건강검진 수진자에서 대장 선종성 용종의 유병률 및 위험인자

최자윤,송현순,유동훈,하창윤,김현진,이옥재 대한내과학회 2011 대한내과학회 추계학술대회 Vol.2011 No.-

기관지 천식환자에서 기관지 확장제 사용법에 따른

최자윤,임수연,임나래,임보미,임솔 전남대학교 간호과학연구소 2011 Nursing and Health Issues(NHI) Vol.16 No.1

Purposes: This study was aimed to examine the effect of usage and preparation for bronchodilators on lung function and safety among patients with bronchial asthma. Method: A total of seven adult asthma patients were recruited from a University hospital located in K City in Korea. The participants took inhaled medication by a nebulizer with two different methods: (1) mixing pratropium bromide with salbutamol, (2) separate delivery of ipratropium bromide and salbutamol. The participants performed lung function testing before and after a nebulized treatment. Prepared brochodilators were kept either in room air or under refrigeration through the 1st to 30th days. Results: Pre and post forced expiratory volume at one second (FEV1) of the predicted value were 44.86% and 46.57%, and variance was 4.73% in the mixed method. Pre and post predicted FEV1 were 43.57% and 46.37%, variance was 7.67% in the separate method. There was no statistically significant difference between two methods of nebulized bronchodilator (p=.482). There was no evidence of bacterial growth on both of room air and refrigeration through the time. Conclusion: This study suggests further investigation, given the limitations in this study in which participants were very severe asthmatic patients and sample size was small.

간호대학생을 위한 교육전략으로서 시뮬레이션 활용 학습의 효과

최자윤 전남대학교 간호과학연구소 2010 Nursing and Health Issues(NHI) Vol.15 No.1

Purpose: The purpose of this study was to identify an applicability of simulation based education (SSE) to the current nursing curriculum to complement both lecture and practicum. Method: Twenty senior nursing students in their first semester were recruited from C University located in G city, from March to June, 2008. The SSE was developed as an elective course. It induded six dinical scenarios, the high fidelity of simulator, and appraisal criteria. Clinical performances were measured by 8-11 itemed rating checklists evaluating the skills of physical examination, assessment of symptoms, interpretation of laboratory test, nursing interventions and others. Results: Paired t-test found that the post dinical performance score was higher than the pretest score. Contents of SSE were the dosest to the core performance which new nurses should have. Students' satisfaction with SSE was high. Conclusion: We found that the SSE was an innovative educational strategy to strengthen nursing students' comprehensive performance ability and to complement current education. Further studies are needed to evaluate the levels of critical thinking and problem solving skills of clinical nurses who took SSE as well as employers' satisfaction.

방사선 치료를 받는 여성암 환자에게 제공된 다학제적 개별교육 프로그램의 효과

최자윤,김현오,최과명,백정옥,장왕수,정현주,김혜자 전남대학교 간호과학연구소 2008 Nursing and Health Issues(NHI) Vol.13 No.1

Purpose: This study was conducted to examine the effects of an individualized educational program by multidisciplinary staffs on the needs for caring among gynecologic cancer undergoing radiotherapy. Methods: A quasi-experimental study with nonequivalent control group pre-post test was designed. A total of 75 patients were recruited and 40 patients for experimental group and 35 patients for control group were assigned from a university hospital in G-city. South Korea from January. 2007 to December. 2007. The level of patients' need for caring on radiotherapy was measured with a 20-items questionnaire. Results: T-test showed that patients' need was lower among the experimental group than the control group (t=23.66. p<.OO). The mean difference of needs for caring between pre and post test was higher among the older than 64 years (t=-2.40. p=.019). and patients who had not a spouse (t=-2.12 p=.037) among the total participants. Conclusions: This multidisciplinary and individualized education program was effective on reducing the level of need for caring during radiotherapy. Therefore. further educational strategies based on patients' needs through a diverse multidisciplinary teamwork need to be developed and applied.

간호학에서 문화 기술지의 연구 동향에 관한 고찰

최자윤 전남대학교 간호과학연구소 2002 Nursing and Health Issues(NHI) Vol.7 No.1

The purpose of this paper is to review current trends of ethnographic studies and to explore possible future trends in nursing science. The method of this study was to search ethnographic studies in nursing field since 1960’s which used ethnography, ethnoscience, and ethnomethodology as key words. 20 studies from Korean journals and 111 studies from international journals were analyzed, in terms of subject and concept. Most research examined outsiders and the weak, such as drug abusers, HIV infected patients, recovery patients, women, and the elderly. The targeted research settings were traditional societies such as an indian tribe, a village at Mount Chiri. And the research concepts focused on the social context of disease inducing and health aggravating factors, the needs of caring and health, and the types of caring suggested. In conclusion, ethnography has improved understanding of consumers' behaviors, beliefs, and expectations which have affected the quality nursing in various nursing environments. Further studies will be needed to develop family centered unique caring compared to western individualism.

From “the Pen of an Itinerate”: Reimagining the British Nation in Defoe’s Tour

최자윤 한국18세기영문학회 2020 18세기영문학 Vol.17 No.1

This article examines Daniel Defoe’s use of mobility to imagine the British nation in his domestic travel narrative A Tour thro’ the Whole Island of Great Britain (1724-26). While many critics have noted his participation in the national project of imagining a unified Britain, which was of great importance due to the 1707 Act of Union, this article explores the liberating (or destabilizing) effect that Defoe’s travels have on the construction of a British national identity. After discussing how his carefully planned itinerary leads him to portray Britain as a prosperous nation primarily engaged in trade, I focus on his rambling movements as an “itinerant” traveler, which take on the qualities of what Paul Smethurst calls “disorderly mobility.” In examining how he repeatedly deviates from his itinerary to venture into less-traveled (and less-commercialized) areas, I argue that Defoe employs his wanderings to subvert the homogeneity of his own national vision and instead imagine Britain in terms of its geography. It is by envisioning Britain as an island, an inclusive space in which everyone within its borders is endowed with a British national identity regardless of how they may differ from each other, that Defoe is able to propose an alternative and more inclusive notion of the nation, which I assert the later editions of the Tour supplement with their “great Additions, Improvements, and Corrections.”

