항암화학요법 관련 오심과 구토 완화를 위한 비약물요법에 관한 연구동향

소향숙,최자윤,조인숙,김영재,김지영,김애숙,김옥미,김춘심,김현오,설영애,안정옥,이애리,이영자 성인간호학회 2003 성인간호학회지 Vol.15 No.3

Purpose: Purposes of this study were to understand the current trends on complementary therapy in relieving chemotherapy-induced nausea and vomiting and to suggest the future research direction. Method: Subjects were selected on CINAHL, MEDLINE, Korean Academy Data Base from 1980 to 2001 which used nausea, vomiting, chemotherapy and complementary therapy as key words in experimental studies. Eight korean articles and twenty-one international articles were analyzed in terms of general characteristics, research methods, and types of complementary therapy. Data were analyzed by using descriptive statistical methods. Result: Since 2000, researchers have more actively used complementary therapy. In subject characteristics, mean age was 35.5 years old, 45% of the researchers were performed with high level of incidence of chemotherapy induced vomiting, 14% of them set limit of consecutive cycle during research, and 65% of them did not comment the selecting criteria of sample. About 60% of them were designed post-test only control group: 35% used INV by Rhodes, 31% used Likert scale, and 24% used VAS for dependent variable. Muscle relaxation therapy was mostly applied for relief of nausea and vomiting. Conclusion: Further studies will be needed to control extrinsic variables affecting nausea and vomiting in research design and to accumulate evidence with studies applying various complementary therapies.

Surgical technique for single-port laparoscopy in huge ovarian tumors: SW Kim`s technique and comparison to laparotomy

( Jeong Sook Kim ),( In Ok Lee ),( Kyung Jin Eoh ),( Young Shin Chung ),( Inha Lee ),( Jung-yun Lee ),( Eun Ji Nam ),( Sunghoon Kim ),( Young Tae Kim ),( Sang Wun Kim ) 대한산부인과학회 2017 Obstetrics & Gynecology Science Vol.60 No.2

Objective This study aimed to introduce a method to remove huge ovarian tumors (≥15 cm) intact with single-port laparoscopic surgery (SPLS) using SW Kim`s technique and to compare the surgical outcomes with those of laparotomy. Methods Medical records were retrospectively reviewed for patients who underwent either SPLS (n=21) with SW Kim`s technique using a specially designed 30×30-cm2-sized 3XL LapBag or laparotomy (n=22) for a huge ovarian tumor from December 2008 to May 2016. Perioperative surgical outcomes were compared. Results In 19/21 (90.5%) patients, SPLS was successfully performed without any tumor spillage or conversion to multi-port laparoscopy or laparotomy. There was no significant difference in patient characteristics, including tumor diameter and total operation time, between both groups. The postoperative hospital stay was significantly shorter for the SPLS group than for the laparotomy group (median, 2 [1 to 5] vs. 4 [3 to 17] days; P<0.001). The number of postoperative general diet build-up days was also significantly shorter for the SPLS group (median, 1 [1 to 4] vs. 3 [2 to 16] days; P<0.001). Immediate post-operative pain score was lower in the SPLS group (median, 2.0 [0 to 8] vs. 4.0 [0 to 8]; P=0.045). Patient-controlled anesthesia was used less in the SPLS group (61.9% vs. 100%). Conclusion SPLS was successful in removing most large ovarian tumors without rupture and showed quicker recovery and less immediate post-operative pain in comparison to laparotomy. SPLS using SW Kim`s technique could be a feasible solution to removing huge ovarian tumors.

