임상교육을 위한 간호학적 조사 : 소아과 입원 환자를 중심으로 A Basic Study for Clinical Nursing Education

홍미순 中央醫學社 1976 中央醫學 Vol.31 No.4

In an attempt to contribute to the basic qualitative improvements of Korean clinical nursing education, a statistical survey was carried out on the present availability of 919 pediatric in-patients which had been admitted and cared at Chonnam University Hospital during the period of 1 year from January, to December, 1975. The results obtained were as follows. 1. By seasons, the number of patients was larger in summer and autumn, the sex ratio was 1.6 ; 1, with predominant in males, and 81.6% of all patients was under 6 years of age. 2. As to disease, infectious disease was the most frequent (35.9%) and respiratory tract disease (26.2%), nervous system disease (6.9%), newborn disease (5.2%), digestive tract disease (4.8%), in the order of frequency. 3. Among infectious disease, gastro-intestinal infectious disease was the most frequent (9.4%), and tuberculosis (8.9%), viral disease (6.3%) in the order of frequency. 4. Among respiratory tract disease, pneumonia was the most frequent (15.4%). 5. The average duration of admission was 7.0 days. 6. As to prognosis, 70.2% of all patients went better or healing, the remainder was found to be poor or dying.

간호중재로서 음악요법과 복부 수술환자의 불안감소와의 관계

홍미순 中央醫學社 1989 中央醫學 Vol.54 No.1

This study was aimed at ascertaining the effect of music therapy as a nursing intervention on the relief of post operative anxiety. Thirty-two patients admitted to C University were the subjects; sixteen were selected alternately for the experimental abdominal surgery remaining sixteen served as a control group. Data were collected through interviews and questionnaire from August 25 to October 15, 1988. The data were analysed by t-test. The data were analysed by t-test. The results of this study were as follows: Hypothesis that "the experimental group who was given music therapy would express a lesser degree of post operative anxiety than the control group who was not given music theray" was supported (t=5.8309, P <.001). The results suggest the helpfulness of music as a nursing intervention on the reduction of anxiety.

화학요법을 받는 백혈병환자의 영양 및 구강건강상태에 관한 연구

홍미순,소향숙 中央醫學社 1997 中央醫學 Vol.62 No.1

This study aimed to determine nutritional status and oral health status and obtain a basic data on the nursing intervention in reducing oral cavity complications among leukemia patients receiving chemotherapy. Subjects were 40 institutionalized patients for leukemia in Chonnal National University Hospital, Kwang-ju City. Data were collected with the aid of 2 structured instruments(Nutritional Assessment which were composed of biochemical study, B.W., Triceps Skin Fold(T.S.F.), & Mid-arm Muscle Circumference(M.A.M.C.) and Oral Health Assessment which were composed of objective oral cavity measure and subjective oral comfort measure) at two times, before and two weeks after the treatment from Dec. 1, 1995 to July, 30, 1996 Data were analyzed by using SAS-PC+, paired t-test, ANOVA, Pearson correlation coefficients. The results were summarized as follows 1. Hemoglobin, hematocrit, serum albumin, total lymphocyte count, triceps muscle skin fold, and mid-arm muscle circumference were significantly lower in post-treatment scores than pre-treatment scores(p=.0001). And BUN and creatinine level were significantly higher in post-treatment scores than pre-treatment scores(p=.0001), but B.W. was not significantly changed(p=.1674). 2. The nutritional indices after two weeks chemotherapy were significantly different depending on age, sex, marital status, B.W. Hematocrit(p=.003), serum protein(p=.053), BUN(p=.033), M.A.M.C.(p=.0015) were significantly different depending on age. Hemoglobin(p=.05), hematocrit(p=.002), BUN(p= .0001), creatinine(p=.004), T.S.F.(p=.001), and M.A.M.C.(p=.0001) were significantly higher in male than in female. M.A.M.C.(p=.0064) was significantly higher in the married than in the. unmarried. Hemoglobin(p=.02), hematocrit(p=.03), BUN(p=.02), T.S.F.(p=.0017), and M.A.M.C.(p=.0001) were significantly different depending on B.W. 3. The oral health status and comfort scores after two weeks chemotherapy were significantly lower than the scores in pre-treatment(p=.0001 ; p=.0062). 4. The oral comfort score after two weeks chemotherapy was significantly higher in male than in female(p=.0346). 5. There was a strong relationship between the oral health status and the comfort scores(r=.90). 6. There was no correlation between nutritional indices before chemotherapy and oral status score after two weeks chemotherapy. 7. There were significant relationships among nutritional indices after two weeks chemotherapy. Hemoglobin level was correlated with hematocrit(p=.001), serum protein(p=.018 9) & albumin(p=.0145) ; hematocrit was correlated with serum protein(p=.0005) & albumin (p=.0003), B.W.(p=.0101), & M.A.M.C.(p=.0003). Serum albumin was correlated with protein(p=.0001), B.W.(p=.0321), M.A.M.C.(p-.02 10) ; total lymphocyte count was correlated with T.S.F.(p=.0054) B.W. was correlated with T.S.F.(p=.004), M.A.M.C.(p=.0001), & BUN(p=.0025) ; T.S.F. was correlated with M.A.M.C.(p=.0001) ; M.A.M.C. was correlated with BUMP =.0008) ; BUN was correlated with creatinine level(p=.0003). From the above findings, it is taken that leukemia patients receiving anti-cancer chemotherapy had the experienced of nutritional defects caused by disease and treatment. Especially nutritional status after two weeks chemotherapy was significantly poor than before chemotherapy. Therefore it is necessary to implement general nutritional assessment and support nutritional management by cancer nurses.

