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경북지역 준종합병원 입원환자들의 수술후 통증경험 실태조사
신영희(Shin Yeong Hee) 계명대학교 간호과학연구소 2000 계명간호과학 Vol.4 No.1
The author investigated the pain experience of 59 postoperative patients during their stay in hospital. Data were collected from three different hospitals in Kyungbook province area between July and August 1999. Results are summarized as follows. As for ratings of ""worst pain"" during the 24 hour period, 64% of the patients reported they had ""severe"" pain. As for ratings on ""pain now,"" 27.2% of the patients reported ""moderate to severe"" pain Of 59 patients, only 5% reported complete pain relief after analgesic treatment, indicating undertreatment of pain control. In question of pain assessment, 84% of the respondents reported that medical staff verbally asked if they had pain during their stay in hospital, while 56% reported that medical staff asked if they relieved from the pain after analgesic medication. In conclusion, the results of patient's pain ratings and poor pain assessment by the medical personnel implied poor pain management.
신영희(Shin Yeong Hee) 계명대학교 간호과학연구소 2003 계명간호과학 Vol.7 No.1
The neonatal intensive care unit (NICU) environment may incompatible with immature central nervous system of premature infant and may fail to meet these infant's developmental needs. Premature infants are said to be exposed to overwhelming stimulation of visual and auditory senses, while receive little stimulation of tactile and vestibular senses. Previous researches suggest that the NICU should provide developmentally supportive environment for premature infants. Nurses are ideally suited to take the role to optimize infant's growth and development.
신영희(Shin Yeong Hee) 계명대학교 간호과학연구소 2002 계명간호과학 Vol.6 No.1
These days parents of infants concerns about the environmental contaminants in human milk affect adversely for their infant health due to their exposure of a wide variety of chemicals in day-today life. In review of several research papers, although some chemicals such as PCBs, and dioxins are found in breast milk, their levels are not sufficiently high to cause concern. Despite the presence of low levels of chemicals, breast milk is still overwhelmingly the best food for infant health.
신영희(Shin Yeong hee),고효정(Koh Hyo Jung),권영숙(Kwon Young Sook),김정남(Kim Chung Nam),박영숙(Park Young Sook),박정숙(Park Jeong Sook),박청자(Park Cheong Ja),이경희(Lee Kyung Hee),이병숙(Lee Byung Sook) 계명대학교 간호과학연구소 2001 계명간호과학 Vol.5 No.1
The purpose of this study was to investigate how night-shift nurses spend their time based on work sampling. A total of 9 med/surg nursing units in a large teaching hospital were evaluated during the period of February 10-16,1997. Data from 96 night shifts were analyzed. Nurses were mostly young, unmarried, and experienced females. The percentage of time spent in four separate nursing activities by night-shift nurses are as follows: 1 Nurses spent only 23% their time for direct care activities, 53% for indirect care activities, 6% for Unit-related activities and 18% for personal. 2. Of the direct care activities, 37% was used for medication, 30% for observation and assessment, 13% for procedure, 8% for helping patient transfer or exercise. Little time was used for patient education, counseling or patient's hygiene. 3. Of the indirect care activities, 74% was used for charting, 10% for preparation of medication, 9% for staff session, and 7% for supply administration. 4. Of the unit-related activities, 81% was used for reporting and meeting, 9% for facility and supply inspection, 5% for ward management, 3% for review and reading, and 2% for manpower management. This study identified that night shift nurses spend most of their time for indirect care activities.
