건강관리 실천과 그에 영향을 미치는 요인 조사 연구

지혜련,Ji, Hye-Ryeon 한국지역사회간호학회 1990 지역사회간호학회지 Vol.2 No.1

광주지역 간호사의 보수교육 현황 및 교육요구도 조사

김숙정(Kim Sook Jung),지혜련(Ji Hye Ryeon),김남영(Kim Nam Young),임유진(Lim You Jin) 학습자중심교과교육학회 2017 학습자중심교과교육연구 Vol.17 No.7

본 연구는 광주광역시 간호사의 보수교육 현황과 보수교육에 대한 운영만족도, 교육요구도를 조사하여, 향후 보수교육을 개선하기 위한 기초자료를 제공하고자 실시되었다. 본 연구에는 광주광역시 간호사회에 등록된 간호사 1,137명이 참여하였으며, 2016년 5월24일부터 7월 10일까지 자가보고형 설문지를 사용하여 자료를 수집하였다. 연구결과, 전체 대상자의 92.4%는 보수교육을 받아본 적이 있었고, 보수교육 이수경험자의 70%는 대한간호협회 주관 의무보수교육을 이수하고 있었다. 또한 이수경험자의 46.6%는 온라인교육보다 오프라인 교육을 선호하였으며, 보수교육 운영면에서 참가비와 강사진에 대해서는 만족도가 상대적으로 낮고 개선요구도가 높은 것으로 나타났다. 또한 많은 대상자가 원하는 우선순위 보수교육주제는 응급환자간호, 심폐소생술, 중환자간호, 스트레스관리 등이었다. 이상과 같이 본 연구에서는 기존 보수교육의 현황과 학습자들이 선호하는 보수교육 방법 및 주제를 확인하였으며, 그에 따른 개선방안을 제시하였다. 따라서 추후에는 이를 반영한 효과적인 학습자 중심의 보수교육을 개발할 것을 제안한다. This study was conducted in order to investigate the current state and demand on the nursing continuing education in Gwangju and to provide the basic data for future improvement. The subjects were 1,137 nurses who have been registered in Gwangju Nurses Association. Data were collected from May 24 to July 11, 2016 using selfquestionnaire. The results showed that 92.4% of the nurses had received the continuing education and out of the 92.4%, 70% of the nurses had received that through the Korean Nurses Association. 46.6% out of the 1,137 nurses preferred off-line to on-line education. The nurses were comparatively dissatisfied with the education cost and the lecturers. Most nurses requested continuous education regarding emergency patients, CPR, critical care and stress management, and several other topics. These results suggest high importance in further improvement of the continuous education programs for nurses.

농촌여성의 지각된 건강상태, 신체상 및 자아존중감

서해주(Suh, Hae Joo),김자옥(Kim, Ja Ok),김자숙(Kim, Ja Sook),김학선(Kim, Hack Sun),한수정(Han, Su Jeong),지혜련(Ji, Hye Ryeon) 대한근관절건강학회 2017 근관절건강학회지 Vol.24 No.2

Purpose: The purpose of this study was to examine the relationship among perceived health status, body image, and self-esteem of women in rural area. Methods: This cross-sectional descriptive design was used. A total of 90 women in the K rural area completed a questionnaire, including perceived health status, body image, and self-esteem. Data were analyzed with independent t-test, ANOVA, Pearsons correlation coefficients. Results: The mean score of perceived health status was 3.00 out of 5.00, body image was 2.50 out of 4.00, and self-esteem was 2.80 out of 4.00. There were statistically positive correlations between perceived health status and body image (r=.41, p<.001), perceived health status and self-esteem (r=.34, p=.001), and body image and self-esteem (r=.48, p<.001). Conclusion: It is necessary to develop educational and manageable program regarding to body image and self-esteem to improve perceived health status of women in rural area.