눈오리를 해독하다

홍미순 고요아침 2023 열린시학 Vol.28 No.1

음악요법이 방광경 검사대상자의 불안과 불편감 감소에 미치는 영향

홍미순,허신화,박상연 전남대학교 간호과학연구소 2007 Nursing and Health Issues(NHI) Vol.12 No.1

Purpose: This study was to examine the effect of music therapy on the levels of anxiety and discomfort in patients during cystoscopy. Method: This study was nonequivalent control group pre-post test design. The subjects were 40 patients who visited urology clinic in G-city for cystoscopy; 20 were selected for the control group, and the remaining 20, for the experimental group. Result: 1. The expermental group who used music therapy showed a significantly lower level of anxiety during cystoscopy than the control group. 2. There was no significant difference on the post-test blood presure and pulse rate between the two groups. 3. There was a significant difference in the levels of subjective and objective discomfort during cystoscopy between the two groups. Conclusion: The results suggested that music therapy may help relieve anxiety and discomfort patients undergoing cystoscopy. These results showed that the use of music aided in the reduction of anxiety and discomfort during unpleasant diagnostic procedure and, testing the effectiveness of music therapy deserves further study in other hospital settings.

음악요법이 기관지내시경검사 대상자의 불안과 불편감 감소에 미치는 영향

홍미순,동인숙,박상연 전남대학교 간호과학연구소 2007 Nursing and Health Issues(NHI) Vol.12 No.1

Purpose: The study was to investigate the effect of music therapy on reduction of anxiety & distress in the patients undergoing bronchoscopy. Methods: This research was nonequivalent control group pre-and post-test experimental design. The subjects were 29 patients who visited K hospital in G city for bronchoscopy They were randomly assigned to control group(14) and experimental group(15). Results: 1) The experimental group who treated with music therapy showed a significantly lower level of anxiety than that of the control group. 2) There were no significant differences on the post-test vital signs between two groups. 3) The experimental group who treated with music therapy showed a significantly lower level of subjective distress than that of the control group, and also the level of dyspnea and coughing in subscale of subjective distress, there were differences between two groups. 4) There were no significant differences on the objective distress between two groups. Conclusion: The music therapy was effective in reducing anxiety and subjective distress of patients undergoing bronchoscopy. But music therapy was not effective in reducing vital sign change and objective distress of patients undergoing bronchoscopy.

