임산부의 산전 기형아 검사에 관한 지식과 정보 요구 및 낙태에 대한 태도

전명희(Jun, Myunghee),신계영(Shin, Gyeyoung),김혜경(Kim, Hye-Kyung) 한국간호교육학회 2018 한국간호교육학회지 Vol.24 No.4

Purpose: This study identifies correlations among information needs and knowledge about prenatal genetic screening and diagnosis (I-PGSD & K-PGSD), and attitude toward terminating pregnancy (ATP) among pregnant women in South Korea. Methods: A descriptive survey was conducted from January 2013 to April 2014 in South Korea. 222 pregnant women responded to three questionnaires developed by the authors. The questionnaire for I-PGSD consisted of 19 questions; 18 questions for K-PGSD; and 10 questions for ATP. Results: Mean scores were 80.46±11.73 for I-PGSD; 14.86±3.74 for K-PGSD; and 33.71±6.13 for ATP. The ATP score was positively correlated with the I-PGSD and K-PGSD scores, but statistically significant with only I-PGSD (p=.006). I-PGSD scores were higher than average on three genetic syndromes (Down, Patau, and Edwards syndrome), on management after the diagnosis of positive fetal aneuploidy, and on test result interpretation after the amniocentesis and level II fetal ultrasonogram. Conclusions: In light of current legal and moral controversy regarding terminating pregnancy and rapidly advancing prenatal genetic testing technology, more prenatal genetic education for nurses and nursing students who teach pregnant women is needed. In addition, more professional counseling services provided by trained nurses are also required.

항암화학요법 중 가글링 유형에 따른 급성백혈병 환자의 구강감염 예방효과에 관한 연구

전명희(Jun, Myung Hee),김연희(Kim, Yeon Hee),최진선(Choi, Jin Sun),채수원(Chae, Soo Won) 한국간호교육학회 1997 한국간호교육학회지 Vol.3 No.2

국내 고위험 유전성 유방암 환자의 유전자검사 경험

전명희(Jun Myung-Hee),최경숙(Choi Kyung-Sook),안세현(Ahn Sei-Hyun),구보경(Gu Bo-Kyung) 대한종양간호학회 2005 Asian Oncology Nursing Vol.5 No.2

Purpose: This study was to obtain a understanding of breast cancer women with high risk for hereditary cancer syndrome. Method: A micro-ethnography was used, including participation observation, open-ended in-depth interviews. Results: Two major arguments were derived. First, When Korean women at high risk to hereditary breast cancer make a decision about whether to take a genetic test, they are strongly motivated by a desire to preserve close kinship bonds and "family love" among their siblings, parents and children. Second, Even after genetic risk assessment and counseling services, Korean women at high-risk for developing a hereditary breast cancer who have been informed that they are mutation carriers, still hold onto previous beliefs about cancer causation. Their cancer prevention strategies are constructed according to their unchanged perceptions and beliefs about cancer causation. Conclusion: More sensitive genetic counseling program needs to be developed. Referral programs and clinical services must be attentive to cultural values and beliefs otherwise cultural attitudes and practices toward genetic counseling will not change.

기독 대학생들의 순결서약교육 참여효과에 대한 연구

전명희(Myung Hee Jun) 한국기독교교육정보학회 2011 기독교교육정보 Vol.30 No.-

Purity pledge for youths has been popular in Christian communities to equip youths with Christian values and attitude on sexual activities. While interest on the content and effects of purity pledge is growing, scientific approach to those subjects has rare in Korean society. This study examined the impact of sex education and purity pledge on college students' perception of and their attitude towards sex. Experimental research of pre-post test design was employed to find differences of participants perception of and attitude towards sex in three groups: a group participating in purity pledge, a group attended to purity pledge within two years, and a control group. The results revealed that experimental groups have significantly changed internalization of values towards sexual purity as a result of attending to three sessions of abstinence -focused sex education and purity pledge. In conclusion purity pledge helped participants understand Christian perspective of sexual purity and change their attitude for living in purity. This study contributes to objective and scientific validation of education on sexual purity. The findings can be implied for developing a program for Christian sex education and providing evidence-based research methods.

