원발성 안구내 림프종의 임상 양상과 진단 및 치료

서민희,유형곤-,Min Hee Suh,Hyeong Gon Yu- 대한안과학회 2009 대한안과학회지 Vol.50 No.1

Purpose: To investigate the clinical features and prognosis of primary intraocular lymphoma (PIOL). Methods: A retrospective review of medical records was performed in 9 patients who were diagnosed and treated as PIOL in the Department of Ophthalmology, Seoul National University Hospital. Results: Among patients who were enrolled in the study, 14 eyes were examined. Thirteen eyes (92.9%) showed yellowish subretinal or choroidal infiltrates which is a characteristic finding of PIOL in fundus examination and fluorescein angiography. Three patients presented with ocular symptoms initially, and 5 patients later presented with central nerve system (CNS) involvement. Only 1 patient showed PIOL without CNS involvement. Among 6 patients (9 eyes) that received systemic chemotherapy or ocular irradiation, 5 patients (7 eyes, 77.8%) responded. Among those patients, 3 patients (4 eyes) showed relapse of PIOL. Five patients died during the mean follow-up period of 43.3 months, and the median survival time was 47 months. Conclusions: The most common characteristic fundus finding of PIOL is subretinal or choroidal infiltration. Ocular irradiation combined with systemic chemotherapy is the first method of treatment, although long-term prognosis is poor.

근무형태별 간호사의 스트레스와 불안 조사: 타액 코티솔과 자가보고 척도를 이용한 탐색적 연구

서민희,Suh, Minhee 한국기초간호학회 2017 Journal of korean biological nursing science Vol.19 No.3

Purpose: The purpose of the study was to compare salivary cortisol levels, self-reported occupational stress, and anxiety before duty to those after duty in the shift and regular work nurses, and the relationships among them. Methods: Thirty nurses working in a tertiary hospital participated in the study. Salivary specimens were collected before and after daytime duty for 2 days. The occupational stress and state anxiety were also evaluated using self-report questionnaires. Results: The average level of salivary cortisol was $0.40{\mu}g/dL$ before duty and $0.20{\mu}g/dL$ after duty in Korean nurses. Overall levels of salivary cortisol, self-reported occupational stress, and anxiety were higher in shift working nurses than regular working nurses. In shift working nurses, the salivary cortisol gap between before and after duty was attenuated on the first day of daytime duty. Significant positive correlation was found between the level of cortisol before duty and anxiety after duty. Conclusion: Strategies to alleviate occupational stress and anxiety are needed for shift working nurses, especially for those with elevated levels of cortisol. It seems to require 3days to recover from attenuated cortisol rhythm during nighttime duty in shift working nurses.

대학생의 성별, 스트레스, 불안 및 우울 정도에 따른 심박변이도 차이: Neurovisceral integration model에 기반하여

서민희(Suh Min Hee) 한국기초간호학회 2021 Journal of korean biological nursing science Vol.23 No.1

Purpose: This descriptive study aimed to investigate heart rate variability (HRV) according to sex and to elucidate the influence of negative emotion such as levels of stress, anxiety and depression on HRV among Korean college students based on a neurovisceral integration model. Methods: A descriptive study design was used. Eighty-six healthy college students participated in the study. Resting HRV and standing HRV on orthostatic stimulation were measured for 5 minutes during 4-6 p.m. in the afternoon. Levels of stress, anxiety and depression were assessed using the Global assessment of recent stress, State-Trait Anxiety Inventory and Beck Depression Index, respectively. Results: Out of the 86 students, 47 (54.7%) were men and 39 (45.3%) were women. Root mean square of the differences between adjacent RR intervals (RMSSD) and normalized high frequency (nHF) on standing HRV were significantly lower in men than in women (p=.005, p=.019, respectively). Male gender (β=0.30, p=.013), higher level of stress (β=-0.36, p=.009) and lower level of depression (β=0.30, p=.044) exerted a significant influence on decreased nHF in the multiple regression analysis. Conclusion: We suggest that men are more vulnerable to having reduced vagal activity on HRV than women. Since male gender, higher level of stress and lower level of depression level influenced decreased vagal activity, strategies are needed to improve stress and depression rather than anxiety especially for men, which contribute to promoting HRV to prevent cardiac health diseases.