일 대학병원에 입원한 노년기 양극성 장애 환자의 인구학적 및 임상적 특징

조숙현(Sook Hyun Cho),정한용(Han Yong Jung),권영준(Young Jun Kwon),이소영(So Young Lee),김양래(Yang Rae Kim),김윤정(Yun Jung Kim) 대한노인정신의학회 2006 노인정신의학 Vol.10 No.2

Objectives : As the elderly population is continuing to increase, psychiatric diseases of the elderly are becoming an important social issue. This study looks into the demographical and clinical features of the elderly patients diagnosed with bipolar disorder in a University hospital. Methods : The study subjects include patients admissioned in the closed wards of Soonchunhyang Seoul hospital and Cheonan hospital from March, 2000 to February, 2005 who met the DSM-IV-TR criteria for bipolar disorder at the time of discharge. A total of 146 patients (76 men, 70 women) medical records were studied retrospectively. Subjects older than the age of 50 at time of admission were grouped as the old age group, whereas those who were younger than 50 as the young age group. Also among the old age group, those who had the first onset of episode under the age of 50 were grouped as the early onset group, whereas those who had the first onset after the age 50 were grouped as the late onset group. Results : The number of bipolar disorder patients in the young age group and old age group were 73 and 73 respectively. The number of early onset group and late onset group were 46 and 23 respectively. The old age group had a relatively higher incidence of bipolar II disorder than the young age group. Also in the old age group there was a higher incidence of hypomanic or depressive episode rather than manic episode compared to the young age group. And in the old age group psychotic symptoms were less common and the mean admission length shorter than the young age group. Additionally in the old age group treatment with Lithium monotherapy or with no mood stabilizers at all were relatively common. Among the old age group, late onset group had a higher rate of bipolar II disorder than the early onset group. Conclusion : This study shows differences in the demographical and clinical features among different age groups. But additional research would be required to determine whether the bipolar disorders in the elderly or late onset group are actually a different type of disorder from those of the young.

노인 위암의 임상 병리학적 특징 및 Helicobacter pylori 감염

김혜랑,문영수,박영숙 凡石學術奬學財團 1999 凡石學術論文集 Vol.3 No.-

혈관질환 정보관리 시스템

김동익,김덕경,허세호,이병붕,김용신,김은숙,문지영,도영수,신성욱,김동수,김만태,진재욱,김용신 대한혈관외과학회 2002 Vascular Specialist International Vol.18 No.1

As medical technology progresses rapidly, there is a rise in the average age along with the Korean dietary lifestyle becoming more westernized, which leads to an increase in the number of vascular disease patients in Korea. Thus, we need to manage the medical information of a disease systematically in order to diagnose and treat constructively. However, since there has been no standardized method of man agement to date, a great deal of information could not be properly utilized nor studied. Therefore, the departments of Cardiology, Radiology and Neurology of Samsung Seoul Hospital recently got together to develop an information management system called the Vascular Data System. This program was developed to be run on win98 O/S, upper Pentium Ⅲ, and upper 128 MB Memory, and its source code is Dephi 4.0. It was configured for the user to set the configurations as well as do a variety of search and analysis. If this program were to be updated continuously, it may be used extensively as well as in various parts of clinical research activities.

신규간호사와 프리셉터가 인지하는 프리셉터의 교수효율성 비교

김지양,김영선,김춘실,박현숙,신미영,윤연숙,조유숙,박미미,유문숙 한국간호과학회 간호행정학회 2009 간호행정학회지 Vol.15 No.2

Objective: The purpose of this study was to compare preceptors and new graduate nurses on their perception of preceptor teaching effectiveness. Methods: The participants were 90 new nurses and 90 preceptors who worked in A medical center. The data were collected from July 1 to September 30, 2008. A cross-sectional descriptive survey was done using a structured questionnaire. Results: New nurses' perception (4.07±.44) of the preceptor teaching effectiveness was significantly higher than perception of the preceptors (3.57±.37). Fifty five percent of new graduate nurses reported a lack of coherence in the preceptor's practice guidelines. For 5 causal factors classified on the teaching effectiveness, the factor of 'Professional knowledge and ability' showed the highest score, but 'Interpersonal and communication skill' got lowest score for both group. Preceptors responded that they did not have enough time to teach well because of their heavy workloads. Conclusions: These results suggest that the preceptors need appropriate compensation and education opportunities, and new graduate nurses need consistent education by the teaching professionals. Therefore, it is important to give preceptors full charge of the preceptorship. Also, it will be necessary to develop education programs to enhance interpersonal and communication skill for preceptors and new nurses.

