조현병 환자를 위한 마음이론 향상 재활 프로그램의 효과 검증

김신향,이원혜,권정혜 한국임상심리학회 2013 Korean Journal of Clinical Psychology Vol.32 No.3

People with schizophrenia show major deficits in social cognition, especially theory of mind (ToM). Social cognitive deficits are promising treatment targets for new interventions to improve functional outcome in schizophrenia. The purpose of this study was to examine the efficacy of a Social-Cognition Rehabilitation Program (SERP) focused on theory of mind. This program was modified from the original version, developed by Kwon (2003) and verified by Choi and Kwon (2006), especially for improvement of theory of mind. The SERP focused on theory of mind was composed of 16 sessions, including 14 sessions dealing with faux pas, hidden intentions and emotions and one session each for orientation and ending. The aim of the program was to help individuals with schizophrenia to enhance social cognition including theory of mind and ultimately to promote daily social skills and interpersonal ability. The SERP focused on theory of mind was compared with treatment as usual within a two group pre-post design in 52 people with schizophrenia in the community. Theory of mind, social cognition and functional outcome were assessed before and after the eight week training phase. Patients in the treatment group showed significant improvement theory of mind and social skill abilities after the program, but not in general social cognition and interpersonal abilities. Our findings suggested that theory of mind could be improved in people with schizophrenia by implementation of a social cognition enhancing rehabilitation program focused on theory of mind. Conduct of further study will be needed in order to determine whether enhanced theory of mind will have an effect on general social cognition.

대학생의 외모만족도와 우울이 대인관계만족도에 미치는 영향

김신향,임종미 학습자중심교과교육학회 2023 학습자중심교과교육연구 Vol.23 No.16

목적 본 연구에서는 대학생들의 외모만족도, 우울, 대인관계만족도 간의 관계를 살펴보고, 대인관계만족도에 미치는 영향요인을확인하고자 한다. 방법 본 연구는 충청남도 D시에 소재한 S대학교에 재학 중인 대학생 102명을 대상으로 설문조사를 실시하였다. 자료분석은 대상자의 일반적 특성과 주요변수는 기술통계로, 대상자의 외모만족도, 우울, 대인관계만족도 간의 상관관계는 Pearson’s 상관계수(correlation coefficients)로 분석하였고, 대인관계만족도의 영향요인은 다중회귀분석을 하였다. 결과 대학생의 외모만족도는 2.18점, 우울은 1.81점, 대인관계만족도는 3.00점이었다. 외모만족도, 우울, 대인관계만족도의 상관관계에서는 우울은 외모만족도(r=-453, p<.001), 대인관계만족도(r=-.370, p<.001)와 음의 상관관계가 있었으며, 외모만족도는 대인관계만족도(r=.482, p<.001)와는 양의 상관관계를 나타났다. 대인관계만족도에 외모만족도(β=.395, p<.001)는 긍정적 영향을 우울(β=-.191, p<.001)은 부정적 영향을 미치는 것으로 나타났다. 결론 대학생의 대인관계만족도 향상을 위해서 외모에 대한 올바른 인지를 통하여 긍정적인 자아상을 확립하고, 우울을 감소시킬수 있는 방안마련이 필요할 것이다.

한국형 불안 선별도구 개발: 현행 불안평가 도구 개관 및 예비문항 개발

김신향,정수연,박기호,제갈은주,이승환,최윤영,이원혜,최기홍 한국임상심리학회 2016 Korean Journal of Clinical Psychology Vol.35 No.3

The Ministry for Health & Welfare Affairs has marked a major milestone in a new mental health paradigm emphasizing the importance of preventative and early interventions. In this context, the development of a reliable and valid screening tool for mental disorders has become a high priority. A consensus has recently emerged among experts that there is a paucity of screening tools available for anxiety disorders and none of them is sufficient in its sensitivity and specificity. The development of new screening approaches for anxiety disorders was therefore recommended. In the current study, the multi-disciplinary research team comprised of clinical psychologists, psychiatrists and psychometricians, conducted a systematic review of existing screening tools for anxiety disorders to analyze strengths and limitations of the tools and to summarize the background and rationale for development of the new Korean screening tool for anxiety disorders (K-ANX). The K-ANX aims to cover recent diagnostic criteria from the DSM-5 and RDoC in a concise manner with sufficient diagnostic sensitivity and specificity. We also summarize the sub-domains of anxiety disorders and develop 273 preliminary item pools of the K-ANX. A preliminary study using the K-ANX was then conducted with 150 individuals whice showed that it demonstrates high concurrent validity with the BAI. Finally, the directions for the validation of the final K-ANX project were discussed.

