원에서 암진단을 받은 암환자를 대상으로 하여 암환자에게 나타나는 통증부위와 암의 형태별, 치료형태별, 전이유무별로 나타나는 통증반응과 환자 본인이 암이란 것을 아닌 지의 여부와 통증에 의한 암환자의 불안정도를 조사하여 다음과 같은 결과를 얻었다. 암의 종류별로 나타난 통증반응은 폐암의 경우 가슴과 복부에 통증을 호소하였고, 간과 담낭암에서는 우상복부, 위에서는 심와부 통증을 호소하였으며, 백혈병에서는 증상이 전신적으로 나타나 두통 및 신체전반에 걸친 불편감을 호소하였다. 장 및 직장암에서는 복부와 항문주위 통증을, 자궁암에서는 하복부 통증을, 유방암에서는 가슴과 팔의 통증을 나타내었다. 암의 형태에 따른 통증반응의 빈도는 가장 많은 경우가 장 및 직장암, 간과 담낭암의 순이었다. 암의 형태에 따른 통증반응의 강도도 대장 및 직장암, 간 및 담낭암, 자궁암에서 높게 나타났고 백혈병에서는 통증반응이 없었다. 치료형태별 환자의 통증반응은 화학요법을 받은 환자의 통증반응이 가장 높았다. 암의 전이유부별로는 전이가 된 군의 통증반응이 높았으나 유의한 차는 없었다. 환자 자신이 암이란 것을 알고 있는 군과 모르는 군의 비교에서는 알고 있는 군이 모르는 군보다 통증반응이 유의하게 높게 나타났으며, 통증반응을 나타낸 군에서의 불안반응이 통증반응을 나타내지 않은 군보다 유의한 차로 더 높게 나타났다. The purpose of this study was to investigate the characteristics of pain reaction in patients with cancer. The study was carried out on 93 cancer patients from september to december, 1988. in one Hospital at Taegu. The data was collected using the questionnaire. The questionnaire was made up of Melzack's scale for measurement of the pain reaction and self Rating Anxiety scale for anxiety reaction. The data was analyzed using percentage, means and t-test. The results of findigns were as follows. 1. Distribution of sites on pain reaction according to the types of cancer were that a patient with lung cancer was complained on lung and abdomen, upper gastric pain on a liver and gallbladder cancer, headache and general achs on a Leukemia, abdominal and anal areas on a colorectal cancer, lower abdominal pain on a cervical cancer, lung and upper arms pain on a breast cancer. 2. Frequency of the pain reaction according to the types of cancer were that Breast, colorectal, and-liver and gallbladder cancer achieved a higher frequency than Leukemia. 3. Comparison of strength on pain reaction according to the types of cancer was that colorectal, liver and gallbladder and cervical cancer achieved a higher total mean score than lymphoma and Leukmia. 4. Comparison of pain reaction according to the types of therapy was that chemotherapy and no treatment group patient achieved a high total mean score. 5. Comparison of pain reaction in a patient according to the metastasis of cancer was that pain reaction of the cancer patient with the metastatic cancer was significantly higher than the those with no metastasis. 6. Pain reaction of the cancer patient that they know their diagnosis was significantly higher than that of the cancer patient that they don't know their diagnosis. 7. Anxiety reaction in the cancer patient with the presence of pain was significantly higher than that of no presence of pain.