요양병원에 입원한 경도 인지장애 노인의 자율신경 기능, 타액 코티졸과 신체활동 정도가 인지기능에 미치는 영향: Neurovisceral Integration Model 기반

서민희(Suh, Minhee) 한국간호과학회 2021 Journal of Korean Academy of Nursing Vol.51 No.3

Purpose: This study aimed to investigate objectively measured physical activity (PA) in institutionalized older adults with mild cognitive impairment (MCI) and to elucidate the influence of autonomic nervous function, salivary cortisol, and PA on cognitive functions based on neurovisceral integration model. Methods: Overall cognitive function was evaluated using the mini-mental state examination (MMSE) and executive function was evaluated using semantic verbal fluency test and clock drawing test. Actigraph for PA, HRV and sAA for autonomous function, and the geriatric depression scale for depression were used. Saliva specimens were collected in the morning for sAA and cortisol. Results: Ninety-eight older adults from four regional geriatric hospitals participated in the study. They took 4,499 steps per day on average. They spent 753.93 minutes and 23.12 minutes on average in sedentary and moderate-to-vigorous activity, respectively. In the multiple regression analysis, lower salivary cortisol level (β = - .33, p = .041) and greater step counts (β = .37, p = .029) significantly improved MMSE score. Greater step count (β = .27, p = .016) also exerted a significant influence on verbal fluency, and greater sAA (β = .35, p = .026) was significantly associated with a better clock drawing test result. Conclusion: Salivary cortisol, sAA and physical activity were significantly associated with cognitive functions. To prevent older adults from developing dementia, strategies are needed to increase their overall PA amount by decreasing sedentary time and to decrease salivary cortisol for cognitive function, and to maintain their sympathetic nervous activity for executive function.

웹 기반 학습자의 메타인지수준별 학습활동분석

이선옥(Lee Sun-Ock),서민희(Minhee Suh) 한국간호교육학회 2012 한국간호교육학회지 Vol.18 No.2

Purpose: Level of meta-cognition of students has been regarded as one of the crucial factors on web-based learning. This study aimed to describe interaction type in small group discussion of the nursing graduate students and to investigate learning consequences and interaction types in group discussion on meta-cognition level. Method: Twenty six graduate nursing students attending the class on-line at the K university in Seoul were included in the study. We measured their meta-cognition level and learning attitude. We also scored their individual and group reports as well as analyzed interaction type by reviewing the dialogue of the group discussion. Results: The participants showed low frequency of exploratory interaction and high frequency of integrative interaction in the cognitive interaction category. They showed frequent modification interaction in the meta-cognitive interaction category. Interestingly, the students with lower level of meta-cognition achieved significantly greater scores in the individual assignments. High functioning group consisting of the students with high meta-cognitive level produced greater group report. Conclusion: A new strategy is needed to encourage in-depth interaction in a group discussion of nursing students. Meta-cognitive level of the students should be consideredto form a small group for discussion in order to improve group activities.

일 지역 중국인 유학생의 영양소 섭취 상태, 체질량지수와 우울의 관계

진정(Chen, Jing),서민희(Suh, Minhee) 한국기초간호학회 2020 Journal of korean biological nursing science Vol.22 No.2

