폐경 여성의 삶의 질 영향요인

신현숙 ( Hyunsook Shin ),이은주 ( Eunjoo Lee ) 한국여성건강간호학회 (구 여성건강간호학회) 2020 여성건강간호학회지 Vol.26 No.4

Purpose: This study aimed to identify factors influencing quality of life in post-menopausal women. Methods: The participants were 194 post-menopausal women who visited a women’s clinic in Changwon, Korea from July 1 to August 31, 2018, and completed questionnaires containing items on menopausal symptoms, marital intimacy, current menopausal hormone therapy (MHT), and quality of life. Collected data were analyzed by descriptive statistics, the independent t-test, Pearson correlation coefficients, and multiple regression using SPSS for Windows version 23.0. Results: Quality of life had a significant negative correlation with menopausal symptoms (r=-.40, p<.001), and a significant positive correlation with marital intimacy (r=.54, p<.001). The factors influencing the quality of life of post-menopausal women were current MHT (t=6.32, p<.001), marital intimacy (t=4.94, p<.001), monthly family income (t=4.78, p<.001), menopausal symptoms (t=-4.37, p<.001), and education level (t=3.66, p<.001). These variables had an explanatory power of 59.2% for quality of life in post-menopausal women. Conclusion: In order to improve the quality of life of post-menopausal women, nursing interventions are needed to help menopausal women choose appropriate MHT, alleviate menopausal symptoms, and increase marital intimacy. Interventions should also be prioritized for women of a low educational level and with a low income in consideration of their health problems.

『봄이 오면 산에 들에』에서 침묵의 시적 기능(I)

신현숙 ( Shin Hyunsook ) 덕성여자대학교 인문과학연구소 2000 인문과학연구 Vol.5 No.-

Le silence est en prindpe l’absence de bruits. Pourtant dans le theatre, le silence n’est pas innocent, mais plutot bien calcule. Si bien qu`ll joue un role important en relation avec les autres signes sceniques au niveau de la signification de l’oeuvre the atrale. Nous avons dioisi Quand le printemps viendra a la montagne et a la campagne, une des pieces de Tchoi lnhoon, et qui a ete mise en scene par Son Jintchaik en 1996, pour examiner la fonction du silence en tant que signe scenique. Cette representation s’est composee des dialogues economises, des signes audio-visuels, des gestes en silence, et des mouvements tres lents. Nous avons d’abord analyst le fonctionnement metonymique des bruits, des gestes, des mouvements, et ensuite des metaphores pour montrer comment former une realite nouvelle a travers la confrontation et la conjonction d’elements divers dans le contexte scenique. Ce faisant, nous avons pu constater que le silence dans Quand le printemps viendra a la montagne et a la campagne peut avoir, comme l’espace vide, le fonctionnement poetique tout en integrant les signes sceniques et en transformant toute metaphore et tout symbole. En plus le silence joue le rele de mediateur entre la separation des hommes, quoi que ce soient des lepreux ou non, et l’union, entre l’hiver et le printemps, enfin entre les etres inanimes et la vie. Ainsi, le silence pourrait se transformer en lieu ou se prepare le devenir.

신생아 중환자실 환아 달래기시 나타나는 간호사 행위 분석: 기관지폐이형성증 환아 중심으로

이유나,신현숙,Lee, Yu-Nah,Shin, Hyunsook 한국아동간호학회 2017 Child Health Nursing Research Vol.23 No.4

Purpose: The aim of this study was to analyze Neonatal Intensive Care Unit nurses' behaviors while soothing newborns with bronchopulmonary dysplasia. Methods: An observational study was used to assess nurses' soothing behaviors. Data were collected from September, 2012 to March, 2013 using an audio-video recording system. Participants were eight babies and 12 nurses caring for those babies. After obtaining parental permission, the overall process of each episode from nurses' engagement in soothing to the end of soothing was recorded. Then a researcher interviewed each participating nurse. Data from 18 episodes were transcribed as verbal and nonverbal nursing behaviors and then categorized by two researchers. Results: There were 177 observed soothing behaviors which were classified with the five sensory-based categories (tactile, oral, visual, auditory, vestibular). Most frequently observed soothing behavior was 'Gently talking' followed by 'Removing irritant', and 'Providing non-nutritive sucking'. Nurses' perceived soothing behaviors were similar to the observed soothing behaviors except for 'Gently talking'. Conclusion: Nurses used diverse and mixed soothing behaviors as well as recognizing those behaviors as essential nursing skills. Nurses' soothing behaviors identified in this study can be used to comfort babies and to enhance their developmental potential in accordance with individual characterstics or cues.

중환자실 간호사의 기관내 흡인 임상지침 수행 현황

양은정 ( Yang Eunjung ),신현숙 ( Shin Hyunsook ) 경희대학교 동서간호학연구소 2017 동서간호학연구지 Vol.23 No.1

Purpose: This study aimed to evaluate the adherence to the clinical guideline for endotracheal suction in nurses working at intensive care units (ICU) and to identify the characteristics of nurses with good adherence. Methods: This study was a descriptive study to evaluate the pattern of adherence and its related factors to endotracheal suction. One hundred fifty five nurses working at ICU participated in this study. We used a questionnaire developed based on American Association for Respiratory Care (AARC) guidelines and other associated factors from previous studies. Results: Around half of the participants reported that their adherence to the clinical guideline was poor. Items deviated from the recommended guideline were reasons for initiating a suctioning, applied suction pressure ranged from 20 to 200mmHg, and applied catheter size from 6 to 17 french. Other factors deviated were the depth of inserted catheter, and inappropriate use of normal saline instillation. The most significant factor was related to hospital; the misused or misled clinical protocol. Conclusions: The adherence to the clinical guidelines of the endotracheal suction in ICU nurses was not appropriate, which might contribute to the patient health outcomes. More enhanced continuing education as well as hospital regulation is warranted.

