병원 간호사의 환자중심 간호 경험

정수진,황지인,Chung, Soojin,Hwang, Jee-In 한국의료질향상학회 2021 한국의료질향상학회지 Vol.27 No.1

Purpose: This study aimed to explore frontline nurses' experience of patient-centered care and understand the factors affecting its implementation in hospitals. Methods: Four focus group interviews were conducted with 30 nurses in two university hospitals. The following theoretical framework of patient-centered care was used: 1) Respect for patients' values, preferences, and expressed needs, 2) Care coordination and integration, 3) Information, communication, and education, 4) Physical comfort, 5) Emotional support and alleviation of fear and anxiety, 6) Involvement of family and friends, 7) Care transition and continuity, and 8) System issues. We performed a directed content analysis. Results: The most frequent patient-centered nursing practices of the hospital nurses were "promoting physical comfort" in inpatient settings and "providing information and communicating" in outpatient settings. The factors influencing patient-centered nursing included the health professionals' mindfulness, work overload and staff shortage, and unreasonable social demands and regulations. Conclusion: A more comprehensive patient-centered nursing practice should be implemented by improving "care transition and continuity," "family/caregiver involvement," and "system building." Health professionals' mindfulness is significant, and organizational supports addressing work overload and staff shortage are needed alongside change in social awareness.

B형 간염 바이러스 감염과 연관된 사구체신염의 임상병리학적 특성과 신 조직내에서 HBs Ag 과 HBe Ag의 발현

정수진,김영주,윤혜경,정우영,김영훈,김수영,Jung Soo-Jin,Kim Young-Joo,Yoon Hye-Kyoung,Chung Woo-Yeong,Kim Young-Hoon,Kim Su-Yung 대한소아신장학회 1998 Childhood kidney diseases Vol.2 No.1

