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.

종합병원 간호사들의 에이즈에 대한 지식과 태도 조사

신영희(Shin Yeonghee),홍영혜(Hong Young Hae),구윤정(Koo Yoon Jung) 계명대학교 간호과학연구소 2006 계명간호과학 Vol.10 No.1

  Purpose: Currently the best and the only reliable strategy to AIDS pandemic is prevention. Method: Considering nurses as a potential risk group, this study examined their knowledge and attitudes toward AIDS. In this study, a self-report questionnaire was administered to 235 nurses from two hospitals in Ulsan city. Results: Findings indicated that nurses did not have enough knowledge on AIDS. Grand mean score of correct responses on knowledge was 15.63 out 24 which meant 65.12% of correct answer from the total. Only 3% of nurses reported that they have sufficient knowledge on AIDS. To the questions on attitudes towards AIDS patients, most nurses showed positive attitudes. However, they tend to view AIDS patients should have social responsibility for their illness(76.6%) and 44.3% of nurses felt the necessity of quarantine of AIDS patients. Interestingly, they showed sympathetic attitudes to the question if their family members or friends were AIDS patients, how they would behave. 76.2% of the respondents felt that they personally were not at risk. Conclusion: The study findings suggest a need for reinforcement of AIDS educational for nurses.

허약노인환자의 간호

신영희(Yeonghee Shin) 계명대학교 간호과학연구소 2006 계명간호과학 Vol.10 No.1

  Frailty among elderly is very serious matter because it shortens their life expectancy. Aging researchers and gerontologists recognized frailty as an attribute or a promoting factor of aging process in recent years. The purpose of this tutorial review was to discuss the definition of frailty, its pathophysiology, risk factors, and preventive interventions. Pathophysiology of frailty is mostly related to muscle weakness, osteoporosis, and abnormal cardiac output. Risk factors of frailty are immobilization, depression, and malnutrition. Exercise is the most effective measure for preventing frailty. The author hopes this review article increase the awareness for danger of frailty in elderly patients, particularly for nurses interested in care of the elderly.

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

미숙아를 출산한 어머니의 삶의 질 예측요인

최효신,신영희,Choi, Hyosin,Shin, Yeonghee 한국여성건강간호학회 2017 여성건강간호학회지 Vol.23 No.3

Purpose: The purpose of this study was to determine the factors that may affect quality of life of mothers who delivered premature infants. Methods: With survey design, data were collected from 145 mothers of premature infants with corrected age of 2 months to 12 months from January 9 to February 2, 2017. Quality of life was assessed with two measures of direct survey in the selected hospital and online survey. A self-report questionnaire was administered regarding personality of the mothers and the infants, postpartum depression, parenting stress, social support, and the quality of life. Data were analyzed using t-test, ANOVA, Pearson correlation coefficients, and multiple regression. Results: The quality of life of the mothers of the premature infants was influenced by postpartum depression, parenting stress, parents-infant dysfunctional interactions, and social support accounted for 65% of the variance. Conclusion: These results indicate that early screening and continuous management of postpartum depression during postpartum period are important to improve the quality of life of the mothers of the premature infants. Education program and information and social support systems need to be developed to monitor mother-infant interaction and their role development.

요양병원 입원 노인환자의 섬망예방을 위한 안위증진 프로그램 개발 및 효과 검증

황혜정(Hye-Jeong Hwang),신영희(Yeonghee Shin),김가은(Gaeun Kim) 한국산학기술학회 2017 한국산학기술학회논문지 Vol.18 No.9

