신생아집중치료실 입원 미숙아 어머니를 위한 임파워먼트 프로그램이 스트레스, 불안, 우울 및 양육자신감에 미치는 효과

신영희,임정희,김가은,Shin, Yeonghee,Lim, Jung Hee,Kim, Gaeun 한국아동간호학회 2018 Child Health Nursing Research Vol.24 No.2

Purpose: This study aimed to evaluate the effects of an empowerment program on maternal stress, anxiety, depression and parenting confidence. Methods: A total of 44 mothers of preterm infants were assigned into an experimental or a control group (n=22 each). The experimental group received the usual nursing care and 7 sessions of an empowerment program. The control group only received the usual care. The program was implemented from June to December, 2016 in the neonatal intensive care unit of K university-affiliated hospital in Daegu, Korea. The outcome variables measured were parental stress (PSS: NICU), anxiety (STAI), depression (CES-D) and parenting confidence. Data were analyzed using t-test or repeated measures ANOVA. Results: Scores for both parental stress (t=3.07 p=.004) and depression (F=3.76, p=.26) were significantly lower in the experimental group than in the control group. However, there were no significant differences in anxiety between the groups (F=0.79, p=.505). Parenting confidence scores (F=9.05, p=.001) were significantly higher in the experimental group than in the control group. Conclusion: A maternal empowerment program can be an effective means of reducing parental stress and depression as well as enhancing parenting confidence, for mothers of preterm infants.

미숙아발달과 신생아 집중치료실

신영희(Shin Yeong Hee) 계명대학교 간호과학연구소 2003 계명간호과학 Vol.7 No.1

The neonatal intensive care unit (NICU) environment may incompatible with immature central nervous system of premature infant and may fail to meet these infant's developmental needs. Premature infants are said to be exposed to overwhelming stimulation of visual and auditory senses, while receive little stimulation of tactile and vestibular senses. Previous researches suggest that the NICU should provide developmentally supportive environment for premature infants. Nurses are ideally suited to take the role to optimize infant's growth and development.

지역사회 거주 여성노인들의 근감소증 실태와 일상생활능력, 영양상태, 및 우울과의 관련성 연구

신영희(Shin, Yeonghee),홍영혜(Hong, Yong Hae),김혜옥(Kim, Hae-Ok) 한국산학기술학회 2016 한국산학기술학회논문지 Vol.17 No.1

본 단면 연구의 조사 목적은 지역사회거주 여성 노인들을 대상으로 근감소증 실태와 일상생활능력, 영양상태, 및 우울과의 관련성을 조사하기 위함이었다. 연구대상자는 2014년 5월~7월 동안 B와 D광역시에 거주하는 65세 이상 여자 노인 90명을 대상으로 하였다. 연구도구는 신체계측(anthropometric measures), Mini-nutritional assessment instrument (MNA). ADL, IADL, MMSE, SGDS-K를 사용하였다. 연구결과. 노인들의 평균 연령은 74.2세이었고, 37.8%가 근감소증이 있었으며, 대부분 도움없이 독립적인 일상생활 능력을 가지고 있었고, 15.6%가 영양부실 위험이 있었으며, 12.2%가 우울증상을 나타내었다. 근감소증이 있는 노인들은 없는 노인들보다 수입과 교육수준이 낮았고, 혼자 사는 노인이 더 많았으며, 동반질환이 더 많은 것으로 나타났다. 근감소증이 있는 노인은 없는 노인들보다 영양상태가 불량하고, 우울점수가 높았으나 일상생활능력에는 차이가 없었다. 근감소증 예측요인은 종아리와 허벅지 둘레, 인지기능이었다. 결론적으로 65세 이상 지역사회거주 여성노인 들은 종아리둘레, 허벅지둘레, 및 인지기능이 낮을 때 근감소증 위험이 높을 것이며, 이들 세 요인은 앞으로 근감소증의 조기 발견을 위한 간이 지표로서 활용할 수 있을 것이다. The aim of this cross sectional study was to examine the prevalence of sarcopenia in association with ADL, nutritional status and depression among community dwelling elderly women. The study subjects were 90 elderly women, 65 years and over, who were living in the communities of B and D metropolitan cities from May to July, 2014. The measurements were anthropometric measures, The mini-nutritional assessment instrument (MNA), ADL, IADL, MMSE, and SGDS-K were used. The mean age of the subjects was 74.7(8.22), the prevalence of sarcopenia of this population was 37.8%, almost none of them (94.4%) required assistance in ADL, 15.6% had a risk of undernutrition, and 12.2% had the symptom of depression. The sarcopenic subjects were characterized as low income, low education, living alone, and had more co-morbidity than those of the non-sarcopenic subjects. The sarcopenic subjects were undernourished, and had higher depression scores (SGDS-K), but not in the ADL, than those of the non-sarcopenic subjects. The calf and thigh circumferences, and cognitive ability were the best predictors of sarcopenia, In conclusion, low calf and thigh circumferences and low cognitive ability will increase the risk of sarcopenia in those 65 and over in community dwelling facilities and those three predictors will be useful in the early detection of sarcopenia in the future

