대상자 중심의 만성질환 자가관리 프로그램

송연이(Yeon Yi Song),이강숙(Kang-Sook Lee),조현영(Hyun-Young Cho),이빛나(Binna Lee) 한국보건교육건강증진학회 2014 보건교육건강증진학회지 Vol.31 No.4

방문간호를 통한 일상생활동작 수행능력 개선에 대한 사례보고 : 오마하시스템을 활용하여

송연이(Song, Yeon Yi),박은진(Park, Eun Jin) 한국농촌간호학회 2020 한국농촌간호학회지 Vol.15 No.2

Purpose: This study was done to report nursing case for ADL improvement of elders who have CVA(Cerebrovascular Accident) sequelae. Methods: The client had registered in the C visiting nursing center after being decided a long-term care Grade 2. Data were collected through consultation logs for recipients, Activities of Daily Living (ADL) records, fall risk assessment (Huhn) sheets, decubitus ulcer risk assessment (Braden Scale) sheets, cognition assessment (K-MMSE) sheets, long-term care benefit provision records, and interviews with visiting nurse. Data were collected and analyzed according to the Omaha System problem classification. The intervention scheme and the problem rating scale for performance were applied to present the case for home-visit nursing. Results: The client registered in August, 2018, was provided home-visit nursing care once a week as of September 2020. ADL, cognitive levels and decubitus ulcer risks were found to have improved. Conclusion: This case report presents the value of classifying nursing problems and checking nursing intervention provided to patients with problems of ADL. The presentation of home-visit nursing cases applying a standardized nursing problem classification scheme for clients with various problems showed that a high quality level of care is guaranteed and evidence-based nursing can be provided by visiting nurses.

여고생을 대상으로 한 개별화 금연 프로그램의 효과

송연이(Yeon-Yi Song),이강숙(Kang-Sook Lee) 한국보건교육건강증진학회 2006 보건교육건강증진학회지 Vol.23 No.2

직무 스트레스를 경험한 저경력 초등교사의 회복탄력성을 위한 미술치료 질적 사례 연구

송연아(Yeona SONG),한경아(Kyeonga HAN) 한국조형교육학회 2023 造形敎育 Vol.- No.85

본 연구의 목적은 직무 스트레스를 경험한 저경력 초등교사의 회복탄력성을 위한 미술치료에서 어떤 경험을 하고 그 경험의 의미가 무엇인지 고찰하는 데 있다. 이를 위해 5년 차 저경력 초등교사를 연구 참여자로 선정하여, 2022년 7월 7일부터 9월 29일까지 주 1회, 90분씩 총 12회기를 실시하였다. 이 과정에서 수집된 자료는 질적 분석을 통해 6개의 상위주제와 17개의 하위주제가 도출되었다. 이를 바탕으로 나타난 결론은 다음과 같다. 첫째, 참여자는 미술치료를 통해 미해결된 스트레스 감정을 해소하여 그 시절 자기 모습을 수용하고 심리적 안정감을 회복하였다. 둘째, 참여자는 연구자와 원만한 관계를 형성하여 타인에 대한 올바른 신뢰감을 회복해 실제 학교 구성원과의 관계에 긍정적인 변화를 경험했다. 마지막으로 참여자는 건강한 자아를 회복해 내재된 강점을 발견하고, 교사로서 소명의식을 회복하여 미래의 긍정적인 자기 모습을 구축하였다. This study aimed to observe the experiences of an early-career elementary school teacher who had experienced work stress during an art therapy program for resilience and their implications. The study participant is a low-career elementary school teacher with five years of experience. The case study involved a total of 12 art therapy sessions, once a week for 90 minutes, from July 7, 2022 to September 29. Data analysis yielded a total of six upper topics and 17 sub-topics. The results of this study show as follows. First, the participant resolved unresolved stress feelings through art therapy to accept their appearance at that time and restore psychological stability. Second, the participant experienced positive changes in their relationship with actual school members by forming a smooth relationship with the researcher and restoring the right trust in others. Finally, the participant recovered her healthy ego to discover the inherent advantages, and restored a sense of calling and they could build a positive self in the future as a teacher.

라마1세의 즉위배경(卽位背景)

송연서 ( Song In-seo ) 한국태국학회 1990 한국태국학회논총 Vol.3 No.-

Background of the Accession of Rama I in Thailand Song In-seo Chinese sources usually state that Rama I ascended to the throne illegally. But we should justify the conclusion that the first sovereign of the Chakri dynasty ascended to the vacant throne of Thailand in a legitimate way. Not one case of disloyalty is known to us during the fifteen-year period when Rama I served as officcer under Taksin. Moreover, the fact has been clearly established that the fall of Taksin was not brought about by Rama ‘. This is of decisive importance in this discussion. The question whether Rama I welcomed the fall of Taksin either for personal or political reasons and if so, to what extent, is beyond the scope of historical investigation and is of a purely speculative nature. Today, from our perspective, their still remains the very theoretical question whether Rama I, upon his arrival in Thonburi, had an obligation to restore the statas quo, that is to say, to work for the restitution of Taksin. The question of the succession to the throne of one of the sons of Taksin maybe answered from the same viewpoint.