간호대학생의 시험불안과 진로정체감과의 관계에서 자아존중감의 매개효과

김신향,백민자 한국웰니스학회 2019 한국웰니스학회지 Vol.14 No.3

The purpose of this study is to investigate the mediating effects of self - esteem in the relationship of test anxiety and career identity of nursing students. Data were collected in the form of a self-report using a questionnaire from October 1 to December 15, 2018, for nursing students at universities in A and H cities. Analyzed. Test anxiety showed a significant negative correlation with self - esteem and career identity, but there was a significant positive correlation between self - esteem and career identity. As a result of the mediating effect, the final model explained 33.8% of the career identity. The test anxiety of nursing students was an important factor affecting negatively the career identity, and it was confirmed that the self - esteem had a mediating effect on test anxiety and career identity. In order to improve the career identity of nursing students in the future nursing education, it is necessary to develop and apply the test anxiety management program as well as to increase self-esteem. 본 연구는 간호대학생의 시험불안과 진로정체감과의 관계에서 자아존중감의 매개효과를 확인하기 위해 시행된 서술적 조사연구이다. 자료수집은 A시와 H시 소재 대학의 간호학과 학생을 대상으로 2018년 10월 1일에서 12월 15일까지 구조화된 설문지를 이용하여 자료 수집하였다. 연구결과는 시험불안이 자아존중감과 진로정체감과는 유의한 부적 상관관계를 보였으나, 자아존중감과 진로정체감과는 정적 상관관계를 보였다. 매개효과 검증 결과 최종모델은 진로정체감의 33.8%를 설명하였다. 간호대학생의 시험불안은 진로정체감에 부적 영향을 주는 중요한 요인이었으며, 자아존중감이 시험불안과 진로정체감 관계에서 정적영향을 주는 매개효과가 있음을 확인하였다. 향후 간호교육에서 간호대학생의 진로정체감 증진을 위해 시험불안 관리 프로그램의 개발 및 적용은 물론 자아존중감을 향상시킬 필요가 있으며, 이를 위해 지속적이고 체계적인 교육전략 및 방법의 개발이 요구된다.

국내 간호대학생의 전공만족도 관련변인에 대한 체계적 고찰과 메타분석

김신향,백민자 한국보건간호학회 2019 韓國保健看護學會誌 Vol.33 No.3

Purpose: Factors related to the major satisfaction of nursing students were systematically searched and quantitatively synthesized. Methods: Meta-analysis was conducted upon 47 articles in Korean master and doctorate degree dissertations and academic journals. Meta-analysis of major satisfaction-related variables was conducted using Comprehensive Meta-Analysis (CMA) 2.0 program. The effect size of the related variables was analyzed by converting the statistic r value to Fisher's Z. Results: The overall average effect size of major satisfaction was the largest effect size (ES=.49), followed by cognitive factors (ES=.58), affective factors (ES=.45), and psychomotor factors (ES=.31). The cognitive factors were in the order nursing professionalism(ES=.70), nurse's image (ES=.65), and critical thinking disposition (ES=.36). The affective factors were self-esteem (ES=.59), emotional intelligence (ES=.55), career identity (ES=.49), self-efficacy (ES=.48), college adjustment (ES=.45), practice satisfaction (ES=.45), resilience (ES=.42), (ES=.40), grit (ES=.34), and stress (ES=.26). The psychomotor factors were clinical performance ability (ES=.38) and career search behavior (ES=.31). Conclusion: The results of this study are valuable when giving consideration to the variables related to nursing students' major satisfaction, for developing a strategic model to enhance the satisfaction of nursing students.

