병원 간호사의 정서적 소진에 대한 주관성: Q방법론 적용

권영미 ( Young Mi Kwon ),김희정 ( Hee Jeong Kim ),전미순 ( Mi Soon Jeon ),안정화 ( Jeong Hwa An ) 한국주관성연구학회 2018 주관성연구 Vol.- No.42

본 연구는 병원간호사의 정서적 소진에 대한 주관성과 그 특성을 비교 분석하여 병원간호사의 정서적 소진감소 전략에 대한 기초자료를 제공하고자 수행하였다. Q 방법론을 이용하여 병원간호사 40명을 P표본으로 하여, 이들이 증상, 원인, 대처의 3개 범주로 이루어진 38개의 Q표본을 9점 척도Q 분포도상에 강제분포 하도록 하였다. 수집된 자료는 PC-QUANL program을 이용하여 분석하였다. 연구결과 병원간호사의 정서적 소진은 4개 유형으로 분류되었으며 1유형은 ‘전문성 지향형’, 2유형은 ‘에너지 고갈형’, 3유형은 ‘관계지향형’, 4유형은 ‘마인드 컨트롤형’으로 나타났다. 공통적으로 지각한 정서적 소진의 원인은 업무와 관련하여 좋지 않은 상황이나 결과였으며 정서적 소진감소를 위해서는 환자안전을 위한 시스템 개선이 동반되어야 함을 시사한다. 본 연구는 소진의 핵심적인 영역인 정서적 소진에 초점을 맞추어 병원간호사의 주관적 인식구조를 분류하여 확인하였다는 점에서 연구의 의의가 있다. The purpose of this study is to provide basic data on the emotional exhaustion strategies of hospital nurses by comparing the subjective characteristics and the characteristics of emotional exhaustion of hospital nurse. Forty health care providers classified 38 selected Q-statements into 9 points standard. The obtained data were analyzed by using a pc-QUANAL program. Principal Component Analysis identified 4 types of the attitudes toward Emotional Exhaustion among the Hospital Nurses and named by researcher. Type Ⅰ is ‘Expertise’, type Ⅱ is ‘Energy depletion’, type Ⅲ is ‘Oriented relationship’, and type Ⅳ is ‘Mind control’. The consensus cause of perceived emotional exhaustion was a bad situation or result in relation to work. So, suggesting that system improvement for patient safety should be accompanied by reduced emotional exhaustion.

간호대학생의 봉사활동 특성에 따른 욕구충족, 사회성, 전공만족도 연구

권영미(Kwon, Young Mi),주혜주(Joo, Hye Joo),조경미(Cho, Kyung Mi) 한국간호교육학회 2004 한국간호교육학회지 Vol.10 No.1

삼차신경통 진단 및 치료의 중요 고려사항

전영미,태일호,최종훈,안형준,심우현,권정승,Jeon, Young-Mi,Tae, Il-Ho,Choi, Jong-Hoon,Ahn, Hyung-Joon,Shim, Woo-Hyun,Kwon, Jeong-Seung 대한안면통증구강내과학회 2007 Journal of Oral Medicine and Pain Vol.32 No.4

Trigeminal neuralgia is defined as "a sudden, usually unilateral, brief stabbing recurrent pain in the distribution of one or more branches of the fifth cranial nerve" by the International Association for the Study of Pain(IASP). Trigeminal neuralgia is classified as an idiopathic trigeminal neuralgia with no apparent cause and a symptomatic trigeminal neuralgia which is caused by a structural lesion such as brain tumor. Over 80% of the tumors are meningioma, acoustic neuroma, and epidermoid tumors. Symptomatic trigeminal neuralgia can not be excluded even if old-aged patient does not have abnormal neurologic sign and symptom, and good response to pharmacotherapy. Therefore, initial examinations such as MRI or CT are essential to exclude symptomatic trigeminal neuralgia. When compared with CT, MRI, especially gadolinium enhanced MRI, has an increased sensitivity in the detection of intracranial lesions. The most effective medical treatment of trigeminal neuralgia is carbamazepine. The most common side effects of carbamazepine include drowsiness, dizziness, unsteadiness, nausea, anorexia. Hepatotoxicity, bone marrow depression are the most feared side effect of carbamazepine therapy but occurs rarely. It require periodic complete blood cell counts as well as hepatic and renal function tests. It has been recommended that complete blood cell counts is done every 2 weeks for the first 2months and then quaterly thereafter. Oxcarbazepine can be used if neutropenia occurs.