간호시뮬레이션에서 나타나는 임상판단과정 분석

심가가(Kaka Shim),신현숙(Hyunsook Shin),임다해(Dahae Rim) 한국산학기술학회 2018 한국산학기술학회논문지 Vol.19 No.9

본 연구는 간호 학생을 대상으로 아동 간호학 실습 교육의 시뮬레이션 상황에서 일어나는 임상적 판단과정을 파악하고자 한다. 이를 위해 LCJR을 적용한 기술적 서술 연구(descriptive study)로 진행되었다. S시에 소재한 2개의 대학의 간호대학생을 대상으로 2013년 9월부터 2014년 12월 까지 모의 환자를 포함한 발열 시나리오와 무호흡 시나리오를 사용하여 시뮬레이션이 진행되었다. 본 연구 결과 간호 대학생의 임상판단 점수는 남학생 30.50(±2.77)점, 여학생29.32(±2.67)점이었으며, 무호흡 시나리오 임상판단 점수(31.20±2.84)가 발열 시나리오 점수(28.71±2.63)보다 높았고, 학습자의 자가평가(.911)와 교수자의 평가(.921)에서 반응(responding)영역이 유의한 상관관계가 있는 것으로 나타났다. 교수자와 학습자의 자가 평가 간 비교에서는 해석(interpreting)영역과 반영(reflecting)영역이 유의하게 나타났다. 본 연구는 간호 대학생의 임상 판단력을 높일 수 있는 실습과정을 수정 및 개발하는데 있어 기초 자료가 될 수 있다. 이 후 시뮬레이션 프로그램 내에 디브리핑 동안에 학생들의 간호 수행과 판단을 토론할 수 있는 경험을 제공하는 것이 필요하다. This study was a descriptive study, analyzing the clinical judgment process that occurs in a simulation of practice education for nursing students applying to LCJR. Subjects were two nursing college students in S city. Fever scenario and apnea scenario, including mock patient, were implemented. Data collection was conducted between September, 2013 and December, 2014. Data analysis was performed using descriptive statistics, paired t-test, and Pearson’s correlation of PASW statistics 18.0 program. The result of this study revealed that the clinical judgment scores of nursing college students were 30.50 for males and 29.32 for females. Nursing Clinical judgment score for the apnea scenario was higher than the score for the febrile scenario, and nursing students’ self-evaluation and professors’ evaluation showed a significant correlation with respect to the responding domain. In comparison the student and faculty ratings, domain of interpreting and domain of reflecting were significant This study will provide educators with foundational knowledge of program development to enhance nursing students’ clinical judgment abilities. We suggest more discussion on their nursing practice and judgment during debriefing session may be beneficial for students.

황구지천의 이화학적 특성 연구

연제훈 ( Jehoon Yeon ),신현숙 ( Hyunsook Shin ),홍성호 ( Seoungho Hong ),이성호 ( Seoungho Lee ),조용식 ( Yongsik Joe ),권수열 ( Sooyoul Kwon ) 한국물환경학회(구 한국수질보전학회) 2018 한국물환경학회·대한상하수도학회 공동 춘계학술발표회 Vol.2018 No.-

척추수술을 받는 노인에게 시행한 수술 전 팬플룻 호흡운동 훈련의 효과

조현미(Jo, Hyun Mi),신현숙(Shin, Hyunsook) 한국간호과학회 2018 Journal of Korean Academy of Nursing Vol.48 No.3

Purpose: The purpose of this study was to examine the effects of breathing exercises performed using panflutes in elderly patients undergoing spinal surgery. Methods: The study design was a nonequivalent control group non-synchronized pre-post test. The study included 24 patients in both the experimental group and the control group. The experimental group completed a daily breathing exercise regimen using panflutes for 30minutes after meals, whereas the control group was provided standard preoperative education, including breathing exercises using incentive spirometers. After the exercise regimen, breathing exercise compliance, pulmonary infections, and life satisfaction were measured in both groups, and the data were analyzed using the SPSS/WIN program. Results: The compliance rate of breathing exercises was significantly higher in the experimental group. The experimental group presented no pulmonary infections in the later period, whereas the control group presented higher pulmonary infection rates in the same period. In addition, the life satisfaction score in the experimental group significantly increased. Conclusion: The breathing exercise program using panflutes for elderly patients undergoing spinal surgery enhanced their breathing exercise compliance and their daily life satisfaction in addition to reducing their pulmonary infection rates.

일 종합병원 어린이병원학교를 이용하는 아동의 어머니의 만족도 조사

신현숙,오가실,유일영,김희순,박하영 최신의학사 2003 最新醫學 Vol.46 No.11-12