죽음준비교육의 효과성에 대한 메타분석

김신향,Kim, Sin Hayng 한국호스피스완화의료학회 2015 한국호스피스.완화의료학회지 Vol.18 No.3

목적: 본 연구의 목적은 죽음준비교육의 효과를 검증한 국내 연구의 결과를 메타분석하여 객관적인 자료를 제시하는 것이다. 방법: 2004년에서 2014년까지 발표된 석 박사학위논문과 학술지에 게재된 논문을 추출하여 최종 22편 연구물을 메타분석하였다. 결과: 죽음준비교육의 전체효과크기는 중간정도 강한 효과크기로 나타났다. 조절변인의 효과크기는 연구대상은 유아 아동이 가장 높았으며 연령이 어릴수록 효과크기가 높은 것으로 나타났다. 총회기는 10~16회, 주회기는 주 2회 이상, 1회기 활동시간은 60분 이하로 실시할 때 효과크기가 가장 높았다. 효과변인의 효과크기는 죽음관련변인군은 큰효과크기로 나타났으며 하위변인은 죽음태도가 가장 높은 효과크기에 해당되었다. 죽음관련이외의 변인군은 중간효과크기에 해당되었으며 하위변인은 자아통합감이 가장 높은 것으로 밝혀졌다. 결론: 본 연구는 국내 죽음준비교육 효과 검증한 선행연구를 메타분석을 통해 체계적으로 통합하였다는데 의의가 있으며 죽음준비교육 프로그램 설계를 위한 가이드라인을 제시하여 보다 효과적인 개입의 가능성을 높일 수 있는 근거기반에 의한 기초자료를 제시하였다. 이러한 결과를 바탕으로 유년기에서 노년기에 이르기까지 전 생애에서 죽음준비교육을 이들 대상별 특성에 맞는 특화된 죽음준비교육 프로그램 개발이 지속적으로 이루어져야 하며 이를 확대 실시되어야 할 것이다. Purpose: We comprehensively analyzed domestic studies on the effects of death preparation education in order to present objective data. Methods: Meta-analysis was conducted with a total of 22 master's and doctoral theses published between 2004 and 2014. Results: According to our analysis, the death preparation education had a mid-size effect. The effect size of a moderator variable was the greatest in infants and children, and the effect size was bigger in younger ages. The effect size was the greatest when education was given through a total of 10~15 sessions, twice a week, and less than 60 minutes per session. The effect variable and death-related variable showed a significant effect size, and sub-variables were equivalent to the death-related variable with a biggest effect size. Non-death related variables had a mid-level effect size and sub-variables were found to have the highest ego integrity. Conclusion: The significance of this study lies its systematic integration of advanced research on the effects of death preparation education through meta-analysis. By suggesting guidelines for the design of a death preparation education program, evidence-based basic data were proposed which will more likely strengthen intervention effects. Based on these results, more studies are needed to develop and extensively carry out a death preparation program which can meet needs of specific age groups from children to seniors.

간호사와 간호대학생이 지각하는 간호사에 대한 이미지: Q방법론 접근

김신향,박시현,권덕화 한국디지털정책학회 2019 디지털융복합연구 Vol.17 No.4

This study was conducted to determine the types of nurse’s image in nurses and nursing students by using Q-methodology. Total 40 Q-samples were extracted from Q-population consisted of the 385 statements, which were collected from 135 nurses with more than one year clinical experience in H city and 250 nursing students at H university. The Q-sample classification was conducted by 10 nurses and 40 nursing students, and data were analyzed by using PQ method program. As results, the types of nurse’s images were derived as ‘textbooked’, ‘realistic’ and ‘periodic.’ This study was meaningful in analyzing the types of nurse image from both nurses and nursing students. In order to improve the image of nurses, we propose not only to develop a systematic nursing curriculum but also to develop health and medical policies reflecting reality of care settings. 본 연구는 간호사와 간호대학생을 대상으로 간호사의 이미지에 대한 유형을 파악하기 위해 수행되었으며 Q방법론이 이용되었다. H시에 임상경력이 1년 이상 된 현직 간호사 135명, H대학교 간호학과 전체 학년 250명이 제시한 총 385개의 진술문으로 구성된 Q 모집단에서 40개의 Q 표본을 추출하였다. Q 표본의 분류는 현직 간호사 10명과 간호대학생 40명이 수행하였으며 PQ method Program을 이용하여 자료 분석을 하였다. 연구결과 간호사 이미지에 대한 인식 유형은 ‘교과서형’, ‘현실형’, ‘과도기형’으로 도출되었다. 본 연구결과는 현직 간호사와 간호대학생이 융합한 간호사 이미지 유형의 차이를 분석한 것에 의의가 있다. 간호사 이미지의 향상을 위해서 체계적인 교육과정 개발 뿐 만 아니라 의료 현장을 반영한 적극적인 보건의료정책 방안 마련을 제언한다.