본 연구는 요양병원 입원 노인환자를 대상으로 섬망예방을 위한 안위증진 프로그램이 섬망발생, 섬망지속정도, 섬망위험요인을 감소시키는데 효과가 있는지 검토하기 위한 비동등성 대조군 전후 설계의 유사실험연구이다. 자료수집 기간은 2016년 7월 3일부터 8월 20일까지 이루어졌으며 연구 대상은 요양병원에 입원중인 65세 이상의 노인 환자로 실험군 34명, 대조군 34명이었다. 자료분석은 IBM SPSS 21.0 Program을 이용하여 independnet t-test, repeated measures ANOVA를 이용하여 분석하였다. 섬망예방을 위한 안위증진 프로그램은 Kolcaba이론을 바탕으로 개발하였고, 개발된 프로그램의 효과는 다음과 같다. 섬망발생률은 실험군 2.9% (1/34명), 대조군 14.7% (5/34명)로 실험군에서 통계적으로 유의하게 낮았으며(<SUP>2</SUP>=3.98, p=.047), 섬망심각도는 실험군(0.24)이 대조군(5.1)에 비해 통계적으로 유의하게 낮았다(t=2.27, p=.027). 섬망지속시간은 실험군(2일)이 대조군(2~10일)보다 통계적으로 유의하게 짧은 것으로 나타났다(<SUP>2</SUP>=3.22, p=.043). 시간의 변화에 따라 실험군에서 안위는 증가하였으며(F=108.85, p<.001), 불안(F=63.39, p<.001)과 우울(F=89.78, p<.001)은 감소하였다. 수면의 질은 실험군이 대조군에 비해 높았고(F=63.63, p<.001), 통증은 실험군이 대조군에 비해 낮았다(F=93.64, p<.001). 결론적으로 요양병원에 입원한 노인환자의 섬망예방을 위해서 신체, 심리·영적, 사회·문화적, 환경적 접근을 한 Kolcaba이론에 근거한 섬망예방을 위한 안위중재예방프로그램의 효과가 있는 간호중재임이 확인되었다. 따라서 요양병원 입원 노인환자들의 섬망예방을 위해서 신체, 심리·영적, 사회·문화적, 환경적 맥락에서의 섬망예방을 위한 안위중재프로그램을 확대 시행할 필요가 있음을 제언한다. Delirium is an acute confused state associated with poor outcomes among hospitalized long-term care hospital elderly patients. This study was conducted to examine the effects of acomfort promotion program based on Kolcaba"s comfort theory for prevention of delirium among elderly patients who have been hospitalized in long-term care hospitals. The study used was a quasi-experimental type, with two groups of patients; those who received their usual care plus comfort nursing intervention (n=34) and those who only received usual care methods. Using the IBMSPSS/PC (Version 21), the homogeneity of the control and intervention group wereevaluated by the chi-squared test and an independent t-test, and all collected data wereanalyzed. Hypotheses were tested by independent t-tests and repeated measures of ANOVA. Delirium occurred at a rate of 2.9% (1/34) in the intervention group and 14% (5/34)-in the control group (<SUP>2</SUP>=3.98, p=0.047). The severity of the delirium in theintervention group was lower than that of the control (t=2.27, p=.027). The duration of delirium was 2days in the intervention group and 2-10days in the control group, indicating delirium in the intervention group lasted for a significantly shorter period (<SUP>2</SUP>=3.22, p=0.048). According to the change of time, the intervention group showed improvement in all areas including comfort scores (F=108.85, p<0.001), anxiety scores (F=63.39, p<0.001), depression scores (F=89.78, p<0.001), quality of sleep scores (F=63.63, p<0.001), and pain scores (F=93.64, p<0.001). In conclusion, elderly patients who were admitted to nursing homes were advised to participate in nursing intervention,which effectivelyprevented delirium based on the Kolcaba"s comfort theory of physical, psychological, spiritual, social, cultural and environmental approaches to prevent delirium. Therefore, it is necessary to extend the program for prevention of delirium in the physical, psychological, spiritual, social, cultural, and environmental contexts to prevent delirium in geriatric hospitalized elderly patients.

