서독 자본의 동독언른 길들이기

송영신 사회평론 1992 길을찾는사람들 Vol.92 No.4

Application of the 2013 American College of Cardiology/American Heart Association Cholesterol Guideline to the Korean National Health and Nutrition Examination Surveys from 1998 to 2012

송영신,오태정,김경민,문재훈,최성희,장학철,박경수,임수 대한당뇨병학회 2017 Diabetes and Metabolism Journal Vol.41 No.1

Background: The 2013 American College of Cardiology/American Heart Association (ACC/AHA) guideline for the treatment of blood cholesterol recommends statin therapy for individuals at high risk of atherosclerotic cardiovascular disease (ASCVD). The aim of this study was to investigate serial trends in the percentages of Korean adults considered eligible for statin therapy according to the new ACC/AHA cholesterol guideline. Methods: Data from the Korean National Health and Nutrition Examination Survey (KNHANES) I (1998, n=7,698), II (2001, n=5,654), III (2005, n=5,269), IV (2007 to 2009, n=15,727), and V (2010 to 2012, n=16,304), which used a stratified, multistage, probability sampling design, were used as representative of the entire Korean population. Results: The percentage of adults eligible for statin therapy according to the ACC/AHA cholesterol guideline increased with time: 17.0%, 19.0%, 20.8%, 20.2%, and 22.0% in KNHANES I, II, III, IV, and V, respectively (P=0.022). The prevalence of ASCVD was 1.4% in KNHANES I and increased to 3.3% in KNHANES V. The percentage of diabetic patients aged 40 to 75 years with a low density lipoprotein cholesterol levels of 70 to 189 mg/dL increased from 4.8% in KNHANES I to 6.1% in KNHANES V. People with an estimated 10-year ASCVD risk ≥7.5% and aged 40 to 75 years accounted for the largest percentage among the four statin benefit groups: 9.1% in KNHANES I and 11.0% in KNHANES V. Conclusion: Application of the 2013 ACC/AHA guideline has found that the percentage of Korean adults in the statin benefit groups has increased over the past 15 years.

더불어, 함께, 바로 이곳에서!

송영신 한국자치학회 2017 월간 공공정책 Vol.140 No.-

Revision of the Measurement Tool for Patients’ Health Information Protection Awareness

송영신,이미영,전영희,이윤희,조정화,권명진,임헌만 대한의료정보학회 2016 Healthcare Informatics Research Vol.22 No.3

Objectives: Despite the importance of the protection of patients’ health information in clinical settings, little is known about the awareness of this concept in nursing students due to the lack of a suitable measurement tool. Hence, this study attempted to redevelop the Patients’ Health Information Protection Awareness Scale, and evaluate its construct validity and reliability for nursing students. Methods: A cross-sectional descriptive study was conducted. Nursing students who were in their 3rd and 4th year were recruited from 10 universities in Korea to assess the construct validity, and 30 experts (27 nurses and 3 faculty members) participated in the content validation process. Results: The content validity assessment indicated that 23 items were ideal. The assessment of construct validity using exploratory factor analysis revealed three factors: communication, management, and referrals. They together accounted for 54.1% of the variance in scale scores. The three-factor scale had good fit in the confirmatory factor analysis. Scale reliability was confirmed, with a Cronbach’s alpha of 0.94 for all items. Conclusions: This study was the first attempt to redevelop the Patients’ Health Information Protection Awareness Scale for student nurses. The 23-item scale was shown to be a reliable and valid tool. It facilitates the assessment of nursing students’ awareness of patient information protection. Academic nursing programs and health organizations can use its scores to implement adequate education plans to safeguard information in nursing students.