사회적지지 요법이 고혈압 환자 역할 행위 이행에 미친 효과의 지속에 관한 연구Ⅱ

홍미순,박오장,장금성 성인간호학회 2000 성인간호학회지 Vol.12 No.4

The purpose of this study was to identify the effect of social support revealed in the time duration of sick role behavior compliance on the Patients with hypertension using Quasi-experimental research design. Data collection was made through the interview surrey technique from the hypertensive patients who received social support intervention(experimental group, n=41) and from those who were not exposed to the intervention(control group, n= 34) The subjects were registered in the cardiovascular outpatient clinic at the Chonnam National University Hospital from June 3. 1996 to Novembel 30. 1977. X2-test or t-test. Repeated measures ANOVA were utilized in the data analysis. The results were as follows: 1.The effect of social support intervention on sick role behavior compliance was significant in 1 month(F=69.17. p=.000). 6 months (F=11.51, p=.001), and 12 months(F=.07, p=.789) and between two groups(1 month: F=153.70. p=.000. 6 months; F=13.94, p=.000, 12 months; F=6.72, p=.011). 2.The effect of social support intervention on blood pressure was not significant through alt the periods of time (F=1.21. p=.274) between the two groups(F= 12. p=.732). In conclusion, it was showed that social support had an effect on sick role behavior compliance and the effect of social support continued for twelve months(F=10.03. p=.002). However, the score of compliance tends to decrease after 6 months of intervention. Therefore, this study indicated that social support re-intervention would be needed between six and twelve months.

음악요법이 PCA사용 중인 자궁절제술환자의 불편감과 불안에 미치는 효과

홍미순,서영숙 전남대학교 간호과학연구소 2004 Nursing and Health Issues(NHI) Vol.9 No.1

Purpose: This study was carried out in a postoperative gynecologic setting to evaluate the effect of music on the anxiety and distress levels and physiologic responses in hysterectomy patients under PCA management. Method: Nonequivalent control group non-synchronized design was utilized. Data were collected from Feb. 2003 to April 2003. Twenty five patients in the experimental group who underwent abdominal hysterectomy procedures at C university hospital in G city listened to classical music through headphones for 25-30 minutes at a time as their demand during the first 24 hours of postoperative period except the first 8 hours after surgery. And twenty five patients in the control group did not listened to music. Subjective distress was measured by visual analog scales and anxiety, by the Spielberger State Anxiety Inventory each at post-op 8hrs and 24 hours. Objective distress scores and vital signs were collected by trained nurses. Data were analyzed with x2- test and t-test using SPSS WIN 11.0. Result: Hypothesis that "the experimental group who used music therapy would express a lesser degree of subjective distress than the control group who did not use music therapy" was supported (t = -2.38, P = .023). However on the levels of pain and muscle tension in sub-scales of subjective distress, there were no differences between the two groups. Hypothesis that "the experimental group would have a lower score in objective distress than the control group" was not supported. However, a difference in systolic blood pressure was demonstrated with a decrease in the experimental group patients (t = -3.91, P = < .001). Other variables of state anxiety, amount of analgesic medication, diastolic blood pressure, and pulse rate in their levels did not differ between the two groups. Conclusion: The result suggest that music therapy would be effective in reducing distress experienced by patients with postoperative pain and stabilizing systolic blood pressure in them. Considering usefulness of music in human's body and mind, clinical use of music combined with relaxation strategy for 1 or 2 days following PCA removal deserves further study.

응급실 간호사의 직무스트레스와 업무수행과의 관계

홍미순,이경미,정경인 전남대학교 간호과학연구소 2006 Nursing and Health Issues(NHI) Vol.11 No.1

Purpose: To identify the relationship between work stress and work performance of emergency room nurses. Method: The data were obtained from 126 Emergency Room nurses at 8 general hospitals, with more than 300 beds, in G city & C Do, from August 12 to August 24, 2002. Data were analyzed using SAS program by frequency, Hest, ANOVA, Scheffe post test and Pearson Correlation Coefficients. Result: The degree of work stress in research objects was mean score 2.67, and according to area, conflict between the doctors and personal relations 2.92, night duty 2.88, conflict with doctors on duty 2.78, problems with personal relations 2.71 and too great a burden 2.71. The degree of nursing work performance of the objects was mean 3.69 and according to area, environmental care 3.95, physical care 3.85, social-psychological care 3.69 and educational care 3.53. The differences identified in the levels of work stress and work performance by various general characteristics showed that work stress was related to health condition, work performance was related to age, marital status, duration of work and position. There was no significant relationship between work stress and work performance(r= .10, p= .260). Conclusion: The levels of work stress in emergency room nurses was relatively high. Further research in developing strategy to decrease the level of work stress and organizational level will be required.

성인에서 발생되는 뇌염환자의 임상 간호학적 관찰

홍미순 中央醫學社 1983 中央醫學 Vol.44 No.1