장애아동부모의 사회적지지, 가족건강성 및 우울의 구조모형

금혜숙(Keum, Hyesook),신영희(Shin, Yeonghee),김혜영(Kim, Hye-Young) 한국산학기술학회 2016 한국산학기술학회논문지 Vol.17 No.2

본 연구 목적은 장애아동부모의 사회적지지, 가족건강성 및 우울을 설명하고 예측하는 구조모형을 구축하는데 있다. 연구대상자는 2014년 8월부터 9월까지 D시에 소재한 재활병원 3곳에서 외래재활치료를 받고 있는 141명의 장애아동부모를 대상으로 하였다. 연구도구는 QRS, CES-D, MSPSS, 한국형 가족건강성 척도(KFSS-Ⅱ)를 사용하였다. 그 결과, 장애아동부모 들의 우울정도는 20.18/60점이며, 성별, 나이, 월수입에서 유의한 차이를 보였다. 사회적 지지와 가족건강성의 문항평균은 각각 3.11/5점과 3.32/5점이었다. 가족건강성은 월수입에 따라 차이가 있었다. 장애아동부모의 우울은 사회적지지, 가족건강 성과는 음의 상관관계가 있었고, 사회적지지와 가족건강성은 양의 상관관계가 있었으며, 사회적지지와 가족건강성은 우울을 설명하고, 예측하는데 있어 중요한 요인임을 확인하였다. 즉 장애아동부모의 우울을 예방하기 위한 간호전략으로서 가족건강 성과 사회적지지를 향상시키는 프로그램 개발이 필요함을 알 수 있었다. In this study, a prediction model for depression among parents with disabled children was developed by verifying the effects of social support and family resilience. One hundred forty one parents with disabled children were recruited from three out-patient clinics of rehabilitation hospitals in D city between August and September, 2014. The instruments used were the QRS, CES-D, MSPSS, and KFSS-Ⅱ. The average score of depression was 20.18/60. The levels of depression were significantly different among variables, e.g., sex, age, and monthly income. The mean scores of the item for social support and family resilience were 3.11/5 and 3.32/5, respectively. Family resilience differed significantly according to monthly income. Parental depression was negatively correlated with the social supports and family resilience. Social support was correlated positively with family resilience. In conclusion, family resilience and social support are predictable factors for depressed parents with disabled children.

Jeffries의 Simulation Framework을 기반으로 한 시뮬레이션 학습시나리오 개발 및 평가

이수영(Lee, Suyoung),신영희(Shin, Yeonghee),이수경(Lee, Sukyung),김가은(Kim, Gaeun),권정은(Gwon, Jeongeun) 계명대학교 간호과학연구소 2017 계명간호과학 Vol.21 No.1

Purpose: This study aimed to examine the effect of simulation training on the performance, critical thinking, and satisfaction of nursing students. Methods: This study was conducted from September to November, 2015 in two stages: First stage, development of simulation learning scenario based on Jeffries Simulation Framework focusing on a case of a child with bronchiolitis; second stage, the developed simulation learning scenarios were applied to 145 junior nursing students and evaluated their effectiveness. Outcomes were measured by the performance, critical thinking and satisfaction of nursing students. Data were analyzed by paired t-tests. Results: The mean scores of performance before and after the simulation training were 23.75±4.16 and 30.42±6.62, respectively (increase of 6.66±7.57), which was statistically significant (t=10.60, p<.001). As for critical thinking, the mean scores before and after the simulation training were 99.32±8.81 and 102.09±9.71,respectively, which was statistically significant (t=5.38, p<.001). As for satisfaction with the simulation training was on an average 4.23±.55 on a 5 likert scale. Conclusion: Simulation training based on Jeffries simulation framework was an effective teaching strategy that improved the performance, critical thinking, and satisfaction of nursing students.