인플루엔자 관련 뇌증 1례

송연이,최창환,최종운,김세영,김현수,김열,임동진,Song, Yeoni,Choi, Chang Hwan,Choi, Jong Woon,Kim, Se Young,Kim, Hyun Soo,Kim, Yeol,Im, Dong Jin 대한소아청소년과학회 2003 Clinical and Experimental Pediatrics (CEP) Vol.46 No.10

Influenza-associated encephalopathy is regarded as one of the major neurologic disease entities along with those of Reye syndrome, acute necrotizing encephalopathy, and myelitis which are known to be related to influenza virus, mostly type A. And it is being actively researched in Japan as it has caused a tremendous increase in the number of deaths from 1997 to 2002, but it has not been yet reported in the Korean pediatric medical community. It attacks those previously healthy children, who have not been vaccinated. Patients start with such symptoms as fever and common respiratory problems, but within 24 to 48 hours they suffer from seizures with acute mental deterioration, become worse, and suffer multiple organ failures including marked elevated transaminase levels as well as coagulopathy. It induces deaths in a couple of days after the symptoms appear or remains a serious neurologic sequelae. Confirmative diagnosis is used to demonstrate influenza viral infection. We report here a 37 month aged boy who was admitted to our hospital during the last influenza season under the diagnosis of influenza associated encephalopathy on the basis of serologic testing by hemagglutinin inhibition(HI). This is the first report confirmed by increased antibody titer of the influenza A virus in Korea. 저자들은 인플루엔자 유행시기에, 생후 3년 1개월 환아에서 갑작스런 고열을 동반한 경련 발작과 의식소실을 주소로, 6일간 입원 치료에도 불구하고 급격한 급성 뇌증의 악화와 간기능수치 증가 및 신장기능 부전, 범발성 혈관내 응고증으로 사망한 남아에서 인플루엔자 바이러스 항체 검사상 A/H1N1에 대한 HI titer가 초 회 항체 역가의 4배 이상 증가됨을 관찰하여 국내에는 보고된 예가 없는 급성 인플루엔자 뇌증으로 진단한 1례를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

간호대학생의 지역사회간호학실습경험

진영란,송연이,김영미,Chin, Young Ran,Song, Yeon Yi,Kim, Young Mi 한국농촌간호학회 2018 한국농촌간호학회지 Vol.13 No.2

Purpose: In this study undergraduate nursing students' experiences of learning in community health nursing clinical placements was explored on order to develop a more effective practice teaching method. Methods: Focus group interviews (FGI) were held with 11 nursing students in junior or senior year. The interviews were audio-taped semi-structured interviews and were analyzed using content analysis. Results: Nursing students felt that the education system for practice was incomplete in considering the nursing that was needed for their on-site practice. Also they were aware of the totality of the community and voluntarily tried to provide for the expansion of knowledge. Conclusion: Findings indicate a need to establish a cooperative plan between nursing schools and practice agencies and collaborative development in the community health nursing practice guidelines.

아산 신항리 큰새말 (윤보선 전 대통령 생가마을) 건축특성 조사연구

이왕기,강인구,문태모,송연아,Lee, Wang-Kee,Kang, In-Gu,Moon, Tae-Mo,Song, Yeon-Ah 한국건축역사학회 2010 건축역사연구 Vol.19 No.2

Keunsemal, Sinhang-ri, Dunpo-myeon Asan-si,Chungcheongnam-do is where the former President of Korea, Yun, Bosun was born. The houses of Yun, Il-Sun, Yun, Je-Hyung, Yun, Seung-Gu, and where the former President Yun was born are designated as cultural assets by the Korean government. The three houses of the Yuns are located in the center of the village and the size is much different from regular houses since they were created as large scale house of nobilities during the Chosun Dynasty. Along with the three Yun houses and other houses in the village show a great history and tradition of the history and modern times. Unlike other traditional village arrangement, this village was created during the end of Chosun Dynasty and extended into the modern times. From the village, you can see the changes in architecture within the 200 years from traditional Korean-style houses to modern houses. This investigation is a research / analysis of the architectural characteristics of Keunsemal, Sinhang-ri, Asan-si. People can observe changes in the different types of architectural forms of houses based on the history of Korea and time periods. Within the village, there are large scale house of nobilities which were built during the late Chosun Dynasty, common people's houses, farmhouses which were built during the modern times, common people's houses during the industrialization period, and modern houses with backyards. The village of Keunsemal, Sinhang-ri, Asan-si is a very special cultural asset for Korea because the houses in the village show a clear architectural process of change in styles of houses for Korean history.