일 도시 노인의 성공적인 노화 관련 요인

신영희(Shin, Younghee),이혜정(Lee, Hyejung) 한국노년학회 2009 한국노년학 Vol.29 No.4

본 연구의 목적은 일 도시 노인의 성공적인 노화의 수준을 알아보고, 성공적인 노화와 관련된 요인을 규명하는 것이며, 또한 의사결정나무분석 방법을 이용하여 성공적인 노화의 점수에 따른 취약 그룹의 특성을 알아보고 우리나라 노인의 성공적인 노화 증진 프로그램을 개발하는데 기초자료로 활용하기 위함이다. 대구의 일 동사무소에 등록된 노인 중에서 연구 참여에 동의하고 설문지 면접을 마친 총 187명을 대상으로 하였다. 연구참여에 동의한 노인은 면담자가 직접 노인 가구를 방문하여 구조화된 설문지를 이용하여 성공적인 노화, 우울, 신체적 기능상태, 만성 질환 수, 그리고 친구와의 접촉 빈도수에 대한 정보를 수집하였다. 일 도시의 노인에서 남성, 고학력, 배우자와 사별하지 않은, 그리고 가족과 동거하는 노인이 그렇지 않은 노인에 비해 상대적으로 성공적인 노화의 점수가 높았다. 반면에 우울정도가 심하거나 만성질환이 많을수록 성공적인 노화의 점수가 낮았다. 또한 신체기능과 자가 건강 평가수준이 높거나, 규칙적인 운동을 하거나 친구와의 교제가 많을수록 성공적인 노화의 점수가 높았다. 우울은 노인의 성공적인 노화의 점수에 따른 취약그룹을 분류하는데 일차적으로 중요한 결정 요인이었으며, 성공적인 노화의 점수가 가장 낮은 노인 그룹은 우울정도가 심하고 신체적 기능상태가 좋지 않았으며, 반대로 성공적인 노화의 점수가 가장 높은 그룹은 우울정도가 약하고 신체적 기능상태가 좋은 노인이었다. 우울과 만성질환은 노인이 성공적인 노화를 경험하는데 부정적인 영향을 미칠 뿐 아니라 성공적인 노화의 점수가 낮은 그룹의 공통적인 특성이었으므로 노인의 우울과 만성질환을 위한 중재 프로그램의 제공이 중요하다는 것을 본 연구는 재확인하였다. The purposes of the study were (1) to identify the level of successful aging of older people living in a city, (2) to identify associated factors with successful aging, and (3) to identify a risk group for successful aging using classification and regression trees (CART) analysis. One hundred eighty seven older people (>65years) participated in the cross-sectional survey. Trained interviewers collected data with a structured questionnaire on demographic information, Korean geriatric depression score, activity of daily living(ADL), instrumental activity of daily living(IADL), and Young's successful aging instrument in subject's home. A CART analysis split subjects into ten homogeneous small groups based on five determinant factors. Older people who are male, with higher education, living with family, and not receiving Medicaid showed better scores in successful aging than their counter parts. Depression was a strong primary determinant for successful aging. A risk group for successful aging of older people was identified by depression and IADL. An intervention to prevent and manage depression and to improve physical function of older people can be developed to promote successful aging of older people. It is suggested to consider an assessment of depression to develop the policies for older people welfare.

간질환아 부모들의 정보와 지지에 대한 요구조사

신영희(Shin Yeong-Hee),박영숙(Park Yeong-Sook),김명애(Kim Myung-Ae),김준식(Kim Joon-Sik),이주화(Lee Ju-Hwa) 기본간호학회 2004 기본간호학회지 Vol.11 No.1

모유수유 교육의 효과에 관한 연구

신영희(Shin young gee),이은주(Lee eun ju) 계명대학교 간호과학연구소 1997 계명간호과학 Vol.1 No.1

The purpose of this study was to evaluate the effect of Prenatal Class on breasfeeding practice. We studied infant feeding in a sample of 35 mothers of six-month-old infants who had attended prenatal class. Initially, 77% of infants were breastfed, however the number of breastfeeding mothers decreased to 63% after first month, then to 57% by three months, and to 31% by six months. 'Lack of milk,' 'recessed nipple,' and 'baby's illness such as jaundice of diarrhea' were the major reasons for premature termination of the breastfeeding practice.

