17 research outputs found
μλ£μ κΈ°μ μ μ¬μ© μμΈ μ°κ΅¬: νμ νμ νμμ λ₯Ό μ€μ¬μΌλ‘
νμλ
Όλ¬Έ (μμ¬)-- μμΈλνκ΅ λνμ : νλκ³Όμ κΈ°μ κ²½μΒ·κ²½μ Β·μ μ±
μ 곡, 2015. 2. λ°νμ.μλ£κΈ°μ νκ°λ μλ£μ κΈ°μ λ‘ μΈν μλ£λΉ μ¦κ°μ λ¬Έμ λ₯Ό ν΄κ²°νκΈ° μν΄ λμ
λμμΌλ©°, μλ£κΈ°μ νκ°κ° μνλλ©΄ ν¨μ¨μ μΈ μλ£μ κΈ°μ μ λμ
κ³Ό μ¬μ©μ ν΅ν΄ μ νλ μλ£μμμ λ³΄λ€ λ§μ μ¬λλ€μ΄ μ¬μ©ν μ μλλ‘ ννμ±μ ν₯μμν€λ μν μ νκ² λλ€.
μ΄λ―Έ μμ₯μ λμ
λ κΈ°μ μ΄λΌκ³ ν μ§λΌλ νκ²½μ λ³νλ‘ μμμ νμ₯μ΄ λ°μνλ κ²½μ° μμ₯μ μ²μ λμ
λ λμ λ§μ°¬κ°μ§λ‘ νμ°μ κ³Όμ μ κ±°μΉκ² λλ€. λ³Έ λ
Όλ¬Έμμλ μ΄λ¬ν νμ°μ μμ¬μ μμ¬κ²°μ μ μ ν κ°λ₯ν μΉλ£ λμμ νμ°κ³Όμ μΌλ‘ μ μνκ³ , 첫λ²μ§Έ νμ μΉλ£μ λ‘ μ¬μ©νλ κ²½μ°μ λλ²μ§Έ μ΄μμ μΉλ£λ¨κ³μμ μ¬μ©νλ κ²½μ°λ‘ λλμ΄ λΆμμ μ§ννμλ€. νκ²½μ λ³νμ λ°λΌ νμ νμμ μ μ¬μ©μ μν₯μ λ―ΈμΉλ μμΈμ λΆμν¨μΌλ‘μ¨ μλ£μ κΈ°μ μ μ¬μ©μ κ΄ν ννμ±μ ν₯μμν€κΈ° μν μ μ±
μ ν¨μλ₯Ό μ°Ύκ³ μ νμλ€.
λΆμμ λμμ΄ λλ μλ£μ κΈ°μ μ νμμ νμ νμμ μΈ gefitinibκ³Ό erlotinibμΌλ‘ 건κ°λ³΄νμ νμμμκΈμ¬ κΈ°μ€μμλ μ΅μ΄ λ±λ‘ μ λλ²μ§Έ μ΄μμ νμμΉλ£μ (second or third line therapy)λ‘ μ¬μ©ν μ μλλ‘ νκ°λμμΌλ, μ΄ν μμμ μ μ©μ± ν보λ₯Ό ν΅ν΄ 첫λ²μ§Έ μΉλ£μ (first line therapy)λ‘λ μ¬μ©ν μ μκ² λμλ€. 2012λ
건κ°λ³΄νκΈμ¬ μ²κ΅¬ λ΄μμ ν΅ν΄ νμ μλ£λ₯Ό μΆμΆ λ° λ³ννκ³ , μμκΈ°κ΄ νν© μλ£λ₯Ό κ²°ν©νμ¬ 12,454λͺ
μ νμλ¨μμ ν‘λ¨λ©΄ λ°μ΄ν°λ₯Ό ꡬμΆνμμΌλ©° νλ‘λΉ λͺ¨νμ μ΄μ©νμ¬ λΆμμ μννμλ€.
