간호학생들의 SBAR 적용 시뮬레이션 학습의 효과

성춘희,윤정현 한국간호연구학회 2018 한국간호연구학회지 Vol.2 No.2

Purpose : The purpose of this study is to understand the effect of SBAR application simulation on critical thinking, clarity of communication, clinical performance ability and self-efficacy of nursing students. Methods : This study was conducted on 53 students who received basic nursing classes from October, 2016 to November, 2016, and the second survey was conducted for students who had practiced Adult Nursing in April, 2017 And 53 persons. In this study, spss win 23.0 general characteristics were used as frequency, percentage, mean and standard deviation. The homogeneity test for the general characteristics of experimental group and control group was tested by χ 2-test, t-test, Fisher’s exact test, The reliability of the instrument was assessed using the Cronbach’s αcoefficient. The reliability of the instrument was assessed using the Repeated Measure ANOVA. Results : The results of the analysis showed that there was a significant difference in the interaction between the time and the group(F 6.28, = p .015). There was no statistically significant difference between the groups in terms of the in = teraction between the time and the group(F 1.40, = p .242), and there was a significant difference between the = groups in terms of time and the degree of self-efficacy(F 15.63, = p .001). = Conclusion : The results showed that SBAR applied simulation learning has a positive impact on critical thinking and self-efficacy of nursing college students over time but could not verify its effect on communication clarity. This requires that continuing research on clarity of communication be made to nursing students. Training on SBAR should be continuous.

모성간호학에서의 시뮬레이션실습과 산과전문병원실습의 실습만족도 및 임상수행능력분석

성춘희 한국간호시뮬레이션학회 2014 한국간호시뮬레이션학회지 Vol.2 No.2

Purpose: The purpose of this study is to analyze the level of satisfaction and clinical competence on simulation-based practice in woman’s hospital and to figure out the factors that level of satisfaction affect to clinical competence. Method The subjects in the experimental group were 93 students who did simulation-based practice and subjects in the control group were 70 students who practiced in woman’s hospital. Data was analyzed using ex post factor experimentation during second semester in 2013. Results: There was statistically no significant difference between the two groups, but positive correlation between the main variables. The most significant affecting factors to clinical competence in experimental group were satisfaction of contents and duration(R2=.24). The most significant affecting factors to clinical competence in control group were satisfaction of evaluation and practice stressor (R2=.32). Conclusion Since there was no difference between the two groups, once the difficult part in clinical practice of maternity nursing is practiced repeatedly, student’s competence can be improved. Hence the continual study was required.

분만 체험 산전교육 프로그램 효과

성춘희(Sung, Chunhee),박경민(Park, Kyung-Min) 한국산학기술학회 2014 한국산학기술학회논문지 Vol.15 No.9

본 연구의 목적은 임신 중반기의 초임부를 대상으로 분만 체험 산전교육 프로그램 효과를 연구하였다. 산전교육으로 분만의 이해, 모유수유, 아기돌보기 등 다양한 지식과 분만의 실제상황을 시범하고 체험 교육함으로써 분만지식, 분만자신감, 불안에 대한 효과를 알아보기 위해 시도된 단일 군 사전사후 유사 실험설계 연구이다. 대상자의 모집은 무작위로 D시의 On-line카페를 통해 모집되었다. 분만 체험 산전교육은 2014년 4월부터 6월까지 매주 2시간씩 1차에 6회와 2차에 6회 진행되 었다. 6회 모두 참석한 초임부 35명을 대상으로 연구되었다. 분석방법은 기술통계, 탐색적 요인분석, paired t-test를 이용하였 다. 연구결과는 체험 산전교육에 참여한 후에 분만지식(t=-9.07, p<001), 분만자신감(t=-9.00, p<001), 불안(t=14.39, p<001)에 서 유의한 효과가 있는 것으로 나타났다. 만족도평가는 체험부분이 가장 차별화되는 요소이며 가상으로 경험해보는 부분이 가장 효과적으로 평가하였다. 교육희망횟수는 4회가 적당하며, 88.6%가 다음 임신 시에도 참석을 원하는 것으로 나타나 임부 의 호응도가 높았다. This study examined the effects of a prenatal education program of labor and delivery experience for primigravidas in mid-pregnancy. This investigation was designed as a one group pre-post quasi-experimental study, aiming to determine the effects of prenatal education on anxiety, confidence and knowledge in delivery by demonstrating knowledge and actual situations including understanding labor, breast-feeding, baby care and others, and experiencing the education program. Subjects were collected randomly from an on-line club in D city. The simulation education proceeded for 2 hours a week from April to June, 2014, and there were 6 sessions each in the first and second periods. We included 35 primigravidas who attended all 6 sessions. The data was analyzed using descriptive statistics, exploratory factor analysis and a paired t-test. According to the study results, the subjects showed a significant difference in knowledge in delivery (t=-9.07, p<001), confidence in delivery (t=-9.00, p<001) and anxiety (t=14.39, p<001) after participating in the prenatal education program. An evaluation of satisfaction revealed experience to be the most differentiating factor, and the simulation experience was identified as most effective. The desired appropriate number of class sessions was 4 times, and 88.6% of the pregnant women intended to attend the program at their next birth, indicating a high response rate.