항암화학요법을 받는 유방암 환자의 신체적 건강문제

정복례 경북대학교 간호과학연구소 1997 경북간호과학지 Vol.1 No.2

간호학생의 공감에 대한 문헌고찰

정복례 경북대학교 간호혁신연구소 2013 경북간호과학지 Vol.17 No.2

Purpose: The purpose of this study was to analyze the results of empathetic studies for nursing students’. Methods: 22 empathetic research results published in the journals between January 2000 and August 2013 were reviewed. Results: The key concepts appeared in descriptive correlational studies were 'students' and 'culture'. The variables related to empathy were 'grade', 'age', 'sex', 'religion', 'academic degree', 'ethnicity', 'willing to work as a nurse', 'willing to study nursing, ability to sense other's feeling', 'attitude to patients', 'academic clinical experience', and 'spiritual perspective'. The relational variables of empathy were 'cultural sensitivity and knowledge', 'ego', 'attitude of life', and 'attachment'. Concepts adopted in experimental empathy researches were 'mindfulness', 'stress', 'communication skills', 'caring', 'training', 'feature films', and 'wit'. The programs to increase the ability of empathy were 'psychiatric clinical course', 'FACT program', and 'normal academic training programme'. Jefferson scale of Empathy(JSE) was used frequently in study of empathy. Conclusions: It will be needed to further study related to empathy in the meaning of empathy among Korean nursing students, the variables related to empathy and the program to increase the ability of empathy. Empathy instrument to prove the reliability and validity and to reflect the Korean culture should be developed and testified for the further empathy study.

말기 암 환자 가족의 간호요구와 부담감

정복례,김경혜 경북대학교 간호과학연구소 2003 경북간호과학지 Vol.7 No.2

The purpose of this study was to investigate nursing needs and family burdens of caregivers who have had terminal cancer patients. The data were collected from August 1st, to October 30th, 1999. The subjects of this study were 82 family caregivers who have had terminal cancer patients around T city in Korea. A self-rating questionnaire consisted of questions regarding general characteristics(25items), nursing need scale(30items), and burden scale(25items). Data were analyzed by frequency, percentage, means, standard deviation, and Pearson`s Correlation Coefficient using SPSS program. The results of this study were as follows: 1) The mobility of 34.1% of the patients was worse than ECOG 3 level because they were staying in bed on half(50%) a day. 2) 18.3% of the family caregivers hoped for cancer patients to recover from cancer. 3) The most difficult problems of caregivers at home were the lack of support system. 32.9% of caregivers pointed out the lack of health personnels which they were supported to counsel and get help in emergency situations. 4) 35.2% of family caregivers demanded 24-hour hot line, 19.3% readmission to hospital as needed, and 14.5% continuance management after discharge. 5) The score on family caregiver` nursing need ranged from 48.0 to 118.0 with a mean of 85.4. Nursing needs to be informed on patient`s condition, treatment and nursing intervention among six factors showed the highest score. 6) The score on the family burden of caregiver ranged from 45.0 to 116.0 with a mean of 77.1. 7) The relationship between nursing need and burden of family caregivers was showed a positive correlation significantly.

간호이론의 간호교육과 간호실무 적용

정복례 대한간호협회 2001 대한간호 Vol.40 No.4

존엄한 죽음의 의미

정복례,조영화,Chung, Bok-Yae,Cho, Young-Hwa 한국호스피스완화의료학회 2017 한국호스피스.완화의료학회지 Vol.20 No.2

