노인의 영적 간호요구

최미혜,김경희,김귀옥,김기숙,김수강,김정신,김춘숙,노흥진,박지연,성혜연,오명선,이선희,이원옥,이윤영,이현수,장명재,차혜경,채정선,홍상희 중앙대학교 의과대학 간호학과 간호과학연구소 2001 중앙간호논문집 Vol.5 No.1

This study was designed to exam the aged's needs for spiritual nursing care. The purpose was to serve as a basis for the development of spiritual nursing practice. The major findings are as follows : 1. The degree of needs for spiritual nursing care as area was that needs of love and relationship mean 22.0, needs of meaning and object mean 28.2, needs of forgiving mean 13.5. Total needs for spiritual nursing care mean 63.7, which was on the upper middle level. The needs of meaning and object was rated highest. 2. Among the general characteristics of the subjects, needs of love and relatiohship wasn't significanlty different. 3. Among the general characteristics of the subjects, needs of meaning and object was significantly different according to two factors : age(F=7.260, p=0.001), religion(F=5.275, p=0.001). Higher needs of meaning and object was possessed by the older than the younger, by the one who have religion than the other. 4. Among the general characteristics of the subjects, four factors made a significantly difference to needs of forgiving : sex(t=-2.851, p=0.006), age(F=8.201, p=0.001), religion(F=6.928, p=0.000), disease(t=2.327, p=0.024). Higher needs of forgiving was possessed by man than woman, by the older than the younger, by the one who have religion than the other, by the one who have disease than the other.

치매환자 조호자를 위한 교육지지프로그램의 효과성에 관한 비교연구

송 흡(Heup Song),강재명(Jae Myeong Kang),김병규(Steven B. Kim),조성진(Seong Jin Cho),윤선경(Seon kyung Yun),윤혜진(Hye jin Yoon),연병길(Byeong Kil Yeon) 대한노인정신의학회 2017 노인정신의학 Vol.21 No.1

Objective:We studied the effect of Hyu-Sig-Gong-Gan and Hye-Ah-Rim on several evaluations and compared the two programs. We then investigated factors associated with the difference between pre- and post-ratings. Methods:Thirty-six patients were randomized to Hyu-Sig-Gong-Gan (n=23) or Hye-Ah-Rim (n=13). We tested for the effect of each program on several evaluations and compared the two programs through Zarit Burden Interview (ZBI), Center for Epidemiologic Studies-Depression Scale, Dementia Attitude Scale (DAS)-intelligence, DAS-comfort and DAS-total. We then investigated whether the difference between pre- and post-rating depends on other factors. Results:We observed significant positive effect of Hyu-Sig-Gong-Gan on DAS-comfort (t=1.843, p=0.039) and significant positive effect of Hye-Ah-Rim on ZBI (t=-2.327, p=0.019), DAS-comfort (t=2.241, p=0.022), and EuroQol-5 Dimensions-Visual Analogue Scale (t=2.537, p=0.013). For comparing the two programs, we found a lack of evidence for the difference in any of the five commonly observed evaluations. In the secondary analysis, we observed a strong trend that the two programs were particularly effective for caregivers with negative pre-ratings. Conclusion:The two programs showed positive effects on the various evaluations, but some evaluations could not reach statistical significance. The programs appear to be particularly helpful for those who are in need before the program participation.

디지털 기술의 건강보험 보장방법에 대한 고찰: 5개 국가 중심

엄혜은,김지혜,한승진,최연미,최윤정 건강보험심사평가원 2022 HIRA RESEARCH Vol.2 No.1

분지형 협착 혈관 모형을 이용한 도플러 파형에 관한 연구

윤혜경,박재형,이동혁,원형진,김성현,서준범,연경모 대한초음파의학회 1998 ULTRASONOGRAPHY Vol.17 No.2

부천세종병원에서 시행된 부검의 분석

오미혜,서정욱,명나혜,서연림,송계용,윤동헌 世宗醫學硏究所 2000 世宗醫學 Vol.17 No.1

대학생의 우울정도 : 간호학전공과 타전공대학생을 중심으로

김지연,류나은,이소라,이지희,정윤정,주지연,황인혜 이화여자대학교 간호과학대학 2012 이화간호학회지 Vol.- No.46

Purpose: This study was designed to investigate sample’s general characteristics and compare depression degree among sample’s general characteristics and students’ major(nursing vs. other major). Methods: The subjects consisted of 318 university students. Data was collected by self-reported questionnaires, which were constructed BDI score. Data was analyzed by the SPSS/PC WIN 19.0 program. Results: The depression of nursing students and other major students was not significantly different according to BDI score. Statistically significant difference was identified among sleeping. Conclusion: Specific study focused on the practice time should be done to confirm the depression of nursing major and other majors. Detailed support programs which specifically deal with sleeping should be developed to effectively reduce the harmful effects of individual vulnerability. Therefore, prevention and management system to reduce depression degree for university students is needed.