재가노인의 약물지식과 약물오남용행위 및 사회적지지의 구조모형분석

성춘희(Sung, Chunhee),박미라(Park, Meera),김영진(Kim, Young-Jin) 한국산학기술학회 2014 한국산학기술학회논문지 Vol.15 No.4

본 연구는 재가노인의 약물오남용행위에 영향을 주는 약물지식과 사회적지지의 관계구조를 구조방정식모형을 사용 하여 검증하였다. D시에 거주하는 재가노인 177명을 대상으로 2013년 5월 13일부터 5월 25일까지 13일 간 설문지를 이용한 자료수집과 분석을 하였다. 연구모형의 3요인간의 모형접합도와 상관관계는 유의하게 나타났다. 첫째, 사회적지지가 약물지 식에 미치는 효과는 ß=.515(p=.005)로 통계적으로 유의하게 나타났으며, 둘째, 사회적지지가 약물 오남용행위에 미치는 효과 는 ß=-.769(p=.002)로 유의하였으나 간접효과는 ß=.036(p=.671)로 유의하지 않았다. 셋째, 사회적지지에서 약물오남용에 간접 효과가 유의하지 않게 나옴으로 약물지식이 오남용에 대한 매개효과는 없는 것으로 나타났다. 본 연구에서 사회적지지가 중요한 인자로 나왔지만 선행연구들에서는 약물지식이 약물오남용행위를 감소시키는 중요요인으로 언급되고 있어 효과검증 을 위한 반복연구가 요구된다. The purpose of this research was to investigate the relation between social support and the knowledge of drug which affects drug abuse in elderly by using structure equation model(SEM). The samples included 177 elderly who lived in ‘D’ city was selected. Data were collected and analyzed using questionnaires for 13 days from May 13 to May 25, 2013. 3 factors of research models had a significant model fit and correlation. The key research findings are as follows. First, the more social support they have, the more knowledge of drug they tend to have(ß=.515, p=.005). Second, direct effect that social support led to drug abuse was significant.(ß=-.769, p=.002) However the indirect effect was not significant(ß=.036, p=.671). Third, the indirect effect that social support led to drug abuse was not significant, which means it has no mediating effect. Social support turned out to be very important factor in this research, but other preceding research mentioned that knowledge of drug is an important factor which could reduce drug abuse. Research needs to be analyzed repeatedly for verification of effects

IPSS 검사로 진단된 TSH 분비 뇌하수체 미세선종 1예

성중경 ( Joong Kyung Sung ),김은미 ( Eun Mi Kim ),남수민 ( Su Min Nam ),신영구 ( Young Goo Shin ),정춘희 ( Choon Hee Chung ),황금 ( Kum Whang ),고장현 ( Jang Hyun Koh ) 대한내과학회 2009 대한내과학회지 Vol.76 No.6

갑상선자극호르몬 분비 뇌하수체 선종은 전체 뇌하수체선종의 1~2%에 해당하는 드문 질환이다. 그 중에서도 뇌하수체 미세선종은 호르몬 분비량이 적기 때문에 말초 정맥에서 측정한 알파 소단위가 정상을 나타내는 경우가 많다. 저자들은 이러한 환자에서 아래바위정맥동굴에서 갑상선자극호르몬유리호르몬 자극 검사를 시행하여 말초혈액과의 차이를 통해 뇌하수체 미세선종의 진단에 효과적으로 사용한 증례를 경험하였기에 문헌고찰과 함께 보고한다. Thyroid stimulating hormone (TSH)-secreting pituitary adenomas are rare tumors of the pituitary gland and represent 1~2% of all pituitary adenomas. A TSH-secreting pituitary adenoma shows as a normal or elevated thyrotropin level in a hyperthyroid patient. We present a 32-year-old woman who was diagnosed with a TSH-secreting pituitary microadenoma. She had a high free T4, with a normal TSH and α-subunit. Bilateral inferior petrosal sinus sampling (IPSS) was done to confirm the α-subunit secreting adenoma, and the concentration of the α-subunit was high on the tumor side. The pituitary microadenoma was removed, and her TSH and free T4 levels decreased to normal. IPSS may help give an accurate diagnosis in the patient with a normal α-subunit. (Korean J Med 76:752-757, 2009)