Purpose: The purpose of this study was to investigate nutritional intake, body mass index (BMI) and depression, and to elucidate depression in relation to nutritional intake and BMI among Chinese college students studying in South Korea. Methods: A descriptive study design was adopted. Data were collected from 170 Chinese college students in South Korea June-August, 2019. In this study, 24-hour dietary records were obtained and BMI was measured. Nutrient intakes were calculated from the dietary records using the CAN-PRO software. Depression was assessed using the Center for Epidemiological Studies Depression Scale (CES-D). Results: Of 170 participants, 19 (11.2%) were underweight and 42 (24.7%) were overweight. Female, single, and non-smoking participants were underweight. There were 97 (57.1%) participants experiencing depression, and 99 (58.2%) consuming lower protein than the recommended nutrient intake resulting in insufficient nutrients. The intake of vitamin A, vitamin C, vitamin D, pantothenic acid, calcium, iron, and selenium was much lower than the standard. Depressive participants were significantly greater among the underweight participants and those consuming insufficient nutrients in terms of protein, pantothenic acid, and selenium. Conclusion: An intervention program is required to improve nutritional status, which should be a part of the strategies to manage depression for Chinese college students in South Korea.

웹 기반 원격교육에서 온라인 협력학습전략이 간호학전공 학습자의 소집단 상호작용 유형, 학습결과 및 학습태도에 미치는 효과

이선옥(Lee, Sun-Ock),서민희(Suh, Minhee) 한국간호교육학회 2014 한국간호교육학회지 Vol.20 No.4

Purpose: This study investigates patterns of small group interaction and examines the influence among graduate nursing students of online collaborative learning strategies on small group interaction patterns, task performance and learning attitude in web-based team learning environments. Method: To analyze patterns of small group interaction, group discussion dialogues were reviewed by two instructors. Groups were divided into two categories depending on the type of feedback given (passive or active). For task performance, evaluation of learning processes and numbers of postings were examined. Learning attitude toward group study and coursework were measured via scales. Results: Explorative interactions were still low among graduate nursing students. Among the students given active feedback, considerable individual variability in interaction frequency was revealed and some students did not show any specific type of interaction pattern. Whether given active or passive feedback, groups exhibited no significant differences in terms of task performance and learning attitude. Also, frequent group interaction was significantly related to greater task performance. Conclusion: Active feedback strategies should be modified to improve task performance and learning attitude among graduate nursing students.

입원 환자 낙상관리 실무지침 개발: 실무지침 수용개작 방법론 적용

조인숙(Cho, Insook),박경희(Park, Kyung Hee),서민희(Suh, Minhee),김은만(Kim, Eun Man) 기본간호학회 2020 기본간호학회지 Vol.27 No.1

Purpose: Despite research efforts, current fall rates are still higher than expected. To approach this problem, we developed guidelines on preventing falls in hospitals. Methods: Four guidelines were selected by the K-AGREE II process. Recommendations from each guideline were retrieved and evaluated based on the quality of evidence and the strength of the recommendations. Recommendations followed the grading system of the Korean Hospital Nurses Association’s Guideline Adaptation Manual. In the external review, 13 practice nurses from 5 hospitals and 13 panel experts including doctors, nursing managers, and pharmacists participated. Results: The final guideline consisted of 5 sections and 341 recommendations. The first two sections were composed of recommendations for institutional readiness for change process and management, and Section 3 was divided into assessment of risk factors, preventive intervention and post-fall management. The summary of falls risk factors included seven components. Multifaceted interventions were modeled into six strategies. The final sections consisted of recommendations for implementing fall improvement programs and for sustaining effective prevention programs. Conclusion: Given that falls result from various combinations of risk factors, the present guideline contains multifaceted assessments and interventions including risk-targeted strategy. This guideline will contribute to decreasing fall rates in hospitals by stimulating compliance with evidence-based practice.

대학원생의 자기효능감, 스트레스, 폭력 경험, 경제적 환경, 관계갈등, 건강행위가 우울에 미치는 영향

김다혜(Kim, Da Hye),함옥경(Ham, Ok Kyung),서민희(Suh, Min Hee),박시현(Park, Sihyun) 한국보건간호학회 2021 韓國保健看護學會誌 Vol.35 No.1

폐경여성에서 녹내장 발생과 혈중 에스트라디올 농도와의 관계

전균호 ( Gyun Ho Jeon ),조현진 ( Hyun Jin Cho ),전성욱 ( Sung Wook Chun ),지용일 ( Yong Il Ji ),정철회 ( Chul Hoi Jeong ),서민희 ( Min Hee Suh ),이주은 ( Joo Eun Lee ) 대한폐경학회 2013 대한폐경학회지 Vol.19 No.2