목적: 본 연구는 우리나라 사람들이 인지하고 있는 존엄한 죽음의 의미를 참여자의 관점에서 있는 그대로 탐구하여 확인하고 기술함으로써 그 구조와 본질을 규명하기 위한 것이다. 방법: 현상학적 분석방법을 적용한 질적 연구로 본 연구의 참여자들은 연령대와 성별을 고려한 일반인으로 총 13명이었다. 자료수집은 참여자와 개별적 심층면담을 통해 이루어졌으며, 자료분석은 Colaizzi(1978)의 현상학적 분석방법을 이용하였다. 결과: 우리나라 사람들이 인지하는 존엄한 죽음은 4개의 범주와 9개의 주제모음 및 18개의 주제로 구조화할 수 있었다. 4개의 범주는 '편안한 죽음', '보기 좋은 죽음', '해결하고 죽는 죽음', '남긴 죽음'이었고, 9개의 주제모음은 '고통 없는 죽음', '자연에 순응하는 죽음', '흉하지 않은 죽음', '좋은 회상을 남기는 죽음', '원하는 방식으로 죽는 죽음', '주변을 정리한 죽음', '응어리를 풀고 가는 죽음', '잘 살고 죽는 죽음', '인정받는 죽음'이었다. 결론: 우리나라 사람들이 의미하는 존엄한 죽음은 고통 없이 편안하게 죽으면서 다른 사람에게 피해를 주지 않고 남아 있는 삶 동안 모든 일을 해결하고 가족을 포함한 다른 사람과의 관계 속에서 좋은 이미지로 남아야 하는 것으로 나타나 우리나라 사람들의 존엄한 죽음을 위하여 임종을 앞둔 대상자의 호스피스 간호에 적용할 수 있을 것이다. Purpose: We explored Koreans' perception of the meaning of death with dignity that Korean people. Methods: A phenomenological research methodology was applied. A total of 13 participants were sampled based on their age and gender. Participants were interviewed in depth from September 2015 through February 2016. Colaizzi's phenomenological analysis method was used for data analysis. To establish the validity of the study, we evaluated its realistic value, applicability, consistency and neutrality of the qualitative evaluation criteria of Lincoln and Guba. Results: Koreans' perception of death with dignity was structured as 19 themes, nine theme clusters and four categories. The four categories were "comfortable death", "good death", "resolving problems before death", and "death with good reputation". The theme clusters were "death without pain", "death submitting to one's fate", "death that is not ugly", "leaving good memories to others", "dying in a way we want", "death after proper settling of things", "dealing with chronic resentment before death", "death after living a good life", and "death with recognition". Conclusion: For Koreans, death with dignity meant not burdening others, settling things right and leaving good memories to their families and friends. Such perceptions can be applied to hospice care for terminally ill patients.

발마사지가 유방절제술 환자의 수술후 불안과 통증에 미치는 효과

정복례,최은희 대한종양간호학회 2007 Asian Oncology Nursing Vol.7 No.1

Purpose: The purpose of this study was to examine the effects of foot massage as a nursing intervention on the anxiety and pain of the mastectomy patients. Method: This research was quasi-experimental study of a total of 28 patients with 14 in the experimental group and 14 in the control group. For the experimental group, foot massage for 30 minutes was given by a foot-massage specialist. Anxiety and pain were measure once before the foot massage and five times after the massage. The collected data were analyzed by repeated ANOVA and t-test using the SPSS 12.0 program. Result: There was a statistically significant decrease in anxiety and pain in the experimental group compared to the control group over 5 different times. Conclusion: The foot massage was effective on anxiety and pain in mastectomy patients in this study. Therefore, foot massage would be usefully utilized as a nursing intervention for mastectomy patients.