블로그를 통해 본 산전 기형아 검사와 양수검사에 대한 질문과 댓글 분석

전명희(Myunghee Jun),신계영(Gyeyoung Shin),최경숙(Kyung Sook Choi) 한국콘텐츠학회 2015 한국콘텐츠학회논문지 Vol.15 No.3

본 연구의 목적은 블로그에 나타난 임신 여성의 산전 기형아 검사 및 양수검사 관련 교육요구를 파악하기 위하여 총 7개의 국내 인터넷 블로그를 분석하였다. 본 연구는 두 단계로 이루어졌다. 1 단계는 2011년 10월 31일까지 6년간 7개 블로그 중 6개 블로그에 게시된 내용 중 산전 기형아 검사 389건을 통하여 연구의 분석 틀을 마련하였다. 2 단계에서는 ‘맘스홀릭 베이비’에 게시된 산전 기형아 검사에 관한 질문 100건, 양수 검사에 관한 질문 200건과 댓글 1,665건을 2011년 12월 텍스트화하고 산전 기형아 검사와 양수검사의 건수, 검사 이유 및 검사와 관련된 문제점을 분석하였다. 그 결과, 임신부들은 산전 기형아 검사와 양수검사와 관련하여 검사의 용어, 목적 및 임신 주수에 따른 검사 지식이 부족하였고, 양수 검사를 권유 받은 임신부 중 56.5%가 불안과 두려움을 호소하였다. 양수검사에 관한 찬성과 반대 건수를 분석한 결과, 찬성 보다는 반대 건수가 더 많았고, 양수검사를 권유 받은 자 중 33.9%는 양수검사를 받지 않았다. 이상의 결과에서 보듯이 의료 기관 서비스 안에서 임신 여성과 가족들에게 임신 주수에 따른 산전 기형아 검사에 관한 교육 및 지지가 강화될 필요가 있다. 이를 위하여 산전 클리닉 외래의 상담 및 교육 서비스 기능을 강화하고, 유전 상담전문가를 추가로 배치할 필요가 있으며 인터넷 보급률 증가와 현대 임신 여성이 선호하는 커뮤니케이션 방식을 고려하여 온라인 건강 정보 사이트 운영 및 콘텐츠 개발에 관심을 기울일 필요가 있다. 또한 본 연구결과는 기형아 검사 후 낙태 허용범위 기준에 대한 논의 시 기초자료로 활용될 수 있을 것이다. The purpose of this study was to identify pregnant women’s needs for information on prenatal genetic diagnosis and screening. This study is consisted of two phases. In the first phase in December 2011, six blogs featuring questions and answers on prenatal genetic diagnosis and screening were selected from four major search engines in Korea by using the keywords “prenatal genetic diagnosis,” “prenatal genetic screening”, and “amniocentesis.” An analyzing framework was constructed on the basis of 389 posts on six blogs between November 2006 and October 2011. In the second phase, the contents of the “MomsHolicbaby” blog posted from November 2010 to October 2011 were reviewed. Then, pregnant women’s questions on prenatal genetic diagnosis and screening (100 questions) and amniocentesis (200 questions with 1,665 answers) were analyzed using descriptive statistics. Among posters who had ever been recommended to undergo amniocentesis, 56.5% described feelings of anxiety, 25.5% did not know the purpose of the test, and 33.9% refused to undergo the test. Among 295 posters answering questions about amniocentesis, 61.4% disagreed with undergoing the test. The results show that there is a need for healthcare professionals to provide more educational and emotional support to pregnant women considering prenatal genetic diagnosis and screening. Providing online health information can be integrated into prenatal genetic education for pregnant women as well as nurses. In addition, prenatal women’s preferences about undergoing amniocentesis should be reflected in the current legal discussion on criteria for termination of pregnancy.