연구목적: 폐경여성에서 녹내장 발생과 혈중 에스트라디올 (estradiol, E2)농도와의 관련성을 알아보고자 하였다. 연구재료 및 방법: 산부인과 외래를 방문한 30명의 폐경여성을 대상으로 혈중 E2 농도, 폐경 관련 임상 지표, 안압, 빛 간섭 단층촬영 등의 녹내장 관련 임상 지표를 측정하였다. 안과적 선별 검사 결과에 따라 녹내장 의심 군으로 분류되면 정밀검사를 시행하여 녹내장 여부를 확진 하였다. 모든 환자들을 녹내장 의심 군과 녹내장 비의심군으로 분류한 후 두 군 사이의 혈중 E2 농도 및 지질 농도, 골밀도 등의 폐경 관련 임상 지표들을 비교 분석하였다. 결과: 전체 30명 중 녹내장 의심군으로 분류된 환자가 8명 (26.7%)였으며, 이중 1명이 치료가 필요한 녹내장, 2명이 초기 녹내장으로 진단되었다. 녹내장 의심 군과 비교하여 녹내장 비의심군에서 혈중 E2 농도가 더 높은 것으로 측정되었지만, 통계적인 유의성은 없었다 (19.40 ± 4.79 vs. 13.95 ± 4.55 pg/mL, P = 0.525). 혈중 E2 농도가 높은 군 (≥ 20 pg/mL)과 낮은 군 (< 20 pg/mL) 사이의 녹내장 의심자의 빈도 또한 유의한 차이가 없었고 (25.0 vs. 27.3%, P = 0.645), 녹내장 의심 군과 비의심군간의 다중 로지스틱 회귀분석을 시행한 결과에서도 녹내장 의심 군과의 유의한 연관성이 있는 지표는 역시 없었다. 결론: 폐경여성에서 빛 간섭 단층 촬영과 같은 정밀 선별검사를 시행한 결과 일반적으로 알려진 비슷한 연령대의 녹내장 유병 율보다 높은 빈도에서 녹내장 환자를 발견할 수 있었다. 혈중 E2 농도와 안압 및 녹내장 발생 위험간의 통계적 유의성은 확인할 수 없었다. Objectives: To investigate the occurrence of glaucoma and association with the serum estradiol (E2) level in postmenopausal women. Methods: We evaluated the serum E2 level, female reproductive factors and glaucoma related risk factors including intraocular pressure and optical coherence tomography (OCT) findings in 30 postmenopausal women who visited Obstetrics and Gynecology outpatient clinic. Patients who showed abnormal findings on the glaucoma screening test were classified to the glaucoma suspect group (group-G), and underwent a glaucoma confirmatory test. Serum E2 level, female reproductive and other menopausal health-related factors such as lipid profiles and bone mineral densities were analyzed in the group-G and non glaucomatous group (group-N). Results: Eight out of thirty participants (26.7%) were classified to the group-G. One of them was diagnosed as having glaucoma that required treatment, and the other two were found to have early glaucomatous changes. Compared to the group-G, the group-N had a higher level of serum E2 (19.40 ± 4.79 vs. 13.95 ± 4.55 pg/mL) The difference, however, was not statistically significant (P = 0.525). The proportion of glaucoma suspect patients in the groups with a higher serum E2 level (≥ 20 pg/mL) and a lower serum E2 level (< 20 pg/mL) was similar (25.0 and 27.3%, P = 0.645). Multiple logistic regression analysis showed that no female reproductive factors were associated with the risk of glaucoma. Conclusion: Comprehensive glaucoma screening using an OCT in postmenopausal women could detect more glaucoma patients than prevalence in the similar age group. Statistical significance was not found in the association between serum E2 level and the risk of glaucoma. (J Korean Soc Menopause 2013; 19:106-111)