시설수용 아동과 일반가정 아동의 언어능력에 관한 비교 연구

김경란,김정이,김진숙,김희숙,서화숙,조현주,주숙영,최승미 연세대학교 생활과학대학 1988 婦學 Vol.21 No.-

The purpose of this study was to compare the verbal ability of institutional children with that of family children. We investigated the following question: ⑴ Is there a difference in verbal ability between institutional children and family children? ⑵ Are there age and sex differences in verbal ability between 4-year-olds and 6-year-olds? The sample of this study was 32 institutional children and 32 family children, with an equal number of 4-year-olds and 6-year-olds. The instrument for measuring children's verbal ability was the Children's Verbal Ability Test developed by Jang Young-ae(1981). The data were analyzed with a three-way ANOVA. The results of this study were the following: ⑴ There was a significant main effect of early care environment on children's verbal ability. That is, family children showed a higher verbal ability score that institutional children. There was a significant three-way interaction effect between early care environment, sex, and age. The size of the effects of early institutional care varied according to sex and age. ⑵ There was a significant main effect for age. That is, 6-year-olds showed higher verbal ability than 4-year-olds. The importance of an adequate verbal environment for institutionalized children was discussed.

비공식 사회지원망 종류와 삶의 만족도 : 전기 노인과 후기 노인의 차이를 중심으로

김영범(Kim, young Bum),윤혜경(Yoon, Hye-Gyung),윤현숙(Yoon, Hyun Sook) 지역사회학회 2019 지역사회학 Vol.20 No.3

본 연구의 목적은 비공식 사회지원망과 노인이 인식하는 삶의 만족도 사이의 관계가 전기 노인과 후기 노인에게서 차이를 보이는지 분석하는데 있다. 본 연구는 비공식 사회지원망을 가족·혈연지원망과 친구·이웃지원망으로 구분한 후 각각의 크기가 삶의 만족과 유의미한 관계를 보이는지 전기 노인과 후기 노인으로 나누어 분석하였다. 본 연구에서는 춘천 지역 거주 65세 이상 노인 1,000명에 대한 조사 결과를 활용하여 분석을 실시하였다. 본 연구의 주요한 결과는 다음과 같다. 첫째, 나이가 들수록 삶의 만족도는 증가하지만 후기 노년기에는 나이와 유의미한 관계를 보이지 않는 것으로 나타났다. 건강관련 요인 중 외로움, 우울이, 사회경제적 요인 중 소득은 노인의 삶의 만족도에 영향을 주는 것으로 나타났다. 둘째, 지원망 전체 크기는 노인의 삶의 만족과 유의미한 관계를 보이는 것으로 나타났다. 셋째, 전기 노인의 경우 가족·혈연이나 친구·이웃지원망의 크기가 삶의 만족과 유의미한 관계를 보이지 않는 반면 후기 노인의 경우 가족 지원망의 크기는 삶의 만족도와 유의미한 관계를 보이는 것으로 나타났다. The purpose of the study was to analyze the relationship between the types of informal social support networks and level of life satisfaction perceived by the elderly. The study focused on the difference of the relationship between the young old and old-old elderly group. This study divided informal social support network into family support network and non-family support network, and analyzed the relationship of each social support network size and life satisfaction in young old and old-old groups. In this study, we analyzed the survey results of 1,000 elderly people over 65 years of age living in Chuncheon. The main results of this study were as follows. First, life satisfaction increased with age, but there was no significant relationship with age in later age. Income among socioeconomic factors and loneliness and depression among health-related factors were found to affect the life satisfaction of the elderly. Second, the overall size of the support network was found to have a significant relationship with the life satisfaction of the elderly. Third, the size of family or non-family support network showed no significant relationship with life satisfaction in the young old elderly group, while the size of family support network had a significant relationship with life satisfaction in the old-old elderly group.