『프시케에게 부치는 노래』에서의 이상에 대한 미의식

권영미(Young-Mi Kwon) 영미어문학회 2005 영미어문학연구 Vol.21 No.2

John Keats was one of the post-romantic poets who tried to find truth and beauty in human life. He used his imagination, Negative Capability, as a positive element in his works. And he thought the most important element in the actual world is to achieve Soul-making through the power of imagination. So he explored through the imagination into the ultimate reality of our melancholic life to give it positive meaning paradoxically. Ode to Psydche which was written first, grasped the love of psyche which was existing at the mythological world in the past, and was systematized by the problem of compensation that was derived by the pains. In this poem, Keats wanted to a pursuit of ideal world by creating soul-making to unify with her and a pursuit of beauty through understanding of actual world. In conclusion, during his short life Keats felt human agonies and troubles sensitively and understand the importance of experience in this world. He tried to see all things not through the pessimistic view but as beauty. Therefore it has the value of reestimation that he finally attains the Truth, creates his soul and becomes pure poet.

유산균 발효된 천년초 열매 추출물의 고지방식이 마우스에서의 항비만 효과

정영미(Young-Mi Jung),구세광(Sae-Kwang Ku),이동섭(Dong Sub Lee),권기상(Kisang Kwon) 한국생명과학회 2017 생명과학회지 Vol.27 No.6

미생물을 이용한 천연물 발효 시 유용생리활성 증가가 보고된 바, 천년초(Opuntia humifusa; OH)를 Lactobacillus plantarum 을 이용하여 발효시켰으며(fermented Opuntia humifusa; fOH), fOH 의 비만 억제 효과를 확인하기 위해 45%Kcal 고지방식이(HFD)로 비만을 유도하였다. 이 전의 동물실험에 근거하여 OH 400 mg/kg 농도로 처리하였으며, fOH 는 최고 농도 400 mg/kg을 비롯하여 200, 100 mg/kg으로 처리하였다. 지속적인 HFD 공급으로 HFD 대조군에서는 체중, 복부지방 밀도, 난소주위 축적 지방 및 복부 축적 지방량 등이 증가하였으나, fOH 400, 200 mg/kg 처리군에서는 이들 비만인자들이 모두 유의적으로 감소하였다. fOH 100 mg/kg 처리 된 HFD 마우스는 OH 400 mg/kg 처리 마우스에 비해 의미 있는 억제 효과가 나타나지 않았다. 이는 OH에 비해 L. plantarum 로 발효된 fOH가 HFD공급 마우스에서 항비만 효과를 상승시키는 것으로 보인다. 추가적으로 2형 당뇨병 및 관련합병증으로 확대하여 비만, 고지질혈증, 간지방증, 신장 기능 등을 이용하여 억제 기작 연구가 진행되면 대사증후군을 위한 새로운 강력한 치료제로서의 제안될 가능성이 있다. Recently, there has been a marked increase in the use of bioactive products resulting from the fermentation of natural substances by microorganisms. In this study, Opuntia humifusa (OH) was fermented using Lactobacillus plantarum (fermented Opuntia humifusa; fOH). We then examined the anti-obesity effect of fOH in mice fed a 45% Kcal high fat diet (HFD). In this study, mice were treated with fOH concentrations of 100, 200, and 400 mg/kg. The mice in the control group were treated with OH at a concentration of 400 mg/kg based on previous animal experiments. All of the mice given a continuous HFD showed an increase in their weight, the density of abdominal fat, and the accumulated periovaric and abdominal fat. All of these obesity-linked factors, however, were significantly decreased in the groups treated with fOH at concentrations of 200 and 400 mg/kg. Mice treated with fOH at 100 mg/kg did not show a significant decrease in these obesity-linked factors compared to the control group. It appears that fOH fermented by L. plantarum has a greater anti-obesity effect in HFD-supplied mice compared to unfermented OH. While further studies of fOH are needed to examine its effect on obesity, hyperlipidemia, hepatic steatosis, renal function, and type II diabetes with its relevant complications, fOH may have significant therapeutic potential in the treatment of metabolic syndrome.