탈북 청년의 가족관계경험에 관한 연구: -내러티브-생애사 분석을 중심으로-

전명희 ( Myung Hee Jun ) 한국가족사회복지학회 2016 한국가족복지학 Vol.51 No.-

본 연구는 북한을 탈출하여 남한 사회에 정착하고 적응하고자 노력하고 있는 두 청년의 이야기를 가족관계 경험을 중심으로 하여 로젠탈의 내러티브-생애사 접근 방법으로 분석하였다. 두 연구 주인공이 경험한 인생여정에서 출발점인 원가족은 가정불화, 가족 상실과 해체의 경험으로 따스함을 경험하지 못하고 버려지는 경험을 하였던 곳이었으며,10대에는 가족 울타리가 없이 전전하며 목숨을 연명하는 시기를 보내왔다. 가족 재결합과 재구성, 상실 속에서 탈북과 남한 입국의 과정을 거치게 되었고, 20대 후반의 청년기에 이르러 원가족과의 심리적분리 및 새로운 가족 형성의 과업 앞에 놓여있다. 이러한 그들의 삶에서 현재 중요한 삶의 주제로는 부모나 북한 땅에서 받은 것이 없이 버려짐과 홀로서기의 경험이 지배적이지만 집안의기둥으로서 가족을 살리는 사명자로서 재북 가족과 탈북 가족들을 돌아보는 고단한 짐을 스스로 떠안고 있음을 알 수 있다. 이는 남한과 북한 사회가 공유하고 있는 전통적인 ``가족주의`` 의 가치가 표현된 것으로 오히려 남한에서는 희석되어 가는 가족을 위해 희생해야 한다고 여기는 관념으로서의 가족 의식이 깊은 것을 알 수 있다. 또한 남과 여 두 청년이 가부장적 구조속에서 서로 다른 입장과 적응 전략을 통해 자기 및 가족 정체감을 형성하고 있음을 알 수 있었다. 본 연구를 통해 남한에 입국하여 청년기를 보내고 새로운 가족을 만들어갈 탈북 청년들의 발달적 과업과 현재의 삶을 어떻게 통합할 수 있을지에 관한 논의를 제시해보았다. This research aims to explore the family relationship experiences of two young adults from North Korea through Rosenthal`s autobiographical-narrative methods. Series of in-depth interviews were conducted with a male and a female subjects. In biographies of North Korean young adults who live in South Korea now, their original family suffered from parental conflict, family break-up and loss in their childhood, and the subjects experienced being left and neglected from their parents due to huger and hardship in North Korea situations in 1990s. However, they have hold their family burdens during the exile from North Korea to South Korea and still have been supporting their family members in North Korea or South Korea financially. Results indicated that young adults from North Korea keep the main value of "familism" in the patriarchical society as like South Korean people had and they have believed that they ought to sacrifice themselves, delaying their developmental task in the young adulthood. In addition, the research found that the male and the female have different strategies to survive and adjust on family gender perspectives. Based on the results, some implications and practical suggestions were discussed for the young adults from North Korea in the settlement process.

간호사와 의사의 암성 통증관리에 대한 지식과 태도

전명희(Jun, Myung-Hee),박경순(Park, Kyeong-Soon),공성화(Gong, Sung-hwa),이선희(Lee, Seon-Hee),김연희(Kim, Yeon-Hee),최진선(Choi, Jin-Sun) 한국간호교육학회 2006 한국간호교육학회지 Vol.12 No.1

유방암 여성의 유방보존술 후 경험에 대한 임상 간호사의 인지

전명희(Jun, Myung-Hee) 한국간호교육학회 2007 한국간호교육학회지 Vol.13 No.2

한방간호사-환자 관계의 인간커뮤니케이션 이해

전명희(Jun, Myung Hee) 한국간호교육학회 1998 한국간호교육학회지 Vol.4 No.1

최신 비침습적 산전 유전 검사(NIPT)의 임상 적용과 간호학적 의미

전명희(Jun, Myunghee),신계영(Shin, Gyeyoung),허명행(Hur, Myung Haeng),최경숙(Choi, Kyung-Sook) 한국간호교육학회 2013 한국간호교육학회지 Vol.19 No.4

Purpose: Nineteen articles were analyzed to gather opinions and nursing implications about NIPT recently launched. Methods: Nineteen articles were selected from EBSCO (eBook business collection), Google Scholar, and two Korean academic d-bases with key words ‘prenatal screening testing’, ‘prenatal genetic diagnostic testing’, NIPT or ‘cell free DNA (cfDNA)’. Authors developeda framework for analyzing the 19 articles including opinions and suggestions for future implications. Results: Eleven articles written by the first author affiliated with medicine or genetics, viewed NIPT as promising because of safety, accuracy, early detectability and cost effectiveness. Articles written by journalists or authors affiliated with history and ethics were concerned with the possible risk of ELSI (ethical, legal, social issues), erratic interpretation of test results, and lack of genetic counseling service. Conclusion: With consideration of Korean clinical, andlegal circumstances, not only pregnant women and families but also health professionals must prepare for clinical NIPT implications including updating prenatal genetic testing, counseling services, protecting ELSI and amulticultural team approach.