수업언어분석을 통한 우수교사와 일반교사의 수업형태 차이 연구

신영희(Yeong-Hee SHIN),김두규(Du-Guy KIM),허균(Gyun HEO) 한국수산해양교육학회 2013 水産海洋敎育硏究 Vol.25 No.3

일 종합병원 밤번 간호사들의 간호활동 분석

신영희(Shin Yeong hee),고효정(Koh Hyo Jung),권영숙(Kwon Young Sook),김정남(Kim Chung Nam),박영숙(Park Young Sook),박정숙(Park Jeong Sook),박청자(Park Cheong Ja),이경희(Lee Kyung Hee),이병숙(Lee Byung Sook) 계명대학교 간호과학연구소 2001 계명간호과학 Vol.5 No.1

The purpose of this study was to investigate how night-shift nurses spend their time based on work sampling. A total of 9 med/surg nursing units in a large teaching hospital were evaluated during the period of February 10-16,1997. Data from 96 night shifts were analyzed. Nurses were mostly young, unmarried, and experienced females. The percentage of time spent in four separate nursing activities by night-shift nurses are as follows: 1 Nurses spent only 23% their time for direct care activities, 53% for indirect care activities, 6% for Unit-related activities and 18% for personal. 2. Of the direct care activities, 37% was used for medication, 30% for observation and assessment, 13% for procedure, 8% for helping patient transfer or exercise. Little time was used for patient education, counseling or patient's hygiene. 3. Of the indirect care activities, 74% was used for charting, 10% for preparation of medication, 9% for staff session, and 7% for supply administration. 4. Of the unit-related activities, 81% was used for reporting and meeting, 9% for facility and supply inspection, 5% for ward management, 3% for review and reading, and 2% for manpower management. This study identified that night shift nurses spend most of their time for indirect care activities.

식민지(植民地) 조선(朝鮮)에서의 징병제(徵兵制)와 "군국모성(軍國母性)" -최정희(崔貞熙)의 1940~1945년 작품을 매개로

신영희 ( Young Hee Shin ) 성균관대학교 대동문화연구원 2007 大東文化硏究 Vol.59 No.-

임상연구 : 외래 마취 환자에서 포도당 용액과 하트만 용액의 투여 용량이 마취 회복에 미치는 영향

신영희 ( Young Hee Shin ),안현주 ( Hyun Joo Ahn ),최수주 ( Soo Joo Choi ),이원형 ( Won Hung Lee ),이병달 ( Byung Dal Lee ) 대한마취과학회 2007 Korean Journal of Anesthesiology Vol.52 No.1

Background: Adequate fluid administration for ambulatory anesthesia has not been widely studied because most patients are healthy and operations are short durations and not invasive. However, long pre-operative nothing per os (NPO) time is known to affect post-operative complications like pain, headache, dizziness, drowsiness, fatigue, nausea, vomiting, thirsty, sore throat, or well-being sensation. And amount of administered fluid or inclusion of dextrose during the operation could exercise great influence on those symptoms. Therefore, we compared four fluid regimens; 5% dextrose water 2 ml/kg (D/W2), 20 ml/kg (D/W20) and Hartmann`s solution 2 ml/kg (H/S2), 20 ml/kg (H/S20) regarding to post-operative complications of ambulatory anesthesia. Methods: One hundred and sixty ambulatory anesthesia patients of ASA 1 or 2 undergoing general anesthesia or monitored anesthesia care were randomly assigned into D/W2, D/W20, H/S2 or H/S20. Each group of patients received 5% dextrose water 2 ml/kg, 20 ml/kg, Hartmann`s solution 2 ml/kg, or 20 ml/kg for 30 min, respectively. Complications like pain, headache, dizziness, drowsiness, fatigue, nausea, vomiting, thirsty, sore throat, or well-being sensation of patients were checked with systemized questionnaire check box graded 4 scales at recovery room, at evening and at 24 hours later. Results: H/S20 group was better in nausea, thirsty and well-being sensation. Sixteen percent of patients showed hypoglycemia before anesthesia. Dextrose water resulted transient hyperglycemia and osmotic diuresis. Conclusions: Large amount of Hartmann`s solution was generally better regarding post-operative complications. We should pay attention at peri-operative hypoglycemia for ambulatory anesthesia. (Korean J Anesthesiol 2007; 52: 55~61)