전완 부위 혈당검사의 정확도 분석

박경순(Park, Kyung-Soon),송연이(Song, Yeon-Yi),박미숙(Park, Mi-Sook),김경옥(Kim, Kyoung-Oak),최성수(Choi, Seong-Su),김경아(Kim, Kyung-Ah),류재덕(Ryu, Jae-Duck),차은종(Cha, Eun-Jong) 한국산학기술학회 2009 한국산학기술학회논문지 Vol.10 No.9

통증이 거의 없는 새로운 모세혈액 채혈기법인 진공자동채혈법(vacuum assisted auto-lancing)의 정확도를 분 석하고자 전형적인 대체부위인 전완(팔) 부위에서 채혈하여 측정한 혈당값을 표준 채혈부위인 정맥 및 손가락에서 채 혈하여 측정한 혈당값과 비교, 분석하는 연구를 수행하였다. C대학교병원을 내원한 531명의 환자들을 대상으로 왼손 집게손가락 끝과 왼쪽 전완 부위에서 말초혈액의 혈당을 측정하였고, 곧바로 정맥 채혈하여 혈당을 측정하였다. 전완 부위 혈당 평균값이 손가락보다 정맥 혈당값에 더욱 가까웠으나 이들 간의 차이는 약 10 mg/dL 범위에 불과하여 임 상적으로는 동일한 값들로 볼 수 있었다. 측정값들 간에 상관분석을 수행한 결과 손가락과 정맥 채혈의 혈당값 간의 상관계수는 0.94, 전완 부위와 정맥 혈당값 간의 상관계수는 0.92, 또한 전완 부위와 손가락 채혈 간의 상관계수는 0.94로 모두 매우 유의한 상관관계를 보였다(p<0.001). 따라서 대체부위인 전완 부위 혈당검사의 정확도가 실험적으로 입증되었다. 손가락 혈당검사는 상당한 채혈 통증이 수반되어 당뇨 환자들이 자가 검사를 기피하는 주요 원인이 되지 만, 전완 부위에서 진공자동채혈하면 통증이 거의 없으므로 만성 당뇨환자들의 자가 질환관리를 위해 매우 유용하리 라 기대된다. The present study aimed to evaluate the accuracy of the blood glucose test with almost painless vacuum assisted auto-lancing technique. The blood glucose concentration measurements in the capillary blood sampled from the alternative (forearm) site were compared with the standard venous or finger sampling techniques. Capillary blood was sampled from both the left index finger and the forearm, followed by the venous blood sampling in 531 patients who visited the C University Hospital. Blood sugar test was performed for each blood samples for comparative analysis. Mean blood glucose concentration measured on the forearm was closer to the venous glucose level than that of the finger, but the difference was approximately 10 mg/dL small enough to ignore from the clinical point of view. The correlation coefficients of the measured blood glucose levels between finger and vein and between forearm and vein were 0.94 and 0.92, respectively (p<0.001). The blood glucose measurement on the forearm also well correlated with the finger, showing a correlation coefficient of 0.94, and both data were very much close to each other. Therefore, the blood sugar test on the alternative capillary blood sampling site such as forearm was accurate enough for clinical practice. The vacuum assisted auto-lancing technique on the alternative site would be of particular interest for the disease management of the chronic diabetes, since it induces almost no pain when sampling blood from the capillaries.

만성 B형 간염 환자에서 장기간의 Adefovir와 Tenofovir를 사용한 후 발생한 판코니증후군

이현우 ( Hyun Woo Lee ),이준성 ( June Sung Lee ),오세원 ( Se Won Oh ),정주혁 ( Joo Hyuk Jung ),박민용 ( Min Yong Park ),김경아 ( Kyung-ah Kim ),송연한 ( Yeon Han Song ) 대한내과학회 2016 대한내과학회지 Vol.91 No.2

Adefovir dipivoxil (ADV) and tenofovir disoproxil fumarate (TDF) are nucleotide analogues used to treat chronic hepatitis B (CHB) infection. Nephrotoxicity associated with the use of these medications causes Fanconi syndrome, a rare condition involving generalized dysfunction of the proximal renal tubule causing impaired reabsorption of glucose, uric acid, and phosphate. Fanconi syndrome has been previously reported in patients with human immunodeficiency virus (HIV) or HIV-CHB coinfection treated with other antiretroviral therapies. However, it is rarely reported in patients with CHB monoinfection. We observed a case of Fanconi syndrome in a 61-year-old woman with CHB monoinfection and a history of long-term ADV therapy (42 months), followed by TDF treatment for 9 months. She presented with ankle pain and a tingling sensation in both lower extremities. Laboratory tests revealed hypokalemia, hypocalcemia, hypophosphatemia, hypouricemia, proteinuria, and glycosuria. This case illustrates the importance of recognizing Fanconi syndrome associated with nucleotide analogue treatment and the need to carefully observe symptoms and monitor renal function in these patients. (Korean J Med 2016;91:174-178)