노랫말 바꾸기 활동이 유아의 어휘력, 창의성에 미치는 영향

이효숙,심성경,백영애,김경의 이화여자대학교 사범대학 교육과학연구소 2004 교육과학연구 Vol.35 No.1

본 연구는 노랫말 바꾸기 활동이 유아의 어휘력과 창의성에 미치는 영향을 알아본 것이다. 본 연구대상은 만 5세 유아 40명이었고, 16주에 걸쳐서 통제집단은 일반적인 노래부르기 활동을, 실험집단은 노랫말 바꾸기 활동을 실시하였다. 검사도구는 김영태 등(1995)의 그림어휘력 검사와 전경원(2000)의 창의성 검사를 사용하였다. 검사결과, 1) 노랫말 바꾸기 활동은 유아의 어휘력 발달을 유의하게 증진시켰다. 2) 노랫말 바꾸기 활동은 유아의 창의성 발달에도 효과가 있었는 데, 상상력과 신체영역을 제외하고는 모든 척도별 창의성(유창성, 융통성, 독창성)과 영역별 창의성(언어, 도형)을 유의하게 증진시켰다. 따라서 노랫말 바꾸기 활동은 유아의 어휘력과 창의성 발달에 효과적인 활동임을 알 수 있다. This study investigated the effects of changing the verse of the song on young children's vocabulary and creativity. The activities were designed by researchers and constructed by 4 steps such as 1) learning a new song, 2) changing the words, 3) creating a song book, and 4) presentation. The subjects of this study were forty five-year old children from two classes at G kindergarten in K City. Twenty children were in the experimental group and twenty children were in the control group. The method of changing the verse of the song was used over a 16 week period. The vocabulary test(Kim Young Tae et al, 1995) and The creativity test(Jeon Gyeong-Weon, 2000) were administered and analyzed by t - test with SPSS/pc programs. The results were as follows: 1) Changing the verse of the song contributed to increasing young children's vocabulary significantly. 2) Changing the verse of the song contributed to increasing young children's creativity significantly. And the significant effects appeared in sub-scales of fluency, flexibility, and originality except imagination and in sub-areas of language and figure.

박사학위논문에 나타난 간호학 탐구경향

김의숙 ( Kim Eui-sook ),김광숙 ( Kim Gwang-suk ),김대란 ( Kim Dae-ran ),김은정 ( Kim Eun-jeong ),성경미 ( Sung Kyung-mi ),신현숙 ( Shin Hae-kung ),신혜경 ( Shin Hyun-sook ),이영자 ( Lee Young-ja ),정석희 ( Jeong Seok-hee ) 한국간호과학회 2004 Journal of Korean Academy of Nursing Vol.34 No.2

Purpose: The purpose of this study was to identify the theoretical characteristics and direction of inquiry in the discipline of nursing by analyzing doctoral dissertations. Method: The materials used in this study were 277 doctoral dissertations from five universities in Korea. The framework for the study was derived from Kim's(1993) alternative linkage among philosophy, theory, and method in nursing science. Result: Of the 277 dissertations it was found that there were 13 types of linkages out of a possible 54 types. Most of the dissertations (128 of 277) were done within the linkage of realism/etic/quantitative/explanatory knowledge type. Of the 218 dissertations within scientific realism, 42 were within relativism, and 17 within practicism. There were 134 dissertations of the explanatory knowledge type, 112 descriptive ones, and 31 prescriptive ones. Studies done within the etic quantitative methodology included 209 dissertations and within the emic perspective, 43 with qualitative methodology, and 7 with quantitative. Conclusion: The results show that it is necessary to develop more alternative linkages for nursing practice and this will lead to expanding nursing knowledge.