암환자 가족 중 주간호제공자의 적응모형구축

신계영 대한종양간호학회 2002 Asian Oncology Nursing Vol.2 No.1

기업의 규모에 따른 제3자 물류업체 선정 기준의 차이

신계영,조성구 동국대학교 산업기술연구원 2001 산업기술논문집 Vol.12 No.2

Recently, the research on SCM system is gradually focused on its cost-effectiveness and the third-party logistics is considered as one of the possible ways to solve this problem. The present study reviews, firstly, the users' selection criteria of third-party logistics that have to take into account when they want to choose a service provider. Based on these reviewed criteria, it is then analysed how the importance of each selection criterion changes according to user company's scale. To examine the reason the importance of each selection criterion changes this study considers three parameters related to users' logistics department: logistics outsourcing section, the ways of computing user's logistics cost, third-party logistics buying process. Secondly, the user's selection criteria are compared to the service providers' marketing strategy to find those aspects in the latter which need an improvement. As a result, this study suggests some useful guidelines for both the potential users and the existing service providers.

자기효능 정보자원 프로그램이 관상동맥 질환 환자의 지각된 자기효능감과 자가간호행위에 미치는 효과

신계영,김매자 한국성인간호학회 2002 성인간호학회지 Vol.14 No.1

일부 대학생의 암 발생요인에 대한 지각과 암 관련 건강행위

신계영,주미경 대한종양간호학회 2010 Asian Oncology Nursing Vol.10 No.2

Purpose: The purpose of this study was to survey the college students’ perception of cancer risks, cancer related health behavior, and perception of cancer occurrence possibility before and after age 40. Methods: The subjects were 771 college students who were conveniently selected from two colleges in the Gyeonggi Province. Data were analyzed using SPSS WIN 12.0. Results: The mean score of cancer risk perception was 3.8. The highest score item was ‘smoking may cause cancer’. The mean score of cancer related health behavior was 3.0. The highest score item was ‘take bath or shower’. Student felt that possibility of developing cancer before age 40 was 20.1% and that after age 40 was 36.2%. The perception of cancer risks was significantly different between male and female, and the health behavior was significantly different between age groups. There were weak relationships between the perception of cancer risks and cancer related health behavior. Conclusion: College students’ perception of cancer risks was mostly good, but their behavior to reduce the risks did not match the degree of perception. Students recognized that after age 40 has a higher risk of developing cancer, therefore,intervention on behavioral modification to reduce cancer risks would be beneficial. 본 연구는 일부 대학생의 암 발생요인에 대한 지각과 암 관련건강행위, 지각된 40세 이전 및 40세 이후 암 발생가능성을 확인하고 이들 간의 상관관계를 확인하기 위한 서술조사연구이다. 연구 대상자는 경기도에 소재한 2개 전문대학에 재학 중인 학생800명을 대상으로 임의표집하였다. 자료수집기간은 2009년 5월 10일부터 30일까지 이루어졌으며 총 771명의 대상자로부터자료를 수집하였다. 수집한 자료는 SPSS WIN 12.0을 이용하여실수, 백분율, 평균 및 표준편차, t-test, Pearson’s correlation를이용하여 분석하였다. 본 연구의 결과에서, 암 발생요인에 대한 지각은 평균 3.8점이며‘흡연은 암을 발생할 수 있다’는 항목이 가장 높게 나타났으며, ‘암은 전염된다’는 항목이 가장 낮게 나타났다. 암 관련건강행위는 평균 3.0점으로‘목욕이나 샤워를 한다’는 항목이가장 높았으며,‘ 땀이 날 정도의 적당한 운동을 한다’는 항목이가장 낮게 나타났다. 지각된 40세 이전 암 발생가능성은 평균20.1% (20.03), 지각된 40세 이후 암 발생가능성은 평균 36.2%(24.74)로 나타났다. 암 발생요인에 대한 지각은 성별에 따라유의한 차이가 있었고, 암 관련 건강행위는 나이에 따라 유의한차이가 있었으며, 지각된 40세 이전 및 40세 이후 암 발생가능성은 성별과 주위에 암환자 유무에 따라 모두 유의한 차이를 보였다. 암 발생요인에 대한 지각과 암 관련 건강행위, 암 발생요인에 대한 지각과 지각된 40세 이후 암 발생 가능성 간에는 낮은 순상관관계를 보였으며 암 관련 건강행위와 지각된 40세 이전 및 이후 암 발생가능성 간에는 낮은 역상관관계를 보였다. 또한 지각된 40세 이전 및 이후 암 발생가능성 간에는 높은 순상관관계를 보였다. 결론적으로, 대학생의 암 발생요인에 대한 지각은 대체로 높았으나 암 관련 건강행위는 지각에 비해 낮아, 교육을 통한 암발생요인에 대한 지각을 높이는 것 뿐 아니라 암 예방을 위한 건강행위 증진을 위한 중재가 필요하겠다. 또한 암을 효과적으로예방하기 위해 올바른 생활습관과 식습관을 갖도록 성장과정에서 좀 더 체계적인 교육이 실시되어야 할 것이다. 특히, 현재와 같이 환자를 대상으로 실시하는 교육과 함께 일반인들을 대상으로 한 전반적인 발암 원인에 대한 교육을 실시할 필요가 있으며, 현재 국가암정보센터에서 제공하는 다양한 암 관련 정보를 누구나 접할 수 있도록 적극적인 홍보가 계획되어야 하겠다. 또한 대학생들이 규칙적인 운동을 시행할 수 있도록 프로그램144 종양간호학회지 10 (2), 2010년 8월을 개발하고 꾸준히 운동을 지속할 수 있도록 전략이 필요하다. 본 연구는 경기도 일부 대학의 학생을 임의 표집하여 자료수집한 결과이므로 일반화하는데 제한이 있으며 질문지를 이용하여 자가보고한 자료를 분석한 것이므로 정확한 측정이 되었다고 보기에는 제한점이 있다. 그럼에도 일부 대학생의 암 발생요인에 대한 지각과 암 관련 건강행위 정도를 파악한 점에서 추후 일반인을 대상으로 암 관련 교육을 실시하고 효과적인 건강행위를 위한 전략을 개발할 때 기초자료를 제공한다는 점에서의의를 찾을 수 있다.