λΆμ κ²°κ³Ό, 첫λ²μ§Έ μΉλ£μ λ‘ μ¬μ©ν κ²½μ° EGFR μ μ μ λ°νμ¨μ λ°λΌ νμ νμμ λ₯Ό μ¬μ©νμμΌλ©°, μ°λ Ήμ΄ λμμλ‘, νμμΉλ£ μμ μ μμ μ νμ§ μμ νμμ κ²½μ° νμ νμμ λ₯Ό λ λ§μ΄ μ ννμλ€. λν μμκΈ°κ΄ μμΈμΌλ‘λ μκΈμ’
ν©λ³μμΈ κ²½μ° νμ νμμ λ₯Ό μ μ€νκ² μ ννμμΌλ©°, μλ ¨λ³μμΈ κ²½μ° νμ νμμ λ₯Ό λ λ§μ΄ μ ννμλ€. λλ²μ§Έ μ΄μμ μΉλ£μ λ‘ μ¬μ©ν κ²½μ°μλ μ¬μ±νμμΈ κ²½μ°, μ μ΄μμ΄ λ°κ²¬λ κ²½μ°, νμμΉλ£ μμ μ μμ μ νμ§ μμ κ²½μ° νμ νμμ λ₯Ό λ λ§μ΄ μ ννμλ€. κ·Έλ¬λ μμκΈ°κ΄ μμΈμ νμ νμμ μ λλ²μ§Έ μ΄μμ μΉλ£μ μ μ νμ μμ΄ μν₯μ μ£Όμ§ μμλ€.
νκ²½μ λ³νμ λ°λΌ μμμ νμ₯μ΄ λ°μν νμμ νμ μΉλ£μ μ μ¬μ©μ μμ κ°μ΄λλΌμΈλΏλ§ μλλΌ μλ£μ κΈ°μ μ λν νμμ κΈ°λκ°, μμκΈ°κ΄ λ³ νμ΅λ₯λ ₯μ μ°¨μ΄μ μν΄ μν₯μ λ°λ κ²μ νμΈν μ μμλ€.μ΄ λ‘ iii
ν λͺ©μ°¨ v
κ·Έλ¦Ό λͺ©μ°¨ vi
λͺ© μ°¨ vii
1. μλ‘ 1
2. λ¬Έν κ³ μ°° 5
2.1. λ‘μ μ€μ νμ° μ΄λ‘ 5
2.2. μλ£μ κΈ°μ μ νμ° μ°κ΅¬ 6
3. μ°κ΅¬ μ€κ³ 12
3.1. μλ£μ κΈ°μ μ μ ν 12
3.1.1. κ΅λ΄ νμ νμμ μλ£μ΄μ© νν© 12
3.1.2. νμμ νμ νμ μΉλ£ 13
3.2. μ°κ΅¬ λͺ¨ν 15
3.3. λΆμ λ°©λ² 16
3.3.1. λΆμ κ΄μ 17
3.3.2. λΆμ λͺ¨ν 18
3.4. μ°κ΅¬ μλ£ 19
3.4.1. νμ μλ£ 19
3.4.2. 곡κΈμ μλ£ 20
3.4.3. μλ£μ 보μ λ°©λ² 21
3.5. μ°κ΅¬ λ³μμ μ ν 23
3.5.1. μ’
μ λ³μ 23
3.5.2. λ
립 λ³μ 23
4. μ°κ΅¬ κ²°κ³Ό 31
4.1. μλ£ νν© 31
4.1.1. νμ νν© 31
4.1.2. μμκΈ°κ΄ νν© 32
4.2. λΆμ κ²°κ³Ό 36
4.2.1. λ€μ€κ³΅μ μ±(multicollinearity) 36
4.2.2. 첫λ²μ§Έ νμ νμμ μ¬μ© λΆμ κ²°κ³Ό 39
4.2.3. λλ²μ§Έ νμ νμμ μ¬μ© λΆμ κ²°κ³Ό 43
5. κ²°λ‘ 46
μ°Έ κ³ λ¬Έ ν 48
Abstract 53Maste
μμΈμΌλ μλ°μ λμμΌλ‘ ν geotechincal information system(GTIS)μ κ°λ° λ° νμ©
νμλ
Όλ¬Έ(μμ¬)--μμΈλνκ΅ λνμ :μμ곡νκ³Ό,1996.Maste
κ³ μ±λ₯ μ λΉμ© ν΄λ¬μ€ν° μμ€ν ꡬμΆμ κ΄ν κ³ μ°°
νμλ
Όλ¬Έ(μμ¬)--μμΈλνκ΅ λνμ :μ κΈ°Β·μ»΄ν¨ν°κ³΅νλΆ μ»΄ν¨ν°μ 곡,2002.Maste
(An) analytical study of nursing diagnosis and nursing implementation based on nursing record
κ°νΈνκ³Ό/μμ¬[νκΈ]μ€λλ νλκ°νΈμ μμ΄ κ°νΈκ³Όμ μ μΈκ°μ€μ¬μ κ°λ³μ κ°νΈλ₯Ό μ 곡νκΈ° μν νλμ μ€μν κ³Όμ λ‘ λλλκ³ μλ€. κ°νΈκ³Όμ μ΄λ κ³Όνμ μΈ λ¬Έμ ν΄κ²°λ°©λ²μΌλ‘ κ°νΈνμμ μ€μ¬μ΄λ©° λ³Έμ§μ΄λ€. μ΄λ¬ν κ°νΈκ³Όμ μ ꡬμ±μμμ€μμ κ°νΈμ§λ¨μ κ°λ³μ μ΄λ©° μ§μ μΈ κ°νΈλ₯Ό
κ³ννκ³ μννλλ° κΈ°μ΄κ° λλ κ²μΌλ‘ κ°νΈκ³Όμ μ ν΅μ¬μΈ κ²μ΄λ€.