Aldose Reductase Inhibitor Ameliorates Renal Vascular Endothelial Growth Factor Expression in Streptozotocin-Induced Diabetic Rats

성중경,고장현,이미영,김보환,남수민,김재현,유진희,김소희,홍순원,이은영,최란,정춘희 연세대학교의과대학 2010 Yonsei medical journal Vol.51 No.3

Purpose: The vascular endothelial growth factor (VEGF) expression of podocyte is one of the well-known major factors in development of diabetic nephropathy. In this study, we investigated the effects of aldose reductase inhibitor, fidarestat on diabetic nephropathy, and renal VEGF expression in a type 1 diabetic rat model. Materials and Methods: Twenty four Sprague-Dawley male rats which were performed intraperitoneal injection of streptozotocin and normal six rats were divided into four groups including a normal control group, untreated diabetic control group, aldose reductase (AR) inhibitor (fidarestat, 16 mg ˙ kg-1 ˙ day-1) treated diabetic group, and angiotensin receptor blocker (losartan, 20 mg ˙ kg-1 ˙ day-1)treated diabetic group. We checked body weights and blood glucose levels monthly and measured urine albumin-creatinine ratio (ACR) at 8 and 32 weeks. We extracted the kidney to examine the renal morphology and VEGF expressions. Results: The ACR decreased in fidarestat and losartan treated diabetic rat groups than in untreated diabetic group (24.79 ± 11.12, 16.11 ± 9.95, and 84.85 ± 91.19, p < 0.05). The renal VEGF messenger RNA (mRNA) and protein expression were significantly decreased in the fidarestat and losartan treated diabetic rat groups than in the diabetic control group. Conclusion: We suggested that aldose reductase inhibitor may have preventive effect on diabetic nephropathy by reducing renal VEGF overexpression.

저소득층 아동의 성별에 따른 부모양육행동과 학교적응유연성에 대한 자아존중감의 매개효과

이경희,성춘희,김미정 한국청소년학회 2014 청소년학연구 Vol.21 No.11

This study was to identify the moderated mediation effect of self-esteem on parental behavior and school adaptation flexibility of the 323 children from the community child centers in Daegu city and Masan city according to the sex differences between December 2012 and January 2013 using 3 self-report instruments scales. Exploratory Factor Analysis, Descriptive statistics and Latent Mean Analysis were conducted using SPSS/WIN and AMOS 19.0 Version for the analysis of Structural Equation Modeling. The results showed the goodness of fit for the SEM(χ2=140.824(df=26), p=.002, RMSEA=.056, TLI=.935, CFI=.979). The results of the construct equivalence tests provided the evidence that supported the decisive factors of school adaptation flexibility between male and female groups. The Latent Mean Analysis between male and female groups showed that when the more authoritative the parenting style was, the lower self-esteem the female child had. The results asserted that the parents needed to show more democratic parental behavior toward the female students for school adaptation flexibility. 본 연구는 대구광역시와 경남 마산지역의 지역아동센터를 이용하는 저소득층 아동 323명의 성별에 따른 부모양육행동과 학교적응유연성에 대한 자아존중감의 매개효과를 알아보기 위해 시도되었다. 이를 위하여 위의 3가지 척도를 사용해서 2012년 12월과 2013년 1월 동안 자료수집이 이루어졌다. SPSS/WIN 과 Amos 19.0을 활용하여 연구도구에 대한 측정동일성 검증과 잠재평균분석을 통해 성별 차이에 대한 효과와 매개모형에 대한 검증을 확인하였다. 잠재평균 분석결과의 적합도는 다음과 같다(χ2=140.824(df=26), p=.002, RMSEA=.056, TLI=.935, CFI=.979). 결론적으로, 여아의 경우 부모양육행동이 권위적일수록 자아존중감이 유의하게 낮게 나타나서 부모양육행동에서 여아들의 학교적응을 위해 부모의 양육행동이 특히 민주적이어야 할 필요성이 강조되었다.