입원 정신질환자들의 수면의 질과 관련요인에 관한 연구

김명주,윤혜은,박연주,류소연 朝鮮大學校 附設 醫學硏究所 2009 The Medical Journal of Chosun University Vol.33 No.S

본 연구는 입원 정신질환자들의 생활습관과 수면의 질과의 관련요인을 알아보고자 시도되었다. 전남 나주시 국립나주병원 개방병동에 입원한 정신질환자 154명을 대상으로 2008년 7월 17일부터 7월 25일까지 인구사회학적 특성, 임상적 특성, 입원 생활습관, 입원병력특성 등을 설문지 및 병록지로 조사하였으며, Leeds Sleep Evaluation Questionnaire(LSEQ) 변형도구를 이용하여 수면의 질을 측정하였다. 입원 정신질환자들의 수면의 질 점수는 17.53±5.03점이었으며, 단순분석상에서 수면의 질은 인구사회학적 특성 등과는 관련이 없었다. 그러나 다중회귀분석 결과 과체중군에서, 입원횟수가 많을수록, 통증 정도가 심할수록 수면의 질은 나빴다. 반면, 수면제를 복용한 사람이 복용하지 않은 사람에 비해 수면의 질이 좋았다. 생활습관과 수면의 질과 유의한 차이가 없었던 것은 입원이라는 동일 환경의 한계 때문이라고 생각된다. 이상의 결과로 볼 때 입원 정신질환자들의 수면의 질을 높이기 위해서는 수면제 복용의 약물치료와 함께 체중조절을 고려하고, 통증에 대한 적극적인 대처가 이루어져야 할 것으로 생각된다. Objectives : This study was performed to identify the relations between daily habits and quality of sleep of the psychiatric inpatients. Methods: We interviewed 154 the psychiatric inpatients of open ward in Naju national hospital, Chonnam Naju, from July 17, 2008 to July 25 of the same year. Data was collected using disease records and a questionnaire about socio- demographic characteristics, clinical characteristics, habits in hospital, and characteristics in history of hospitalization. And we measured the quality of sleep using the subjective sleep questionnaire modified from Leeds Sleep Evaluation Questionnaire (LSEQ). Results: The scores of quality of sleep of inpatients were 17.53±5.03. Quality of sleep had no statistically significant relationship with various characteristics in the simple analysis. However, as a result of the multiple regression analysis, the sleep quality of the overweight group was low, and the higher frequency of hospitalization and more pain they had, the worse sleep quality was. However, the sleep quality of those who took hypnotics was higher than that of those who did not. Conclusions: This study suggests that there was no significant difference between daily habits in the hospital and the sleep quality because of limits to the same environment of being in hospital. Based on the results above, in order to enhance the sleep quality of the psychiatric inpatients, we should consider both medication which takes hypnotics and weight control and actively deal with the pain.

방사선 치료를 받는 암 환자들의 사회적 지지와 삶의 질과의 관계

정주희,류소연,윤혜은,남택근,오윤경,안현옥,박계남,이영선 朝鮮大學校 附設 醫學硏究所 2002 The Medical Journal of Chosun University Vol.27 No.2