장티프스에 관한 임상적 관찰

지혜련 순천청암대학 1984 論文集-順川看護專門大學 Vol.10 No.-

The author made a comparative clinical observation on 50 typhoid fever patients with complications and on 105 typhoid fever patients with no complications who were admitted and treated at Chunnam National University Hospital from the beginning of January 1983 to the end of September 1984. The following results were obtained : 1. Monthly distribution were prominent in June, July and August with 40.6% of total cases. Most illness occurred in the summer (June- August) and autumn ( September~ Nobember). 2. The age distribution of the patients was the highest in 20∼29 age group. Most of cases (74.8%) visited the hospital within 2 weeks after the onset of the disease. Sex distribution of the patients was 1:1.5, and predominant in the female. 3. Duration between onset and admission was shorter in the group with no complications (10.5 days) than the group with complications (14.4 days). 4. By methods of treatment before admission, 29.7% of the group with no complications treated at medical clinics, 39.6% had no treatment. 39.O% of the group with complications treated at medical clinics, 27.1% had no treatment. 5. The most common symptoms were fever, chillness, headache in both groups. In the group with complications, anemia, melena, hepatomegaly and general weakness were more prominent. 6. Temperature of patients on admission : Over 50.0% of the both groups were 37℃ or less, rest of patients were 37℃ over. 7. In W.B.C.counts,58.1% of the group with no complications were between 5,OO0/㎣∼10,000/㎣, 26.7% were 5,000/㎣ or less. 52.0% of the group with complications were between 5,000/㎣∼10,000/㎣, 32.0% were 5,000/㎣ or less. 8. In initial widal test, 47.O% of the group with no complications and 44.0% of the group with complications showed a counts of 160 titer or more . 9. The positive rates for each seperate culture method were as fellows: 14.0% in the blood culture, 10.2% in the stool culture and abscent in the urine culture. 10. The results of chemical liver function test were more prominent in the group with complications than the group with no complications. 11. Duration of hospital stay of the patients averaged 8.6days in the group with no complications and 12.0 days in the group with complications. 12. Complications were found in 50 cases (32.2%) The most common complications were hepatitis in 19 cases (12,3%) and intestinal hemorrhage in 12 cases (7.8%)

치매간호중재 프로그램이 경증 치매노인의 인지기능, 우울 및 사회적 행동에 미치는 효과

지혜련,최순희,조명숙 노인간호학회 2003 노인간호학회지 Vol.5 No.2

Purpose : This study was conducted to investigate the effects of a nursing intervention program on levels of cognitive function, depression, and social behavior in elderly people with mild dementia. Methods : The participants in this study were 18 senior residents who had scores ranging from 15 to 23 on the MMSE-K. were 60 years of age or older and living in the city of G, Korea. The length of time for the intervention and data collection was from July 4 to August 29, 2002. The dementia nursing intervention program consisted of hand exercise to enhance brain function, music therapy, art therapy, and cognitive therapy. The program was administered twice a week for 90 minutes per session for eight weeks. Measurement tools were the MMSE-K developed by Kwon & Park (1989), Korean version of the SODS standardized by Bae (1996), and the social behavior measurement tool developed by Dastoor (1975). The data were analysed by frequency, percentage, mean, SD, and Wilcoxon signed ranks test using SPSS/PC+. Results : Cognitive function (z=-3.421, p= .001) in elderly people with dementia improved significantly after receiving the nursing intervention program. After being in the program, elderly people in the intervention group were significantly less depressed than before the intervention (z=-2.584, p= .010). But there was no significant difference between scores before and after the program for social behavior (z=-l .613, p= .107). Also orientation (z=-2.448, p= .014), function of language (z=-2.257, p= .024), and understanding and judgement (z=-3.317, p=.001) in the elders with dementia were significantly improved after receiving the nursing intervention program. Conclusions : These findings confirmed that the nursing intervention program for dementia made a contribution towards improving cognitive function and to reducing depression in the elderly people with mild dementia. Therefore, it is recommended that this program be used in clinical practice as an effective nursing intervention for elderly people with mild dementia.