λ°λΌμ λ³Έ μ°κ΅¬λ κ°νΈκΈ°λ‘(Nursing record) λ° κ°νΈλ ₯ (Nursing history)μ ν΅νμ¬, κ°νΈμμ μν΄ μνλ νμμ μ 체μ , μ¬λ¦¬ Β·μ¬νμ μν λ° κ·Έ μΈμ μμμ λν μλ£μμ§κ³Ό κ°νΈμ§λ¨ λ° κ°νΈμνμ μ€νλ₯Ό νμ
νκ³ , κ°νΈλ ₯μ μ¬μ©μ λ°λΌ κ°νΈκΈ°λ‘μμ λ
νλ νμλ¬Έμ νμ
μ¬μ΄μ κ΄κ³λ₯Ό λΆμνλ©°, νμμκ² μ 곡λμ΄μ§ κ°νΈμνμ μμ΄ μ§μ λ κ°νΈμ§λ¨κ³Όμ κ΄λ ¨μ±μ μμ보λ―λ‘μ¨ ν κ°νΈμ€λ¬΄μ μμ΄ κ°νΈκ³Όμ μ μ€μ¬μ μ μ©μ λν μλ£λ₯Ό μ μνκ³ μμΌλ‘ κ°νΈμ§λ¨μ μ€νμ λ³΄λ€ λ μ¦μ§μν€κΈ° μν κΈ°μ΄μλ£λ₯Ό μ
곡νλλ°μ μ£Όλͺ©μ μ λκ³ μλνμλ€.
μ°κ΅¬μ λμμ μμΈμμ μμ¬ν 2κ°μ λνλΆμλ³μ, μ¦ κ°νΈλ ₯μ μ¬μ©νλ S^^1 λν λΆμλ³μκ³Ό, κ°νΈλ ₯μ μ¬μ©νμ§ μλ S^^2 λνλΆμλ³μμ λ΄κ³Όλ³λμ μνκΈ°κ³ μ§νμΌλ‘ 1979λ
3μμμ 1980λ
2μκΉμ§, 7μΌμμ 11μΌκ° μ
μνμλ νμλ‘, 건κ°μνκ° νΈμ λμ΄ ν΄μν νμ μ΄1,044λͺ
μ κ°νΈκΈ°λ‘κ³Ό κ°νΈλ ₯μ λͺ¨μ§λ¨μΌλ‘ νμ¬ λΉλ‘νλ₯ μΆμΆλ²μ μν΄ μ μ λ S^^1 λνλΆμλ³μμ 43λͺ
κ³Ό S^^2 λνλΆμλ³μμ 68λͺ
μ νμμ λν κ°νΈκΈ°λ‘κ³Ό κ°νΈλ ₯μ΄μλ€.