임상간호사의 낙태 태도, 산전기형아 검사 관련 지식도 및 정보요구도

신계영,전명희,김혜경,Wreen Michael 대한근관절건강학회 2019 근관절건강학회지 Vol.26 No.3

Purpose: There has been a considerable increase in the number of women giving birth at advanced age. The genetic screening of such women is highly desirable. Clinical nurses, however, are not adequately trained to assist such clients. This study aims at identifying the educational needs of nurses in order for them to provide better care and treatment for such women. Methods: 206 South Korean clinical nurses participated in this study. Study variables were measured by nurses’ attitudes toward terminating pregnancy (ATP), knowledge of prenatal genetic screening and diagnosis (K-PGSD), and information needs for prenatal genetic screening and diagnosis (I-PGSD). The statistical analysis included T-test, analysis of variance and Pearson’s Correlation Coefficient. Results: Mean scores were 34.57±5.73 for ATP, 16.44±3.04 for K-PGSD, and 78.81±10.95 for I-PGSD. The findings demonstrate that nurses have high information needs (I-PGSD) to take better care of women who have positive results from their amniocentesis tests. Conclusion: Information needs among clinical nurses are not currently being met. Education for nurses must include training in counseling to encourage patients’ autonomous decision-making regarding their pregnancies.

Key competencies for Korean nurses in prenatal genetic nursing: experiential genetic nursing knowledge, and ethics and law

신계영,Myunghee Jun,김혜경,Michael Wreen,Sylvia Mimi Kubsch 한국보건의료인국가시험원 2020 보건의료교육평가 Vol.17 No.-