일 도시 간호사의 간호 활동시 무균법에 대한 지식, 태도 및 실천에 관한 조사 연구

지혜련 순천청암대학 1990 論文集-順川看護專門大學 Vol.14 No.-

This study was designed to survey the knowledge, attitude and practice of asepsis by nurses in clinical nursing activities in order to control nosocomial infection and assist in nursing education. Data were collected from December 1st to 8th, 1990 through questionaires from 138 nurses at 4 hospitals in Sun Cheon city. The data was given to 3 groups-those with 1 year of experience;those with 2-3 years of experience;and those with 3 or more years of experience. The results obtained are summarized as follows; 1. Knowledge of asepsis 63.54% of the respondents have the right Knowledge. There were no apparent differences in Knowledge for asepsis in 3 groups. a) 1 year group : 66.24% b) 2-3 years group : 63.88% c) 3 year or more working group : 66.81% 2. Attitude toward asepsis 90.20% of the respondents have the right attitude. There were no differences in attitude for asepsis also. a) 1 yeargroup : 89.64% b) 2-3 years group : 88.88% c) 3 year or more working group : 91.82% 3. Practice of asepsis 73.29% of the respondents follow the principle of asepsis. There were no differences in practice for asepsis also. a) 1 year group : 77.49% b) 2-3 years group : 76.04% c) 3 year or more working group : 75.84% 4. No significant difference between knowledge and attitude was find as well as between knowledge and practice for asepsis in clinical nursing. 5. However, a significant difference was found between the attitude and the practice of asepsis(P<0.001).

간호사의 간호상과 직무만족도와의 관계연구

지혜련 順天靑巖大學 1994 論文集-順天靑巖大學 Vol.18 No.-

This study attempted to analyze and confirm the correlation between self-image and the degree of Nurse's job satisfaction. The subjects of the survey were 194 nurses who working on hospitals by means of questionaire from Nov. 28 to Dec. 9 1994 in Sunchon City. The research instruments was based on the SINS(22 items) developed by Hass, and Nurse's job satisfaction scale(20 itesm) developed by Na, Myung Sook. The collected data was analized by t-test, ANOVA, pearson correlation according to purpose of study. The results of this study can be summarized as follows; 1. The mean score for self-image of nurses was 3.077(range 1-5). The most effective component for nursing image was the intellectual capacities of nurses, the nature and the role of nursing, cost of nursing education, nurses, work load, remuneration and opportunities for social life. 2. The mean score for job satisfaction was 2.868(range 1-5). The most effective component for job satisfaction was Interaction, autonomy, professional status, task reguirement, nurse-doctor relationship, administration and salary. 3. An analysis of the relationship of nursing image and the general characteristics was found to be statistically significant for : clinical experience (F=2.69, P<0.05), level of acceptance of professional nursing(F=7.10, P<0.001) and the meaningful- ness of nursing profession(F=4.19, P<0.01). 4. An analysis of the relationship of the job satisfaction and general characteristics was found to be statistically significant for : clinical experience(F=4.33, P<0.01), position(F=2.81, P<0.05) the nurses intention to stay(F=4.51, P<0.01), the nurses professional motivation(F=6.20, P<0.001), level of acceptance of professional nursing (F=5.82, P<0.001) and the meaningfulness of nursing profession(F=3.63, P<0.01). 5. There was significant positive correlation between self-image and job satisfaction(r=0.51341, P<0.001). The results of this study show that the higher the self-image of nurses the higher job satisfaction.