μλ£μμ§κΈ°κ°μ 1980λ
5μ10μΌλΆν° 6μ6μΌκΉ μμΌλ©° μμ§λ°©λ²μ κ° λνλΆμλ³μμ μ무기λ‘μ€μ 보κ΄λμ΄ μλ νμμ κΈ°λ‘(chart)μ ν΅νμ¬, κ°νΈλ ₯κ³Ό κ°νΈκΈ°λ‘μ§(Nurse's note)μ κΈ°λ‘μ ꡬλΆν ν λ³Έ μ°κ΅¬μμ μν΄ μμ±λ μ‘°μ¬νλ₯Ό μ¬μ©νμ¬ νμκ°μΈμ κΈ°λ‘ 1μΌμ κΈ°μ€μΌλ‘ νμ¬ κ°κ°μ μ
μμΌμμ λν κΈ°λ‘κ³Ό νμλ₯Ό μμ§νμλ€.
μμ§λ μλ£λ λ°±λΆμ¨κ³Ό νκ· λ° νμ€νΈμ°¨λ₯Ό ꡬνμ¬ T-teatλ‘ ν΅κ³μ²λ¦¬νμλ€.
λ³Έ μ°κ΅¬μ κ²°κ³Όλ₯Ό ν λλ‘ λ€μκ³Ό κ°μ κ²°λ‘ μ μ»μλ€.
1 .μ 체 κ°νΈκΈ°λ‘μμ λνλ νμμ μ 체μ , μ¬λ¦¬ μ¬νμ μν λ° κΈ°ννλͺ©μ λν μλ£μμ§, κ°νΈμ§λ¨, κ°νΈμνμ λΆν¬λ μ 체μ μνκ° κ°κ° μλ£μμ§μ 84.86%, κ°νΈμ§λ¨μ 88.88%, κ°νΈμνμ 77.15%λ‘ νμμμ λΉν΄ κ°μ₯ λκ² λνλ¬λ€.
2 .κ°νΈκΈ°λ‘μμ λνλ μ
μ 첫 2μΌκ³Ό λ§μ§λ§ 2μΌμ νμμ μνμ λν μλ£μμ§, κ°νΈμ§λ¨, κ°νΈμνμ λΉκ΅λΆμμ νμμ μ 체μ , μ¬λ¦¬Β·μ¬νμ μνμ λν μλ£μμ§μ΄ ν΅κ³μ μΌλ‘ μ μν μ°¨μ΄λ‘ λνλ¬λ€. (p<0.01) λν νμμ μ 체μ , μ¬λ¦¬Β·μ¬νμ μν λ° κΈ°ννλͺ©μ λν κ°νΈμ§λ¨κ³Ό κ°νΈμνμ΄ ν΅κ³μ μΌλ‘ μ μν μ°¨μ΄λ‘ λνλ¬λ€. (p<0.01)
3. κ°νΈλ ₯μ μ¬μ©μ λ°λΌ κ°νΈκΈ°λ‘μμ λνλ νμμ μνμ λν μλ£μμ§, κ°νΈμ§λ¨, κ°νΈμνμ λΉκ΅λΆμμ νμμ μ 체μ , μ¬λ¦¬Β·μ¬νμ μν λ° κΈ°ννλͺ©μ λν μλ£μμ§μ΄ ν΅κ³μ μΌλ‘ μ μν μ°¨μ΄λ‘ λνλ¬λ€. (p<0.01) λν νμμ μ 체μ , μ¬λ¦¬Β·μ¬νμ μνμ λν κ°νΈμ§λ¨μ΄ ν΅κ³μ μΌλ‘ μ μν μ°¨μ΄λ‘ λνλ¬λ€. (p<0.01)
4. κ°νΈκΈ°λ‘μμ λνλ κ°νΈμνκ³Ό κ°νΈμ§λ¨μ κ΄λ ¨μ±μμ, κ°νΈμ§λ¨κ³Ό κ΄λ ¨λμ§ μμ κ°νΈμνμ νμμ μ 체μ μνμ€, λ°°μ€μνκ° 43.48%λ‘ κ°μ₯ λκ² λνλ¬λ€.
5. κ°νΈλ ₯μ κΈ°λ‘λ νμμ μνμ λν μλ£μμ§μ μ¬λ¦¬Β·μ¬νμ μνκ° 46.91%, κ°νΈμ§λ¨μλ μ 체μ μνκ° 63.41%λ‘ κ°μ₯ λκ² λνλ¬λ€.