목적 : HBV 감염과 연관된 신병증의임상 및 검사소견과 병리학적 소견을 분석하여 그 특징을 규명하고, HBeAg과 HBsAg에 대한 면역조직화학염색을 신생검조직에서 시행하여 이들 항원의 사구체내에서의 면역학적 발현을 관찰하므로써 이 질환의 발생 기전에 대한 이해를 돕고자하였다. 방법 : 1990년 4월부터 1997년 2월까지 사구체신염으로 신조직 생검을 시행하여 부산백병원 해부병리과에 병리조직검사가 의뢰된 증례 중 혈청 HBsAg 양성인 28례를 대상으로 임상 및 검사소견을 조사하였고, 신조직의 광학현미경적, 면역형광학적, 전자현미경적 검사와 HBsAg과 HBeAg 항원에 대한 면역조직화학검사를 시행하였다. 결과 : 1. 연령 분포는 6세에서 73세였으며 소아 환자가 8명이었고 성인 환자는 20명 이었다. 평균 연령은 28세였고, 남녀 비는 3:1 이었다. 내원당시 67.9%에서 혈뇨, 75.0%에서 단백뇨를 보였고 57.2%에서 신증후군을 나타내었다. 전 예에서 혈청 HBsAg이 양성이었고, 혈청 HBeAg은 검사가 시행된 9례 중 6례 (66.6%)에서 양성이었다. 2. 간기능검사가 시행된 11례 중 7례 (63.6%)에서 AST와 ALT치가 증가되어 있었으며, 이중 간생검이 시행된 3례 모두 만성 활동성 간염으로 진단되었다. 3. 28례 중 막성 사구체 신염 (membranous glomerulonephritis: MGN)이 10례 (35.7%)로 가장 많았으며, 메산지움중식성 사구체신염 (mesangioproliferative glomerulonephritis: MesGN)이 8례 (28.6%), 막증식성 사구체 신염 (membranoproliferaive glomerulonephritis : MPGN)은 7례 (25.0%) 그리고 미세변화질환 (minimal change disease : MCD)가 3nl (10.7%)순이었다. 4. HBV와 연관된 MGN에서는 혈관간 세포의 증식 및 혈관간 기질의 확장이 자주 관찰되었으며, 사구체간질 내와 내피하 침윤도 동반되어 MPGN을 시사하는 소견이 함께 관찰되는 예가 많았고, HBV 항원 혈증에 동반된 MPGN에서는 내피하 침윤 뿐 아니라 기저막 내 및 상피세포하 침윤도 종종 관찰되었다. 5. 신조직의 면역조직화학검사상 HBsAg은 모두 음성이었으나 HBeAg은 28례 중 8례 (28.6%)에서 사구체 모세혈관벽을 따라 양성 반응을 나타내었고, 이 중 3례는 혈치 HBeAg 검사를 받았는데 모두 양성이었다. 결론 : HBV와 연관된 사구체신염은 다양한 병리학적 양상을 보여주며, 특히 MGN과 MPGN에서는 전자현미경소견상 두 질환의 특징이 중복되어 나타났고, 사구체내에서 HBeAg이 검출되어 HBV의 활동성 정도와 사구체신염의 발생이 연관성이 있을 것으로 사료되나 더 많은 연구보고가 있어야 하겠다. Purpose : Hepatitis B virus (HBV) infection has been involved in several forms of immune-related glomerulopathy but the pathogenic role of HBV infection is not clear. To evaluate the clinicopathological features of HBV-associated glomerulopathy, a clinicopathological analysis and immunohistochemical stain for HBs Ag and HBe Ag were done. Methods : Clinicopathological features of HBV-associated glomerulopathy were analyzed with renal biopsies in 28 HBsAg seropositive patients from April 1990 to February 1997 at Pusan Paik Hospital, and immunohistochemical evaluation for HBsAg and HBeAg was done in renal tissues. Light microscopic, immunofluorescent and electron microscopic examination and immunohistochemical staining for HBsAg (DAKO) and HBeAg (BIONIKE) of renal tissue were performed. Result ; 1. The age distribution was 6 to 73 years old, and eight were children and 20 were adults. Male : female ratio was 3:1. Nineteen (67.9%) and 21 (75.0%) of 28 cases showed hematuria and proteinuria, respectively at the time of biopsy. Sixteen (57.2%) of them had nephrotic syndrome. 2. Liver function test was performed in 11 patients and seven (63.6%) of them showed increased AST and ALT levels. Liver biopsy was done in three patients and revealed findings of chronic active hepatitis. 3. HBV-associated glomerulopathy was membranous glomerulonephritis (MGN) in 10 (35.7%), mesangiopathy in 8 (28.6%), membranoproliferative glomerulonephritis (MPGN) in 7 (25.0%) and minimal change disease in 3 (10.7%) out of 28 cases. 4. Ultrastructurally HBV-associated MGN showed conspicuous subepithelial deposits with intramembranous, mesangial and subendothelial deposits and proliferation of mesangial cells and matrix, which were suggestive of MPGN. In HBV-associated MPGN, intramembranous and subepithelial deposits were scattered. 5. Immunohistochemical staining revealed no expression for HBsAg, but positive reaction for HBeAg along capillary wall in 8 cases (28.6%), of which 3 cases were checked for serum HBeAg, all showed positivity. Conclusion : HBV-associated glomerulopathy showed a wide morphologic spectrum and overlapping ultrastructural features in MGN and MPGN, and the activity of hepatitis B virus may be related to the development of HBV-associated glomerulopathy but further studies are recommended to confirm this relationship.

2세 남아에서 발생한 토착형 삼일열 말라리아 1례

정수진,양윤정,김순기,홍영진,손병관,조병원,정문현,Chung, Soo Jin,Yang, Yun Jung,Kim, Soon Ki,Hong, Young Jin,Son, Byong Kwan,Cho, Byong Won,Chung, Moon Hyun 대한소아감염학회 1997 Pediatric Infection and Vaccine Vol.4 No.2

Malaria, caused by any of four species of protozoan parasites of the genus Plasmodium, is charaterized by high fever, anemia and splenomegaly. Although malaria is a cause of significant morbidity and mortality worldwide, in Korea indigenous malaria has been believed to be eradicated by 1984. However, since the case report of native malaria in 1993, reported cases have been increased annually, reaching more than 300 cases in 1996. We experienced a 2 years-old male with fever, severe anemia and splenomegaly who resided in Inchon city. He had the history of travelling to the area (Yunchon) near western Demilitarized Zone for 1 month this summer. After more than 2 weeks without special attention, he was presented with pallor, anemia and splenomegaly. He was diagnosed to have malaria by Plasmodium vivax with the help of peripheral blood smears which showed various forms of malaria, i.e., ring form, trophozoites, shizonts and gametocytes. He was treated successfully with hydroxychloroquine and primaquine. We report this case with brief review of related literature.