지속적인 치매간호중재프로그램이 지역사회 경증치매노인의 인지기능 및 우울에 미치는 효과

지혜련,최순희,조명숙,주리애 노인간호학회 2004 노인간호학회지 Vol.6 No.2

Purpose : This study was conducted to investigate the effects of the program on the levels of cognitive function and depression in the elderly with mild dementia in the community. Method : The subjects of this study were 32 senior residents who had scores ranging from 15 to 23 on the MMSE-K, who were 60 years of age or older in the city of G, Korea. The first dementia nursing intervention program consisted of hand exercise to enhance brain function, music therapy, art therapy, and cognitive therapy from Oct.24 to Dec.17, 2002. The program was administered twice a week for 90 minutes totally 16 times. After the program, the second program which consisted of hand exercise, horticultural therapy was administered to the experimental group whose scores were less than 24 on the MMSE-K, twice a week for 90 minutes totally 10 times from Jan.7 to Feb.11, 2003. Measurement tools were the MMSE-K developed by Kwon & Park (1989), Korean version of the SGDS standardized by Bae (1996). The data were analysed by frequency, percentage, x²-test, Fisher's exact probability test, Wilcoxon signed ranks test, Mann-Whitney and ANCOVA using SPSS/PC +. Result: Cognitive function(z=-4.39, p= .000) in the elderly with dementia after receiving the first nursing intervention program was significantly more improved than before the intervention. Also, depression was significantly more reduced than before the intervention (z=-3.87, p=.000). In terms of comparing with two groups, the levels of cognitive function in the experimental group were significantly higher than those of the control group with no second nursing intervention program. Especially, orientation(F=14.443, p=.001) and recall of memory(F=4.738, p=.038) in the elderly with dementia after receiving the second nursing intervention program were significantly more improved than the control group. Also, the level of depression in the experimental group was significantly lower than the control group (F=13.628, p= .001). Conclusion: These findings confirmed that the continuous dementia nursing intervention program made a contribution in improving cognitive function and in reducing depression in the elderly with mild dementia. Therefore, it is recommended that this program be used in clinical practice as an effective nursing intervention for the elderly with mild dementia in the community.

Catheter 留置患者의 尿路感染에 關한 硏究 : 開放式 및 閉鎖式 排出容器를 中心으로

池惠蓮 全南大醫大 1983 전남의대학술지 Vol.20 No.2

건강관리 실천과 그에 영향을 미치는 요인 조사 연구 : 농촌지역 중학교 여학생을 대상으로 On Girls' Junior Highschool Students in Rural Area

지혜련 순천청암대학 1986 論文集-順川看護專門大學 Vol.11 No.-

This investigation was attempted to help to establish the basis of the Health Education Program which would perform the health education efficiently by measuring the degree of girls' junior highschool student's practice concerning health care and confirming the relationship of health concern, the state of health, the economic conditions and protector's standard of education. The subjects for this study were made up 234 girls at the third grade in a school located in rural area. The tool for this study was questionaire. Data were collected for two days, November 21∼22, 1986. The data were analyzed by means of percentages, Pearson Correlation Coefficient and ANOVA. The results of this study were as follows. 1. The subjects' reaction to the practice concerning Health Care ; According to the average proportion of practice concerning health care, subjects' practice in the aspect of personal hygiene and daily lifehabit was the highest 74.64% and they showed their practice in the aspect of Infectious Disease Care by 73.74% and in the aspect of accident prevention by 73.27%. Their practice in the aspect of mental health was the lowest 68.51%. 2. The subjects' reaction to the health concern; The students of the average 4.19 point respond positively to the question about the health concern, "I want to know much more for my health", this was the highest rate. The students of the average 2.61 respond "When they sick, they enter the appointed hospital where they own choose", while it is the lowest. 3. Subjects' response to the state of health were as follow; Very healthy 9.8%, healthy 34.6%, less healthy 21.4%. 4. Subjects' response to the economic conditions were as follow ; fine 4.7%, medium 86.8%, poor 8.5%. 5. The hypotheses test about the practice concerning health care and the factor which effect on it. 1) The first hypothesis ; "The more interest in health subjects have, the better they practice" was accepted.(P=0.000) 2) The second hypothesis ; "According to the state of health, the practice concerning heal th care is different" was accepted.(P<0.05) 3) The third hypothesis ; "According to the economic conditions, the practice concerning health care is different" was accepted.(P<0.05) 4) The fourth hypothesis ; "According to the protector's standard of education, the practice concerning health care is different" was rejected.(P=0.889)