Objective : This study was performed to investigate the relationship between social support and quality of life among cancer patients receiving radiation therapy. Matehals and Methods : The data were collected from 98 patients, who were receiving radiation therapy at two university hospitals located in GwangUJu, used by structured questionnaire. For statistical analyses of the association between quality of life and various characteristics, data were analyzed using t-test, ANOVA, Pearson 's correlation, and multiple regression analysis. Results: 1. There were 56(57.1%) males and 42(42.9%) females. Age ranged from 21 to 82 years. The primary sites of cancer were gastrointestinal tract (24.5%), lung (23.5%), breast (21.4%), and head and neck (11.2%) in order. 2. The mean scores of social, family, and medical support were 4.30 0.58, 4.49 0.78, 4.11 0.65, respectively. The score of quality of life was 5.83 1.63 (range: 1.95 ~ 9.05). 3. An analysis of the association between several factors of patients and quality of life showed that the statistically significant factors were age, the presence of distant metastasis, family support, medical support and social support. 4. As a result of the multiple regression analysis, only social support was significant (β=0.932, P=0.02) with quality of life, but age and presence of distant metastasis were not significant. Conclusion : This suggests that quality of life in cancer patients could be improved by strengthening the social support which consists of family and medical support. Further study would be necessary to evaluate separately several aspects of quality of life among cancer patients.

젊은 성인 남자의 흡연과 혈청 지질과의 관련성

조선,류소연,박종,강명근,김은숙,김형철,박광희,윤혜은,노희송 朝鮮大學校 附設 醫學硏究所 2007 The Medical Journal of Chosun University Vol.32 No.2

Objectives: This study was performed to find the association of cigarette smoking and blood lipid profiles in healthy young adults. Methods: The data was collected by a self-administered questionnaire and health examination in 489 professional soldiers from 6 to 12 May, 2004. The status of cigarette smoking was classified by non-smoking, ex-smoked, ≤4.9, 5-9.9, and ≥10 pack-years. The statistical analysis were used by chi-square test, analysis of variance and analysis of covariates. Results: In status of subjects cigarette smoking, current smoking, ex-smoked, and non-smoking were 71.8%, 11.2%, and 17.0%, respectively, In distribution by amount of smoking, non-smoking, ex-smoked, ≤4.9 pack-years, 5-9.9 pack-years, and ≥10 pack-years were 17.0%, 11.2%, 37.4%, 21.3%, and 13.1%, respectively. At other confounding variables were controlled, total cholesterol and LDL-cholesterol were increased significantly when amount of smoking was increased. However, triglyceride and HDL-cholesterol did not showed statistically significant differences, Conclusion: Smoking has relevant to total cholesterol and LDL-cholesterol and it is need to perform the further study for finding how blood lipid profiles are affected its level by cigarette smoking and to find an influence of cigarette smoking on cardiovascular disease.

Guided intracameral air injection based on 3D reconstructed anterior optical coherence tomography images in iatrogenic Descemet's membrane detachment : Case report

Yoon, Hye Yeon,Kim, Hyun Seung,Hwang, Hyung Bin Williams & Wilkins Co 2018 Medicine Vol.97 No.43

<P><B>Abstract</B></P><P><B>Rationale:</B></P><P>We emphasize the importance of using anterior optical coherence tomography (OCT) to understand the details of iatrogenic Descemet's membrane detachment (DMD) in 3 dimensions; this allows appropriate air injection into the anterior chamber in terms of both direction and method.</P><P><B>Patients concerns:</B></P><P>A 74-year-old Korean female presented with progressive visual impairment. On slit-lamp examination, an iridocorneal adhesion was observed, associated with a full-thickness corneal opacity 3.0-mm in diameter. Adherence between the crystalline lens (with moderate cortical cataracts) and the iris was evident near the opacity. Therefore, we decided to perform cataract surgery.</P><P><B>Diagnosis:</B></P><P>Intraoperatively, iatrogenic DMD occurred during removal of the iridocorneal adhesion, as clearly shown on postoperative OCT. However, slit-lamp examination did not reveal the details of the DMD because of the corneal edema.</P><P><B>Interventions and Outcomes:</B></P><P>The DMD was evaluated via 3-dimensional (3D) reconstruction of multiple anterior OCT images. The reconstructed images were used to guide intracameral sterile air injection from an appropriate direction using an optimal method. The patient was asked to maintain an appropriate head position to allow the injected air to re-attach the DM.</P><P><B>Lessons:</B></P><P>Three-dimensional (3D) reconstruction of an iatrogenic DMD developing during intraocular surgery is necessary to establish the details of the injury and allow accurate air injection into the anterior chamber; the air stream effectively re-attached the DM. It is important that the iatrogenic DMD can be treated properly only by confirming the accurate 3-dimensional shape as well as the position, height, and width of the DMD.</P>