죽음준비교육의 연구동향 분석

김신향,변성원,Kim, Sin-Hayng,Byun, Soung-Won 한국디지털정책학회 2014 디지털융복합연구 Vol.12 No.12

본 연구는 석박사 학위논문과 학술지논문의 죽음준비교육 124편 연구물에 대한 연구실태와 연구동향을 살펴보았다. 연구결과는 다음과 같다. 첫째, 연도별 경향은 1990년대에는 8편에 불과하였으며, 2005-2009년에 들어와 50편(40.3%)으로 매우 높은 연구 성장을 보였다. 출처에서는 석사 학위논문이 59편(47.6%) 가장 많은 비율을 차지하였다. 둘째, 연구 전공별 동향은 신학에서 가장 선두적으로 연구되었으며 사회복지학에서 29편(28.4%)으로 가장 많이 연구한 것으로 나타났다. 셋째, 연구대상별은 노인이 35편(40.5%)으로 가장 많이 연구되었다. 넷째, 연구방법별은 문헌연구가 61편(49.2%)로 가장 많았다. 다섯째, 죽음준비교육 중재프로그램은 실험집단-통제집단 사전 사후 설계로 총 회기는 5-8회기. 주회기는 주1회, 1회기 활동시간은 100-120분을 가장 선호하는 것으로 나타났다. 여섯째, 죽음준비교육 중재프로그램의 효과변인은 죽음불안이 23편(31.5%)으로 가장 많은 효과 검증이 되었다. This study analyzed the studies and their trends, specifically 124 master's and doctoral theses, as well as research papers on the topic of education on death published from 1990 to 2014. The study's findings are as follows. First, in terms of trends by year, there were only 8papers in the 1990s but this figure saw a dramatic jump from 2005 to 2009 to a total of 50papers(40.3%). The majority of them, 59papers in total, were master's theses(47.6%). Second, in terms of the study field, theological studies took the lead and studies on social welfare accounted for 29papers(28.4%) which was the largest share. Third, in terms of study subjects, senior citizens were used in the majority of papers or 35papers(40.7%) in total. Fourth, in terms of methodology, literature studies accounted for 61papers(49.2%) which was the largest share. Fifth, for mediation programs education on death, the preferred method of study was to have a before-after design using a control group and experiment group. The most common number of total sessions was 5-8sessions with one session per week and each session lasting for about 100-120minutes. Sixth, as for the effect variable of mediation programs for education on death, death anxiety was the most frequently studied variable at 23 papers(31.5%).

간호사의 감정노동과 관련된 변인의 메타분석

김신향,함연숙 한국간호과학회 간호행정학회 2015 간호행정학회지 Vol.21 No.3

Purpose: The study was done to verify the effect size of the variables related to the emotional labor of nurses. Methods: A total of 47 article on variables related to the emotional labor of nurses and published from 2006 to 2014 were used for the meta-analysis. Results: Variables with the largest effect size related to emotional labor were identified as the variables of work task, organization and individual characteristics in descending order of effect size. The sub-factors with the greatest effect size in the work task variable were exhaustion and work commitment, while for organization variables, intention to change jobs had the largest effect size. For individual characteristics, physical symptoms had the largest effect size. Conclusion: The results of this study are meaningful as the first study to integrate research results on variables related to the emotional labor of Korean nurses, providing practical data for the management of emotional labor. Purpose: 본 연구는 간호사의 감정노동과 관련된 변인의 효과크기 확인하는 것이다. Methods: 2006년에서 2014년까지의 석박사학위. 학술지 논문에서 간호사 감정노동과 관련된 변인을 연구 한 총 47편을 메타분석 실시하였다. Results: 감정노동과 관련된 변인군의 효과크기는 직무변인군, 조직변인군, 개인특성변인군 순으로 나타났다. 직무변인군의 하위변인은 직무소진, 직무몰입, 조직변인군은 이직의도, 개인특성변인군은 신체화증상 등이 큰 효과크기로 나타났다. Conclusion: 본 연구는 국내 간호사 감정노동과 관련된 변인에 대한 연구결과를 통합한 첫 연구라는데 의의가 있으며 감정노동을 관리를 위한 근거기반에 의한 실질적인 자료를 제시하였다.