C.M.I를 통해서 본 노인의 건강상태

정복례 慶北大學校 醫科大學 1983 慶北醫大誌 Vol.24 No.2

본 연구는 1982년 4월부터 6월까지 60세 이상의 남자 노인 62명, 여자 노인 153명을 대상으로 하여 C·M·I를 적용하여 대상자의 성별, 연령별, 경제상태별 호소수, 항목별 호소수 및 호소율 등을 조사하여 다음과 같은 결론을 얻었다. 남자 노인 및 여자 노인에서 두 집단간의 차가 성별로 유의한 항목은 A·C·E·G·I이었으며, 남자 노인 및 여자 노인에서 신체적 항목중 호소수가 높은 항목은 F이었다. 정신적 항목중 가장 호소수가 높은 항목은 남자 노인에서는 Q, 여자 노인에서는 M이었으며 N항목이 양집단에서 모두 호소수가 가장 낮았다. 연령별로 여자 노인이 남자 노인보다 호소수가 높았으나 유의한 차를 나타내는 항목은 남자 노인의 경우는 없었고, 여자 노인에서는 A·B·F·G·H·R 항목에서 70-79세가 60∼69세보다 유의하게 높았다. 경제 상태가 낮아질수록 신체적 및 정신적 호소수가 증가하였으며 남자 노인의 경우 항목 E·F·R에서, 여자 노인의 경우 항목 B·E·O에서 하위층이 호소수가 유의하게 높았다. 항목별 호소수는 각 항목별로 호소수가 없는 율이 남자 노인이 25.7%, 여자 노인이 20.4%이었고, 각 항목별 호소가 4이상인 율이 남자 노인 21.8%, 여자 노인 30.7%이었다.호소율에 있어서는 항목별 호소율이 가장 높게 나타난 것이 남자 노인에서는 호소수 30∼39에서, 여자 노인에서는 호소수 40∼49에서 가장 높았다. 호소수 100 이상인 경우 남자 노인에서는 1.6%, 여자 노인에서는 7.8%로 나타났다. This study was done to analyse and evaluate of the mental and physical health states of the aged people using the C.M.I. The purpose of this study was to provide basic data of the health management and of the positive nursing planning in old ages. The data has been collected from April to June, 1982. The results were obtained through this study led to the following conclusions. Number of physical complaints by section and sex were largest with section D. A among male and female old ages and the lowest section was F. Number mental complaints was largest with section M and the lowest section was N. Physical and Mental complaints among female old ages were higher than those among male, and sections A.C.E.G.I.J.N.P.R were significant differences. Physical and Mental complaints among 70∼79 years old were higher than those among 60∼69 years old on the major part of sections. The mental and physical complaints increased according to decrease in economic states. Section E.F.R in male old ages were significant difference, and sections B.E.O were significant differences in female old ages. In male old ages, there were largest with no prevalent rate but in female old ages, there was largest with 4 more complaints. Percentage of complaints by section was appealed that female is higher than male old age.

운동이 노인의 인지기능에 미치는 영향 : 체계적 문헌고찰 및 메타분석

정복례,한지영 한국데이터정보과학회 2016 한국데이터정보과학회지 Vol.27 No.5

본 연구는 65세 이상의 정상 노인을 대상으로 운동요법이 인지기능에 미치는 영향을 체계적 문헌고찰 및 메타분석을 통해 확인하고자 수행되었다. 본 연구는 국내 주요 DB를 이용하여 논문검색을 하였으며 3.197편 중 선정기준에 적합한 최종 14편의 논문을 체계적 문헌고찰하였으며 이 중효과크기를 산출할 수 있는 11편을 대상으로 메타분석을 실시하였다. 분석은 랜덤효과모형을 이용하였으며, 운동중재의 효과크기를 산출하였다. 본 연구에서 운동중재의 인지기능에 대한 효과크기는 Hedges’ g=1.05 (95% CI: 0.61∼1.50)로 큰 효과크기를 보였으며, 전체 이질성이 I2=82.3% (Q=56.61, p<.001)로 중재방법, 주당 중재횟수, 중재기간, 측정도구를 조절변수로 하여 조절효과를분석하였다. 분석결과 중재방법, 주당 중재횟수, 중재기간에서는 유의한 차이가 없었으며, 측정도구에서 유의한 차이가 있는 것으로 나타났다. 본 연구는 우리나라 노인의 인지기능에 운동이 미치는 영향에 대한 국내연구결과들을 체계적으로 분석하고, 그 효과크기를 객관적으로 제시하여 향후 인지기능 향상을 위한 중재전략으로 운동요법을 설계할 때 기초자료를 제공하였다는 데에 의의가 있다. The purpose of this study was to evaluate the effect of exercise on cognitive function in the elderly through a systematic literature review and meta-analysis. For the study purpose, 14 studies were selected through a systematic process of using several databases and 11 studies were used to estimate the effect size of exercise on cognitive function. Meta-analysis was performed using a random effects model, and the effect size on cognitive function was calculated. The effect size for cognitive function of exercise intervention was Hedges’ g=1.05 (95% CI: 0.61∼1.50), indicating a large effect size. For heterogeneity, moderator analysis was performed using intervention, number of times per week, intervention duration, and cognitive function measurement. Cognitive function measurement was statistically significant, the other moderators did not significant difference. Results support that exercise has significant positive effects on cognitive function in elderly in korea. It also provided a basis that can be applied to exercise intervention design for cognitive function.