혈액투석환자의 우울, 자가간호이행 및 생리적지표의 관계

조영제(Young-Je Jon),신영희(Yeonghee Shin) 계명대학교 간호과학연구소 2011 계명간호과학 Vol.15 No.1

Purpose. The purpose of this study was to investigate the relation among depression, self care compliance and physiological index of hemodialysis patients. Methods. Two hundreds and six hemodialysis patients at a university hospital located in D metropolitan city were investigated. Zung’s(l965) self-rating depression scale which Shin(1977) adapted, Song’s (1999) self care compliance scale which Cho(200S) modified, and the physiological indeces including serum potassium, phosphorus, and the interdialytic weight gain were employed. Results. The mean score of the depression scale was 45.13/80. Patients with mild or moderate depression was 32.5%. Patients with low level income had higher depression scores(F=4.762, p=0.010). Self care compliance was negatively correlated with depression(r=-0.461, p=0.000) as well as serum phosphorus (r=-0.287, p=0.000) and interdialytic weight gain (r=-0.387, p=0.000). According to the Stepwise multiple regression analysis, self care compliance was accounted for 37.4% of underlying predictors such as depression, causative disease, spouse, and job. Conclusion. Depression and the self care compliance of the emodialysis patients were negatively correlated.

간경변증 환자의 자가간호 행동 관련 요인

박해진(HaeJin Park),신영희(Yeonghee Shin) 한국산학기술학회 2017 한국산학기술학회논문지 Vol.18 No.5

본 연구의 목적은 간경변증 환자의 자가간호 행동 관련 요인, 특히 질병지식과 가족지지와의 관련성에 대해 조사하기 위함이었다. 연구대상자는 2015년 6월부터 8월까지 2개월 동안 U 광역시 1개 종합병원 내과 외래를 이용하는 120 명의 간경변증 환자를 대상으로 조사하였다. 자료는 SPSS (Version 21) 통계 프로그램을 사용하여 분석하였다. 그 결과, 대상자의 간경변증에 대한 질병 지식 점수는 18점 만점에 평균 12.64±2.16점이었고, 가족 지지는 32점 만점에 평균 23.28±5.68, 자가간호 행동은 60점 만점에 평균 35.66±8.67점이었다. 즉, 대상자들은 질병에 관한 지식과 가족지지 정도는 보통수준이었으나 자가 간호 행동은 낮았다. 또한 간경변증 환자의 자가간호 행동은 질병지식 (r=.675, p<.001)과 가족지지(r=.804, p<.001)와 긍정적 상관관계가 있었다, 자가간호 행동의 가장 좋은 예측요인으로는 가족지지, 질병 지식, 음주회수, 친지 중 간경변증이 있는 경우, 대상자의 교육 수준이었으며, 이들 요인들이 자가간호 행동을 69.7% 설명하였다. 결론적으로 간경변증 환자의 자가간호 행동을 향상시키기 위해서는 대상자의 교육수준, 질병지식 수준과 가족지지 수준을 고려하여 계획하여야 할 것이다. This study examined the associations among the factors related to self-care behavior in patients with liver cirrhosis, focusing on disease knowledge and family support. The subjects were 120 liver cirrhosis patients recruited from the medical out-patient clinic of ageneral hospital in the U metropolitan city during the period of June-August, 2015. The data were analyzed with SPSS(Version 21) program. The results showed that the average scores of disease knowledge was 12.64±2.16 out of 18; family support was 23.28±5.68 out of 32; and self-care behavior was 35.66±8.67 out of 60. The study subjects had moderate levels of disease knowledge and family support, but low levels of self-care behavior. The data showedthat self-care behavior was positively correlated with disease knowledge (r=0.675, p<0.001) and family support (r=0.804, p<0.001) of the subjects. The best predictors for self-care behavior were family support, disease knowledge, frequency of alcohol consumption per week, having liver cirrhosis patients among family or relatives, and educational level, which accounted for 69.7% of the variance. In conclusion, promoting the self-care behavior of liver cirrhosis patients should be planned based on a consideration of the patient’s educational level, knowledge of their own disease, and family support.