신현희(Hyeon-Hee Shin),신영희(Yeong-Hee Shin),김가은(Ga-Eun Kim) 한국산학기술학회 2016 한국산학기술학회논문지 Vol.17 No.11
본 연구는 임부의 산전우울에 대한 인지행동치료 중재의 효과를 검증하기 위해 수행된 체계적 문헌고찰 및 메타분석 연구이다. 데이터베이스는 CINAHL, PubMed, EMBASE 및 Koreamed, 국회도서관, 한국학술정보(Korean studies Information Service System, KISS), 한국의학논문데이터베이스 등 국내외 domain을 활용하였다. 검색은 ((Perinatal OR Antenatal OR Antepartum OR Pregnant) AND Depression) AND Women AND (CBT OR (Cognitive behavioral AND (Therapy OR Treatment)))와 ‘산전우울’, ‘임부’, ‘인지행동치료’ 등의 검색어로 2016년 5월까지 출판된 문헌을 검토하였다. 분석은 R을 이용한 임의효과모형을 적용하여 산전우울과 불안의 효과크기를 각각 산출하였으며, 효과크기의 이질성을 검증하기위해 메타 ANOVA를 활용하여 조절효과분석을 실시하였다. 그리고 funnel plot, Egger’s regression test, fail-safe N, trim-and-fill 분석을 활용한 출간오류분석과 민감성 분석을 실시하여 전체 연구 결과의 타당성을 검증하였다. 연구결과 총 180편의 문헌이 검색되었으며, 선택배제기준에 따라 최종적으로는 clinical trials 16편을 분석하였다. 분석에 포함된 개별문헌은 Scottish Intercollegiate Guideline Network (SIGN)의 checklist를 통해 비뚤림 위험을 평가하였으며, 대체로 비뚤림 위험은 낮았다. 연구결과 본 연구에서 중재의 산전우울에 대한 효과크기는 Hedges’ g=-0.55(95% CI: -0.76∼-0.33)로 통계적으로 유의하게 낮았으며, 불안에 대한 효과크기는 Hedges’ g=-0.20(95% CI: -0.48∼-0.08)이었으나, 통계적으로 유의한 차이는 없었다. 문헌의 이질성, 출판오류의 위험성 등은 낮았다. 본 메타분석결과에 의하면 인지행동치료는 임신부의 산전우울 증세 완화에 보통 정도의 효과가 있음이 밝혀졌다. This study was carried out to evaluate the efficacy of CBT for perinatal depression through systematic literature review and meta-analysis. The following databases were used to search the literature: CINAHL, PubMed, EMBASE, Koreamed, Library of Korean Congress, KISS, and Korean Academic Publication Database. Keywords included "perinatal depression," "pregnant women," and "cognitive behavioral therapy," and the evaluated articles were published up to May 2016. Using the R program, the effect size of perinatal depression and anxiety were calculated by random-effects model. The heterogeneity of the effect size was analyzed by data moderator analysis using the meta-ANOVA. Furthermore, the funnel plot, Egger"s regression test, fail-safe N, trim-and-fill test, and publication bias analysis were conducted and used to verify the results. Out of the 180 selected articles, 16 clinical trial studies were meta-analyzed. Each articles were evaluated for the risk of bias by the checklist of SIGN; the overall risk of bias was low. The effect size of CBT for perinatal depression was Hedges" g=-0.55 (95% CI: -0.76∼-0.33), which was a moderate level, while for anxiety reduction, Hedges" g=-0.20 (95% CI: -0.48∼-0.08) and it was not statistically significant. Heterogeneity or risk of publication bias were low. This meta-analytic study found that CBT is moderately effective in reducing perinatal depression in pregnant women.
신현희 ( Hyeon Hee Shin ),신영희 ( Yeong Hee Shin ) 한국모자보건학회 2021 한국모자보건학회지 Vol.25 No.2
Purpose: This study examined the effects of a positive psychology-based program for depressed pregnant women. Methods: Of the 221 pregnant women who were screened, 24 were recruited from 4 local women’s clinic in Daegu city, South Korea. Subjects were at 6-29 weeks of gestation and scored 9-13 points on the Korean version of the Edinburgh Postnatal Depression Scale. Subjects were assigned to experimental (n= 12) and control (n=12) groups. The program consisted of ten 120-minute sessions conducted twice a week. Data were collected during the period between December 21, 2017 and April 12, 2018 and analyzed using IBM SPSS/WIN (ver. 21.0). Homogeneity of the experimental and control groups was evaluated by chi-square test and t-test. Hypotheses were tested by repeated measure analysis of variance. Results: The results revealed that in terms of stress coping styles, the active coping style (group*time= 15.23, p<0.001) increased, while the passive coping style decreased (group*time=15.27, p<0.001). Perceived spouse support (group*time=19.45, p<0.001), self-esteem (group*time=17.39, p<0.001), perinatal depression (group*time=78.77, p<0.001), and flourish (group*time=57.56, p<0.001) have significantly improved in the experimental group compared with the control group. Conclusion: These findings indicate that positive psychology-based program can be useful for pregnant women already suffering from depression to prevent perinatal depression.