한국영화 검열과 등급분류 제도 변천사에 담긴 비윤리성 탐구

정수진,CHUNG, Sujin 성균관대학교 트랜스미디어연구소 2017 트랜스- Vol.2 No.-

본 소논문은 자크 데리다의 법과 윤리에 대한 철학들을 바탕으로 정부 검열 시스템에 담긴 한국 영화 정책을 연구하는 데에 목적이 있다. 군사독재 시대 이후 우리나라의 영화 정책은 독재 정권의 프로파간디를 널리 알리고, 사회 통합과 안정을 내세우며 국가적 목표에 부합한 작품을 보호하는 데에 중점을 맞춰왔다. 그리하여 모든 영화 관련 정책은 정부의 엄격한 통제와 감시 안에 존재했다. 그러한 정책은 단순히 영화 선택의 자유만을 제한하는 것이 아니라 창작의 영역까지 침범한다. 자크 데리다는 정의와 폭력과 법에 대한 여러 가지 문제제기를 해왔다. 데리다의 주장들은 윤리적 고찰과 연결되어 있다. 이 소노문은 데리다의 관점에서 한국 정부의 영화 검열 정책에 담긴 폭력성을 짚어보고 윤리적 검열정책의 가능성에 대해 고찰해보고자 한다. This essay aims to examine Korean motion picture policy on the government censorship system from Jacques Derrida's thought associated with sense of ethics. Korean motion picture policy has focused on protection of domestic films to achieve a national goal from military dictatorship regime, so-called people unification or social stability. It also aimed to spread propaganda for despotic government. Thus, the government keeps tight control over all motion picture policy. It restricts not only freedom of choosing movies but also creativity from artist. Derrida used to talk about the justice and violence law. Derrida's thought is connected with the ethical consideration. This research concerned about the violence within film censorship policy of Korean government and explore possibilities of ethical censorship policy from Derrida's perspectives.

헤테로토피아의 개념으로 본 남성복의 젠더리스 스타일

정수진 ( Soojin Chung ),임은혁 ( Eunhyuk Yim ),서승희 ( Seunghee Suh ) 한국의류학회 2018 한국의류학회지 Vol.42 No.4

Recent perspectives on masculinity have changed and are expressed as a genderless style in fashion. Male models wearing womenswear are frequently presented in menswear collections. This study analyzes the genderless men’s styles from the Heterotopia concept viewpoint. Heterotopia, coined by the post-modern philosopher Michel Foucault, is a space that deviates from normality and a space of alternative. The research methodology is combined with a literature study and case study. Contemporary men's genderless styles examined through the Heterotopia concept are categorized as transition, deviation, contradiction, crisis, and coexistence. Genderless phenomenon are also accelerated by the development of the media as well as the younger generation who express personality and social messages through a genderless style.

범죄예방환경설계 시범사업의 디자인특성 분석

정수진(Chung, Soojin) 인제대학교 디자인연구소 2016 Journal of Integrated Design Research (JIDR) Vol.15 No.4

연구배경: 최근 범죄예방을 위한 환경디자인에 대한 관심이 높아지고 있다. 본 연구는 범죄예방환경설계 제도와 가이드라인을 조사하고, 서울시 주요사례대상지를 조사하고 분석하여 실제 현장에서 적용 가능한 범죄예방환경디자인의 발전방향에 대해서 제시하고자 한다. 연구방법: 본 연구는 문헌조사, 현장조사, 전문가 집중검토회의(FGI)를 통해 연구를 진행했다. 연구결과: 서울시 범죄예방환경설계 시범사업을 분석한 결과 공간의 구성 및 배치, 공공공간의 디자인 개선, 공공시설물의 디자인 개선, 커뮤니티 활성화에서 다양한 사업을 추진했다. 결론: 범죄예방환경설계 시범사업은 다양한 디자인 시도들이 이루어지고 있으나, 사업의 효과적인 추진을 위해서는 공간의 계획 및 배치 부문에서 전문가와 주민이 참여하는 것이 필요하며, 사업추진을 위한 모형을 설정하고 과정을 모니터링하는 것이 필요하다. Background: Recently, the interest in CPTED (Crime Prevention Through Environmental Design) is growing. This study is a research for CPTED (Crime Prevention Through Environmental Design) system and guidelines. Furthermore by researching and investigating the several important sites in Seoul, I’d like to suggest future direction of crime prevention design environment. Methods: This study was developed by literature investigation, field study, and FGI (Focus Group Interview). Result: As a result of analyzing the demonstration project case of Seoul’s CPTED (Crime Prevention Through Environmental Design), various projects were promoted. The projects were businesses about organization and arrangement of space, design improvement of public space and public facilities, and revitalization of the community. Conclusion: Many demonstration project cases of CPTED (Crime Prevention Through Environmental Design) are already promoting. To make them more effective, participation of the experts and residents is necessary. It is also needed to setting up a model and monitoring the process of it.