간호대학생의 정서와 사회심리적 건강의 관련성 연구

권영미(Kwon, Young Mi) 한국간호교육학회 2001 한국간호교육학회지 Vol.7 No.2

측두하악관절 골관절염 진단에 있어 전산화 단층촬영의 유용성

전영미,최종훈,김성택,권정승,안형준,Jeon, Young-Mi,Choi, Jong-Hoon,Kim, Seong-Taek,Kwon, Jeong-Seung,Ahn, Hyung-Joon 대한안면통증구강내과학회 2008 Journal of Oral Medicine and Pain Vol.33 No.2

Osteoarthritis is caused by joint degeneration, a process that includes progressive loss of articular cartilage accompanied by attempted repair of articular cartilage, remodeling and sclerosis of subchondral bone, and osteophyte formation. The most common causative factor that either causes or contributes to osteoarthritis is overloading of the articular structures of the joint. The diagnosis of temporomandibular joint(TMJ) osteoarthritis is based on the patient's history and clinical findings such as limited mandibular opening, crepitation and tenderness to palpation on TMJ. The diagnosis is usually confirmed by TMJ radiographs, which will reveal evidence of structural changes in the subarticular bone of the condyle or fossa. Plain radiography techniques such as panoramic, transcranial, transpharyngeal views can be used in most dental offices for evaluation of the TMJs. However, plain radiographs are often limited due to overlapping and distortion of anatomical structures. The aim of this study was to compare the clinical examination and panoramic view with computed tomography for diagnosis of temporomandibular degenerative joint disease, and to compare the findings of condylar bony changes through panoramic radiography with that of computed tomography, hence, to confirm the limitations of clinical and panoramic radiography, and the validity of the computed tomography for diagnosis of temporomandibular degenerative joint disease. The pathophysiology of the TMJ osteoarthritis remains poorly understood, and current treatments are based more on speculation than science, and symptomatic treatments often fail to provide satisfactory pain relief. For diagnosis of TMJ osteoarthritis, clinical examination and radiographic examination for confirmation of the bony changes are essential, and computed tomography are clearly superior to plain radiographs for their limitations.

DHCP를 사용한 Mobile IP 프로토콜의 설계 및 구현

권영미,이극,Kwon Young-Mi,Lee Geuk 한국디지털콘텐츠학회 2002 한국디지털콘텐츠학회논문지 Vol.3 No.2

DHCP의 기능을 확장하여 mobile IP의 홈 에이전트 및 외부 에이전트의 기능을 수용하도록 함으로써 DHCP 노드가 동적 IP 할당의 전 프로세스를 수행하게 하여 에이전트를 통한 이동 IP 할당보다. 단순한 구조를 유지하게 한다. DHCP는 윈도우즈 NT 계통의 운영체제를 사용하는 단말기에서 기본적으로 제공되고 있다. 여기에 mobile IP의 기능을 별도의 프로세스로 장착하지 않고 DHCP메시지의 옵션 필드들을 이용해 mobile IP의 기능이 DHCP 노드에서 이뤄질 수 있도록 제안하였다.