신생아실에서의 모유 퇴원팩이 산후 모유수유 실천에 미치는 효과

최자윤,김미원,Choi Jayun,Kim Miwon 한국아동간호학회 1995 Child Health Nursing Research Vol.1 No.1

The effects of different discharge packs on the rate of breast-feeding practice were investigated in 2, 4 and 8 postpartal weeks. The subjects were those who have made delivery at Chonnam University Hospital from Jan to Feb 1994. They were divided into three groups by the discharge pack provided at the nursery room : the one group was given with formula discharge pack, another with breast-feeding discharge pack and the other nothing. The formula discharge pack contained formula samples, a feeding bottle and a pamphlet prepared by a formula company, and breast-feeding discharge pack contained a manual pump and a pamphlet made by Korean Nurses Association. Following results were obtained : 1. Different discharge packs significantly affected the rate of breast-feeding practice at 2 week postpartum, while not at 4 and 8 week postpartum. 2. At 2 week postpartum, the rate of breast-feeding practice was significantly higher in the group given with breast-feeding discharge pak than in that given with formula discharge pack. It was also significantly higher in the group given with breast-feeding discharge pack compared with the group given nothing. The breast feeding rate, however, did not significantly differ between the formula discharge pack group and the group given nothing. 3. The most common cause for the artificial feeding was 'lacking breast milk'. The most common cause to select a specific brand of formula milk was 'the same as in the nursery room'. In conclusion, it is suggested that encouraging mothers to perform breast feeding and providing them with a breast-feeding discharge pack instead of a formula pack at the nursery room are helpful in promoting the breast-feeding.

입원환자의 변비 중재를 위한 프로그램의 개발

최자윤,장금성,김현오 성인간호학회 2003 성인간호학회지 Vol.15 No.4

Purpose: The purposes of this study were to develope and evaluate a constipation intervention program for inpatients. Method: To develope this program, Six phases were processed including the organization of team, the analysis of medical chart, the development of tentative constipation intervention program, the test of content validity, the test of clinical validity and the determination of final constipation intervention program. To evaluate the clinical validity of this program, 10 subjects who were in the C University Hospital were selected from March, 2001 to October, 2001. Result: The clinical validity was supplied by the pilot test, showing the potential effect of the program. Based on the validity results the final algorithm and the form of nursing record for this program which consist of the 3-step assessments and the intervention protocol were presented in this study. Conclusion: The advantage of this program is being able to assess and manage constipation simultaneously and is especially effective to patients who are at risk for developing constipation during their admission. Further study needs are also necessary to evaluate the effect of this program on the self-symptom of constipation.

당뇨환자와 일반인의 혈당검사 방법 별 지각된 통증정도에 대한 비교

최자윤 한국간호과학회 2003 Journal of Korean Academy of Nursing Vol.33 No.8

Purpose: This study attempts to compare the degree of pain when different methods of blood sugar test are used between a DM patient group and a healthy group. Method: A sample is composed of 56 DM patients and 57 their family who are admitted in a ward of C university hospital in Gwangju. Data were collected from July, 2001 to December, 2001. The blood sugar tests are administered four different ways. The degree of pain is measured twice with a visual analog scale in a week interval. Result: The differences in the degree of pain according to methods of blood sugar test were not found between the DM patient group and the healthy group in both measures. The only use of a 27G needle method was shown to cause highest level of pain in comparison with the rest of methods in the first measure of the DM patient group and in both the measures of the healthy group. Conclusion: The study results indicate that the method using lanceter is more recommendable than method of using a 27G needle. Furthermore, the ice therapy and EMLA cream is likely to be more effective on the pain relief in the healthy group than the DM patient group.

혈당검사 방법 별 지각된 통증정도에 대한 비교 : 시각적 상사 척도 이용

최자윤,장금성,김현오,최옥엽,박민희 성인간호학회 2003 성인간호학회지 Vol.15 No.1

Purpose: The purpose of this study is to determine the level of pain related to a blood sugar test. Specifically, the study attempts to compare the varying degree of pains when different types of blood sugar test are used. Method: A sample of 56 subjects is composed of DM patients admitted to a medical ward of C university hospital in Gwangju. Data were collected from July, 2001 to December, 2001. The blood sugar tests were administered in four different ways: (1) the use of 27G needle only. (2) the use of 27G needle followed by ice-packed treatment, (3) the use of 27G needle after EMLA cream application, and (4) the use of lancet. The degree of pain is measured with a visual analogue scale and performed twice. Result: in both measures, the use of 27G needle only method is shown to cause the highest level of pain in comparison with the rest of methods (F=4.01, p=.01; F=8.14, p=.00). However, the differences in pain between time in all methods were not found to be significant (t=-.85, p=.40; t=.80, p=.42; t=.31, p=.75; t=.19, p=.85). Conclusion: The study results indicate that the method using lanceter is more recommendable than the use of 27G needle only method. Further research is needed to support the current study result with the use of different measurement scales and to determine effective methods of blood sugar test to lower pain and compliance.