Purpose: This study aims at determining the competencies of Korean nurses in prenatal genetic nursing. Methods: First, a 3-round Delphi survey was conducted to establish prenatal genetic nursing competencies. Second, a prenatal geneticnursing education program (PGNEP), incorporating the findings from the Delphi survey, was designed. Third, a single group pre- andpost-quasi-experimental study at a PGNEP workshop was conducted to assess the effectiveness of the integration of the competenciesinto the PGNEP with the measurements of knowledge about prenatal genetic testing and nursing (K-PGTN) and information needsabout prenatal genetic testing and nursing (I-PGTN). Finally, the identified competencies were reexamined for their clarity. Results: Based on the Delphi survey 78 competency components were identified. The components were then classified under 10 categories, which were organized under 4 domains. The domain of “experiential genetic nursing knowledge” and the domain of “ethics andlaw” were ranked as the first and the second in significance. The quasi-experimental study showed that the mean scores in K-PGTNwere significantly increased from 8.19±2.67 to 11.25±2.51 (P<0.001). The mean scores of “ethics and law” in I-PGTN decreased significantly (P=0.023). The headings of 4 categories and 2 domains were revised. Conclusion: This study identified competencies for prenatal genetic nursing and nursing education in Korea. There is a need for nursing instructors and researchers to improve the competencies of nurses in the identified areas. Particular emphasis should be placed onexperiential nursing knowledge and on ethics and law related to prenatal genetic nursing.

암환자의 일차간호제공가족의 스트레스 인지평가 영향 요인 분석

신계영,김매자 성인간호학회 2002 성인간호학회지 Vol.14 No.1

Purpose: The objectives for this study were to identify the factors that correlate with appraisal of illness and to explore what variables are predictive of cancer patients primary caregivers' cognitive appraisal for stress. Method: The subjects were selected by convenient sampling and 130 caregivers who completed a questionnaire. Measures used in this study included the Family Inventory of Resources for Management, Social Support Index, Family Crisis Oriented Personal Evaluation Scales and Family Coping Coherence Index. Pearson correlation was used to identify the relationship among factors and multiple regression was used to determine the individual and cumulative effect of potential predictors on the caregivers' appraisal. Results: Patient's level of activity, severity of the disease, quality of relation between patient and caregiver, caregiver's subjective health status, economic status, family resources and coping were significantly correlated. Among the variables, coping, family resources, economic status and quality of relation between caregiver and patient predicted 49.2 percent of the variance in appraisal of caregivers' stress condition. Conclusion: These findings suggest that coping mechanisms and family resources are important for positive appraisal. Nurses should provide adequate nursing care for the primary caregiver about professional care information and supportive counseling.

취약계층 여성노인의 연령주기별 건강관련 삶의 질 관련 요인

신계영(Shin, Gyeyoung),김은경(Kim, Eun Kyung) 한국보건간호학회 2014 韓國保健看護學會誌 Vol.28 No.3

Purpose: The aim of this study was to understand the determinants of health-related quality of life (HRQOL) according to age groups in vulnerable elderly women. Methods: We conducted a cross-sectional study with 1,533 elderly women beneficiaries of the visiting health care program in Seoul. The participants were divided into three age groups: the young-old (n=753, 65-74 years), old-old (n=602, 75-84 years), and oldest-old (n=178, 85 years or older) groups. HRQOL was measured using the SF-8 questionnaire. Results: HRQOL was found to be worse in the oldest-old group (p=.007). Factors associated with HRQOL differ by age groups. In the young-old and old-old groups, higher HRQOL showed significant correlation with a higher level of self-rated health (SRH) and a lower level of depression, instrumental activities of daily living (IADL) dependence, and the number of chronic diseases. In addition, higher HRQOL was observed for elderly living alone than for those living with family. In the oldest group, higher HRQOL showed significant correlation with a lower level of depression, activities of daily living (ADL) dependence, and a higher level of SRH. Conclusions: In age specific groups, lower levels of HRQOL were observed for the oldest-old group than for the other age groups. Age group-specific nursing strategies may be required for improving HRQOL levels of vulnerable elderly women.

모자동실과 모자별실에 따른 모유수유 실천 및 모성정체감 비교 연구

신계영 ( Gye Young Shin ),김오진 ( Oh Jin Kim ),박주현 ( Ju Hyueon Park ),이정림 ( Jueng Rim Lee ) 여성건강간호학회 2002 여성건강간호학회지 Vol.8 No.3

기업의 특성에 따른 제3자 물류업체 선정 기준

신계영(K Young Shin),조성구(Sung Ku Cho) 대한산업공학회 2001 대한산업공학회 추계학술대회논문집 Vol.2001 No.11