아동양육시설 아동 대상 국내 미술치료 프로그램의 연구동향

권영미(Kwon, Young-Mi),유경미(Yoo, Kyung-Mi) 한국예술심리치료학회 2021 예술심리치료연구 Vol.17 No.2

본 연구는 아동양육시설 아동 대상 미술치료 프로그램 관련 연구동향을 파악하기 위하여 학위논문 51편과 학술논문 22편, 총 73편을 분석하였다. 연구의 분석기준은 연구대상의 진단 및 평가 도구, 연구방법, 미술치료 프로그램 운영, 미술치료 프로그램 내용으로 나누었다. 연구 결과, 진단 및 평가도구로는 투사 검사 측정도구보다 객관적 검사 측정도구가 많이 사용되었고, 연구방법에서 연구설계는 사전-사후검사 통제집단 설계가 많았으며, 통계처리 방법은 t 검정을 많이 사용하였고, 자료분석은 양적·질적 분석방법이 많았다. 연구의 참여 아동은 문제행동과 관련된 부적응 문제를 보이는 아동이 많았으며, 집단을 대상으로 한 실험연구의 수가 많았고, 참여 아동의 연령은 8~13세, 학년은 초4~6학년, 아동 수는 6~10명이 가장 많았다. 기술된 입소사유는 부모이혼이 가장 많았으며, 미술치료프로그램의 총 회기수는 13~17회기, 회기별 중재시간은 40~60분, 주당 시행 횟수는 1회, 활동단계는 3단계, 중재환경은 기술하지 않은 연구가 많았다. 미술치료 프로그램의 치료목표는 자아존중감 향상이 많았고, 활동방법으로는 점토(소조)활동을 많이 사용하였다. 마지막으로 연구 결과의 의미와 아동양육시설 아동 대상 미술치료 프로그램의 발전을 위한 제언을 하였다. This study analyzed 51 dissertations, 22 academic papers, and 73 total to identify research trends related to art therapy programs for children in child care facilities. The analysis criteria of research were divided into the diagnosis and evaluation tools of research subjects, the method of research, the operation of art therapy programs, and the content of art therapy programs. As a result of the study, objective test measurement tools were used more than projection test measurement tools, research design had more pre-post-test control group designs, statistical processing methods used more t-test, and data analysis had more quantitative and qualitative methods. Many children participated in the study showed maladjustment problems related to problem behavior, and the number of experimental studies conducted on groups was high, with the age of 8 to 13, grade 4 to 6, and 6 to 10 children. The reason for the described admission was parents divorce, and the total number of sessions of art therapy programs was 13 to 17 sessions, 40 to 60 minutes of arbitration per session, once a week, three stages of activity, and many studies did not describe the arbitration environment. The treatment goal of the art therapy program was to improve self-esteem and to use clay (sozo) activities as an activity method. Finally, the meaning of the research results and suggestions were made for the development of art therapy programs for children in child care facilities.

간호학생의 전공연계 봉사학습 경험

권영미(Kwon, Young Mi) 한국간호교육학회 2011 한국간호교육학회지 Vol.17 No.2

Purpose The purpose of this study was to explore the experience of service-learning in connection with the major of nursing. Method: This is qualitative research based on the application of a focus-group research method and Glaser’s grounded theory. The nine participants of the research participated in the process of developing a service-learning program to promote health in the elderly. They operated the program by acting as instructors for more than 12 months. Results: The basic socio-psychological problems hared by the participants of the research is ‘burden’. The basic social process required to solve the problem is ‘self-realization’ which has been successively shown in the order of the stage of experiencing a surge of will, the stage of recognizing the occurrence of internal and external changes, the stage of being confident, and the stage of obtaining self-respect. Throughout the process, the participants solved ‘burden’ in a positive way through reflections and reciprocity, developing and strengthening their capabilities. Conclusion: Based on the results, it is necessary to consider the development of a service-learning program in connection with the nursing major in order to provide the students studying nursing with the opportunity to have various learning experiences.