노인관련 메타분석 연구의 방법론적 질평가 - 국내 연구를 중심으로 -

송영신,강문희,김선애 한국자치행정학회 2014 한국자치행정학보 Vol.28 No.4

본 연구는 노인과 메타분석을 주요 주제어로 하여 국내 검색 데이터베이스 4개를 이용하여 13개의 연구를 추출하여 AMSTAR 평가도구를 이용하여 메타분석 연구의 방법론에 대한 질을 평가하였다. 분석에 이용된 13개 연구는 각각 사회복지학 분야 8개, 체육학 3개, 간호학과 물리치료학 분야 각각 1개씩이었으며 메타분석 연구는 크게 교육과 치료, 운동, 낙상, 자살생각과 우울억제 및 삶의 질 변인으로 구분되었다. 연구의 질 평가결과는 11점 만점에 평균 4.10점으로 낮은 수준으로 나타났으며 평가문항 중 포함 및 배제된 연구목록 제시와 이해상충에 대한 문항에서 가장 낮았고, 사전 연구계획과 포괄적 문헌 검색 문항들에서 가장 높은 점수로 평가되었다. 이들 연구에서 제시된 효과크기는 연구주제에 따라 부정적 또는 긍정적 변인을 다양하게 포함하고 있었고 중재 프로그램의 효과크기를 다양하게 보여주고 있었다. 본 연구의 결과에 근거하여 간호학을 포함하여 노인을 대상으로 하는 다양한 학문분야별로 새로운 연구 주제 개발과 메타분석 연구의 보고기준에 맞는 연구절차의 수행이 절실하며 이를 위해 연구자들의 개별 노력뿐만 아니라 학술 단체별 메타분석 연구의 체계적 연구결과 보고를 위한 교육 및 학회지의 체계적 고찰/메타분석 연구 출판 및 심사를 위한 보고/심사기준 확립에 대한 노력이 필요할 것으로 사료된다. Purpose: The purpose of this study was to examine the characteristics of meta-analysis on the elderly and to evaluate the quality of research using Assessment of Multiple Systematic Reviews (AMSTAR). Methods: Electronic databases such as Korean Studies Information Service System (KISS), the National Assembly Library and the DBpia, and RISS4U from 1990 to March 2014 were searched for ‘meta-analysis’ and ‘the elderly’ in field of medical, nursing, social welfare and physical exercise in Korea. The AMSTAR was scored for quality assessment of the included 13 articles. Data were analyzed using descriptive statistics. Results: The mean of AMSTAR evaluations was 4.10 (SD=1.32) with low-quality level. The scores of quality were higher in the field of nursing and the published year since 2011. The meta-analysis articles that numbers of included studies were lower than 20 and double languages such as English and Korean were having higher scores in AMSTAR evaluation. The meta-analysis can be categorized by positive and negative factors that would be affected by programs. Conclusion: The findings indicate that meta-analysis should be conducted not only to follow the guideline for improving the quality but also to focus various health problems for expanding the research synthesis in elderly.

독일 치매노인을 위한 성년후견제도

송영신 한국자치학회 2018 월간 공공정책 Vol.148 No.-

Methodological Issues in Questionnaire Design

송영신,손연정,Oh, Doonam 한국간호과학회 2015 Journal of Korean Academy of Nursing Vol.45 No.3

Purpose: The process of designing a questionnaire is complicated. Many questionnaires on nursing phenomena have been developedand used by nursing researchers. The purpose of this paper was to discuss questionnaire design and factors that should beconsidered when using existing scales. Methods: Methodological issues were discussed, such as factors in the design of questions,steps in developing questionnaires, wording and formatting methods for items, and administrations methods. How to use existingscales, how to facilitate cultural adaptation, and how to prevent socially desirable responding were discussed. Moreover, the triangulationmethod in questionnaire development was introduced. Results: Steps were recommended for designing questions such asappropriately operationalizing key concepts for the target population, clearly formatting response options, generating items andconfirming final items through face or content validity, sufficiently piloting the questionnaire using item analysis, demonstrating reliabilityand validity, finalizing the scale, and training the administrator. Psychometric properties and cultural equivalence should beevaluated prior to administration when using an existing questionnaire and performing cultural adaptation. Conclusion: In the contextof well-defined nursing phenomena, logical and systematic methods will contribute to the development of simple and precisequestionnaires.

토론 3 : “고독사 ; 한국의 고독사에 대한 이해와 실천 방향에 대한 모색”에 대한 토론

송영신 한국가족사회복지학회 2014 한국가족사회복지학회 학술발표논문집 Vol.2014 No.1

Mutation Profile of Well-Differentiated Thyroid Cancer in Asians

송영신,임정아,박영주 대한내분비학회 2015 Endocrinology and metabolism Vol.30 No.3

Recent advances in molecular diagnostics have led to significant insights into the genetic basis of thyroid tumorigenesis. Among the mutations commonly seen in thyroid cancers, the vast majority are associated with the mitogen-activated protein kinase pathway. B-Raf proto-oncogene (BRAF) mutations are the most common mutations observed in papillary thyroid cancers (PTCs), followed by RET/PTC rearrangements and RAS mutations, while follicular thyroid cancers are more likely to harbor RAS mutations or PAX8/peroxisome proliferator-activated receptor γ (PPARγ) rearrangements. Beyond these more common mutations, alterations in the telomerase reverse transcriptase (TERT) promoter have recently been associated with clinicopathologic features, disease prognosis, and tumorigenesis in thyroid cancer. While the mutations underlying thyroid tumorigenesis are well known, the frequency of these mutations is strongly associated with geography, with clear differences reported between Asian and Western countries. Of particular interest is the prevalence of BRAF mutations, with Korean patients exhibiting the highest rate of BRAF-associated thyroid cancers in the world. Here, we review the prevalence of each of the most common mutations in Asian and Western countries, and identify the characteristics of well-differentiated thyroid cancer in Asians.

[외국정책사례] ‘코로나 시대’의 독일의 공동체 지키기

송영신 한국자치학회 2020 월간 공공정책 Vol.177 No.-