노인약물교육의 효과적인 관리를 위한 중요도와 성취도 분석(IPA) - 방문간호사를 중심으로 -

박미라,성춘희,이태경 사단법인 인문사회과학기술융합학회 2016 예술인문사회융합멀티미디어논문지 Vol.6 No.5

본 연구는 노인대상자의 약물교육을 주로 담당하는 방문간호사를 대상으로, 약물교육에 대해 중요하게 생각하는 것이 무엇인지, 약물교육을 얼마나 하고 있는지를 조사하여, 노인약물교육 중요도와 수행도를 분석하고 약물교육에 대해 개선이 필요한 영역을 파악하고, 추후 약물교육프로그램의 기초자료를 제공하고자 시도되었다. 경상도에 위치한 보건소 및 보건지소의 173명의 방문간호사를 대상으로 2014년 8월 29일부터 11월 18일까지 자료를 수집하였다. 노인약물교육의 3영역 중에서, 계속 유지 강화해야 할 영역은 '노인이 복용하고 있는 약에 대한 지식'과 '약물오남용'이었고, '일반적 약물지식'은 더 이상의 노력 투입이 불필요하며 앞으로 개선을 요하는 영역으로 나타났다. 노인 대상의 약물교육프로그램 구성시 일반적인 약물에 대한 지식보다 노인에게 실제적으로 적용될 수 있는 맞춤형 약물교육내용 수립이 필요하며, 집중개선 영역의 수정전략과 강점유지 영역의 속성을 강화한 관리전략 수립이 필요하다. This study was performed to identify improvements by integrating the results of importance-performance analysis on medication education for the elderly by determining what factors visiting nurses consider important and how done they are in educating elderly about proper medication use, and to provide a reference base for continuing medication education programs. Data were collected from 173 home visiting nurses working in Gyeongsang provinces between August 29 and November 18, 2014. Of three categories of senior medication education, the areas to be maintained and strengthened were 'knowledge about medications that elderly take' and 'medication misuse and abuse'. Moreover, the area to be improved was 'general medication knowledge' with no further effort to be put on the same subject. Instead of providing general knowledge about medications, customized medication education programs should be established to be practically applied to elderlys. In addition, development of revision strategies in intensive improvement area and management strategies in strength maintenance area is warranted.

중년여성과 중년남성의 스트레스와 자아존중감이 우울에 미치는 영향

조남희,성춘희 한국융합학회 2016 한국융합학회논문지 Vol.7 No.6

본 연구는 중년여성과 중년남성의 우울에 영향을 미치는 요인들을 파악하기 위하여 시도하였다. 대상자는 중년여성 114명, 중년남성 125명 총 239명이었으며 측정도구는 스트레스, 자아존중감 및 우울에 관한 설문지를 이 용하였다. 자료분석은 SPSS 18.0 통계프로그램을 이용하여 기술통계, X2-test, Analysis of Covariance, Pearson's Correlation Coefficients, Multiple Regression Analysis로 분석하였다. 연구결과, 중년여성의 경우 스 트레스(ß =.387, p<.001), 자아존중감(ß =-.249, p<.05), 건강상태 인지(ß = -.191, p<.05)가 우울에 영향을 주는 것으로 나타났으며 우울의 43.1%를 설명하였다. 중년남성의 경우 자아존중감(ß =-.429, p<.001), 스트레스(ß =.322, p<.001)가 우울에 영향을 주는 것으로 나타났으며 우울의 56.0%를 설명하였다. 본 연구결과는 중년여성과 중년남 성의 우울을 감소하기 위한 중재 개발에 기초자료로 활용할 수 있을 것이다. The purposes of this study was to identify the significant predictors of depression. The data were collected using questionnaire from the sample of 114 middle-aged women and 125 middle-aged men. The data were collected through self-report questionnaires, which were constructed to include stress, self-esteem, and depression. Data were analyzed using frequencies, means, X2-test, Analysis of Covariance, Pearson's correlation coefficients, and multiple regression analysis with SPSS 18.0. The significant predictors of depression for middle-aged women were stress(β=.387, p<.001), self-esteem(β=-.249, p<.05), health perception(ß = -.191, p<.05), explaining 43.1% of the variance in depression. The significant predictors of depression for middle-aged men were self-esteem(ß =-.429, p<.001), stress(ß =.322, p<.001), explaining 56.0% of the variance in depression.

내분비-대사 : 한국인 남성에서 레티놀 섭취와 대사증후군의 연관성: 한국인 유전체 역학 조사사업을 중심으로 (초)

남수민,김민영,성중경,이미영,신장열,신영구,고상백,박종구,안윤진,정춘희 대한내과학회 2008 대한내과학회 추계학술대회 Vol.2008 No.-