先天梅毒患兒에 對한 臨床樣相

金信香,李鍾榮,金斗熙 慶北大學校 醫科大學 1983 慶北醫大誌 Vol.24 No.1

先天梅毒에 대한 여러 가지 臨床的 觀察을 함과 동시에 그 母의 梅毒感染과의 關聯性을 알기 위하여 啓明大學校 東山醫療院에 1972年 1月부터 1982年 4月까지 사이에 入院한 先梅毒患兒 111名을 對象으로 病歷紙를 통한 後向性調査를 한 結果는 다음과 같다. 過去 10餘年 동안의 先天梅毒患兒數는 1970年代 後半에 많았으며 男兒가 女兒보다 약 1.5倍 많았고 入院時의 年齡分布는 生後 24時間이하 群이 18.9% 4週이상 群이 38.8% 等으로 年齡이 增加될수록 많은 것으로 나타났다. 年齡이 增加할수록 臨床症狀을 가지는 頻度도 높으며(p〈0.005), 臨床症狀別 頻度順은 皮膚症狀이 52.8%로 제일 높았고, 그 다음 症狀들은 20∼30%의 分布를 나타내었다. Hb 値는 生後 1∼2日群과 4週에서 3個月 사이 群에서 가장 낮았으며 (p〈0.005), 3∼7日群에서도 낮았다(p〈0.05). 末梢血液의 白血球數는 10,000내지 20,000/㎣ 사이가 55.0%였고 30,000/㎣ 이상은 3.7%에 불과했다. X-線所見은 調査된 39例 중에서 64.1%가 正常所見을 보였고 骨膜反應은 30.7%에서 觀察되었다. 同伴疾患이나 合倂症을 가진 例는 23(20.7%)例였고 이중에는 肺炎이 13例로 제일 많았다. 母子間의 VDRL値 의 相關關係에서는 母의 VDRL値가 增加할수록 子의 VDRL 値도 增加하는 것으로 나타났다(r=0.612, p〈0.05). 治療結果에서는 87.6%가 좋아진 것으로 나타났으나 死亡한 例도 6.7%나 되었다. 先天梅毒의 出産順位는 특히 첫아이가 가장 많았고, 둘째 이후에서는 頻度가 급격히 減少하였다. 이상의 결과로 보아 早期發見된 患兒일수록 治療結果 好轉率이 높으며 現症樣相이 多樣化된 것 같으므로 患兒 診斷時에 상당한 注意가 요구되고 있다. ??筆에 앞서 本 論文을 作成할 수 있도록 協助와 ????해주신 啓明大 東山醫療員 小兒科 姜眞無 敎授님에게 감사드립니다. This paper reveals some clinical features of congenital syphilis and correlation between mother's and her baby's VDRL-titer. The 111 cases who were diagnosed as congenital syphilis and admitted at Keimyung University Hospital during past ten years from Janury 1972 to April 1982, were surveyed retrospectively by medical chart review. The results obtained are as follows: Number of cases in late 1970's were more than in early 1970's. Sixty-eight cases(61.2%) were male. Of studied 111 cases, 21 cases were under 24 hours after birth, 22 cases under 1 week, 25 cases under 4 weeks and 43 cases were over 4 weeks. As age was increased, cases with symptoms were increased (p<0.005). The frequency of clinical manifestations was skin lesion(52.8%), jaundice(28.2%), abdominal distension(26.9%), hepatomegaly(23.1%), nasal stuffness and rhinitis(23.1%), fever(21.8%), diarrhea or vomiting(20.5%), splenomegaly(17.9%) and so on in order. Each Hb levels was significantly low in groups from 1 to 2 days after birth, from 4 weeks to 3 months (p<0.005), and from 3 to 7 days (p<0.05). The evidence of mild leukocytosis ranging from 10,000 to 20,000/mm showed in 55.0%. Roentgenographic changes were dectected in 35.9% among 39 cases checked in charts. As mother's VDRL titer increased, her baby's titer increased (r=0.612, p<0.05). Twenty-three cases(20.7%) suffered combined diseases and/or complications and 13 cases of them had pneumonia. After treatment, 87.6% were improved or recorved. In birth order, first babies were most common as 53.1%. We suspect that physicians may become unfamiliar with varied clinical manifestions of congenital syphilis and it is helpful to reveal its changed features in diagnostic problem.