κ°νΈλ ₯μ κΈ°λ‘κ³Ό κ°νΈκΈ°λ‘μ΄ ν¨κ» ν¬ν¨λμμ λμ νμμ μνμ λν μλ£μμ§, κ°νΈμ§λ¨, κ°νΈμνμ λΆν¬λ κ°νΈλ ₯μ μ¬μ©νλ λ³μμ κΈ°λ‘μ΄, κ°νΈλ ₯μ μ¬μ©μ λ°λΌ κ°νΈκΈ°λ‘μμ λνλ λΆν¬μ μ°¨μ΄λ³΄λ€ λμ± ν¬κ΄μ μΌλ‘ λμ λΆν¬λ₯Ό λνλλ€.
κ²°λ‘ μ μΌλ‘ κ°νΈκΈ°λ‘μμ λνλ νμμ μνμ λν μλ£μμ§, κ°νΈμ§λ¨, κ°νΈμνμ μ¬λ¦¬Β·μ¬νμ μνλ³΄λ€ μ 체μ μνμ λ λ§μ΄ μ§μ€λμ΄ μμμΌλ‘ λνλ¬μΌλ©°, κ°νΈλ ₯μ μ¬μ©νλ λ³μκ³Ό κ°νΈλ ₯μ μ¬μ©νμ§ μλ λ³μμ κ°νΈκΈ°λ‘μ λΉκ΅νμλ, κ°νΈλ ₯μ μ¬μ©νλ λ³μμ κ°νΈκΈ°λ‘μμλ κ°νΈλ ₯μ ν΅νμ¬ μμ§λ μλ£λ₯Ό κΈ°λ°μΌλ‘ νμμ κ°λ³μ μΈ λ¬Έμ μ λνμ¬ κ³μμ μΈ κ΄μ°°κ³Ό μλ£μμ§μ νμμμ΄ λνλ¬λ€.
λ°λΌμ κ°νΈμ μμ΄ νμμ μ°Έμ¬λ₯Ό μ¦μ§μν€λ λκ΅¬μΈ κ°νΈμ§λ¨μ κ³Όμ μμ ν¬ν¨λ λλ ν¨μ¬ νμμ κ°λ³μ μ΄λ©° ν¬κ΄μ μΈ λ¬Έμ λ₯Ό νμ
νλλ° λμμ΄ λ¨μ μ§μ νλ€.
[μλ¬Έ]With the current emphasis on comprehensive nursing, focusing on physical, psychosocial and other aspects of patient total well-being, the nursing record as well should be formulated to meet the need of such requests, that nursing record would serve as one of the necessary and essential components for the betterment of
nursing implementation.
The present thesis is based on 111 nursing records randomly chosen out of 1044 nursing records of medical patients from S^^1 University Hospital and S^^2 University Hospital located in Seoul between March 1st, 1979 to February 29th, 1980.
The present thesis will describe the effect on nursing by the introduction of nursing history. It will use simple statistic method i.e., percentages and T-test to contrast the effect in the present and abscence of the use of nursing history.
It is an objective study in descriptive narrations nonthless, it came to conclusion that the integration of the nursing history would be help to make the nurse more actively involved in nursing diagnosis and nursing plan and participate with due rationale for patient treatment.
Data were collected from May l0th to June 6th, 1990 through checklist.
Thc following are the statistical findings in this study:
A. The statistical findings on nurse's notes are as follows:
1. The physical status of the patient in nurse's notes occupies 84.86% in data collection, 88.88% in nursing diagnosis, and 77.15% in nursing implementation.
2. The statistical difference for physical, psychsocial and other status of data collection in nurse's notes of the hospital with nursing history is significant with the hospital without it (p0.05).
3. The relation between nursing diagnosis and nursing implementation is abort 90.91%. Yet the effect of nursing diagnosis on implementation in The hospital with nursing history is not much different from the one without it (p>0.05). It means
that the nursing history did not make much difference on nursing implementation at the present state.
B. The statistical findings on nursing history are as follow:
1. In data collection section, psychosocial status occupies the highest percentage i.e., 46.91%.
In nursing diagnosis, physical status occupies the highest percentage i .e., 63.4l%.
In conclusion, traditional nurse's note usually focused on patiente's physical status. However nursing record with nursing history seems to be more prone to be attentive for individual patient's problems.restrictio