주택문화관에서 나타난 브랜드아이덴티티 표현특성에 관한 연구

정수진(Chung, Su-Jin),황연숙(Hwang, Yeon-Sook) 한국실내디자인학회 2011 한국실내디자인학회 학술대회논문집 Vol.13 No.1

Human needs have been changed into the form which demands mental enrichment rather than material affluence as the sensitivity and experience have importantly been emerged at the present. Human needs, which are enjoyed satisfaction and satisfied by recognizing the brand with its own taste as a medium, has played an important role in the brand recognition. The phenomenon of establishing the brand identity has actively been made in the housing cultural center, an interaction space in which human and brand meet each other, as a characteristic of the strategic expressions involved in human’s various needs. The current housing cultural center as a distinctive complex cultural space is the space where the brand identity is activated through the satisfaction and recognition formed when human experiences a space. The strategic design with expression characteristics considering sensual experience and human sensitivity should be considered in the modern design as well as functions. This study intended to analyze the trends in expression characteristics of the brand identity shown in housing cultural centers by a survey after drawing expression characteristics of the brand identity based on previous studies. The result of this study can briefly be summarized as follows. It is expected that a natural recognition about the brand will be made more than now if the environment with various senses such as touch, smell and taste closely related to human’s memory area is more actively provided and expression characteristics which provide surprise and interest for users are more actively shown.

비장증으로 암종증이 의심되었던 대장 용종 1예

정수진 ( Soo Jin Chung ),장재훈 ( Jae Hoon Jahng ),문희선 ( Hee Sun Mun ),박윤아 ( Yoon Ah Park ),정우희 ( Woo Hee Jung ),유정식 ( Jeong Sik Yu ),박효진 ( Hyo Jin Park ) 대한내과학회 2008 대한내과학회지 Vol.75 No.5

이번 증례에서는 S자상 결장의 내강을 반 이상 막고 있는 종괴가 있어 이의 제거 뿐만 아니라 림프절 전이 여부를 확인하기 위하여 시험 개복술을 시행하였고 그 결과 비장증을 진단받았다. 최근에는 비장 손상을 치료할 때 비록 파열이 있을 지라도 비수술적 치료를 선호하고 있기 때문에 앞으로는 비장증의 빈도가 더 늘어날 것이다. 그러므로 비장증에 대하여 유념할 필요가 있으며 복강 내 전이성 병소가 관찰되었을 때 환자에서 해당 암종에 대한 위험 인자가 없고 전이 양상이 전형적이지 않을 경우 악성 종양의 진단에 앞서 조직을 확인해 보는 것이 중요하다. 특히 복부 외상이나 비장절제술의 과거력이 있는 경우 비장증의 가능성을 반드시 염두에 두어야 하겠다. Splenosis is an ectopic implantation of splenic tissue after splenic injury or splenectomy. These splenic implants may be located throughout the abdominal cavity and may be misdiagnosed as a malignancy or tumorous condition. Here, we report a case of splenosis that was initially diagnosed as carcinomatosis from colon cancer in a patient with colon polyps that had undergone explo-laparotomy. (Korean J Med 75:574-576, 2008)

우주발사체 임무분석 및 비행 알고리즘 검증을 위한 시뮬레이터 개발 현황

정수진(Soojin Chung),최필훈(Pil Hun Choi) 한국항공우주학회 2023 한국항공우주학회 학술발표회 논문집 Vol.2023 No.4

어머니의 인구사회학적 특성과 양육스트레스가 자녀의 자아개념에 미치는 영향

정수진(Soojin Chung),최정윤(Jeongyoon Choi) 대한소아청소년정신의학회 2008 소아청소년정신의학 Vol.19 No.2

Objectives : The aim of this study was to examine the effects of maternal sociodemographic characteristics, especially education and employment, and parenting stress on the childs self-concept. Attention was also paid to the mediating impact of parenting style on the relationship between the maternal variables and a childs self-concept. Methods : A questionnaire and three scales were completed by fifth graders and their mothers, and 270 sets of paired data were analyzed. Results : The results showed that mothers with higher education experienced less child-related parenting stress, were perceived to be more achievement-oriented and rational by their children, and also had children with more positive self-concept. The relationship between maternal education and childs self-concept was mediated by the rationality dimension of parenting style. Maternal employment was not related to parenting stress, parenting style and most aspects of the childs self-concept. Lastly, child-related parenting stress had a negative effect on the childs self-concept, and this effect was mediated by the warmth and rationality dimensions of parenting style. Conclusion : Parenting style had a mediating effect on the relationships between the childs self-concept and maternal education and child-related parenting stress.