의료로봇의 현재와 미래: 수술로봇을 중심으로

송미옥,조용진,Song, Mi Ok,Cho, Yong Jin 한국디지털정책학회 2021 디지털융복합연구 Vol.19 No.4

본 연구는 4차혁명 시대에 수술로봇에 대한 선행연구를 바탕으로 수술로봇의 현황을 분석하고, 향후 수술로봇이 나아가야 할 방향에 대해 전망하고자 시도된 고찰 연구이다. 수술로봇은 '다빈치' 로봇 출시 이후 본격적인 발전이 이루어졌으며, 현재까지는 수술로봇이 의료진의 의도를 반영한 마스터-슬레이브(Master-Slave) 방식이나 의료진의 수술을 보조하는 역할을 수행하고 있다. 최근 수술로봇에 인공지능과 빅데이터를 접목하고, 수술 전용 플랫폼이 아닌 범용성 플랫폼 상용화를 위해 기술이 개발되고 있다. 더욱이, 진단 영상자료를 바탕으로 한 3D 영상 자료 생성, vision probe를 통한 실시간 영상 제공, 영상자료를 하나의 시스템 내로 통합하여 수술로봇 자동화를 위한 기술이 개발되고 있다. 수술로봇의 발전을 위해서는 임상가와 공학자와의 긴밀한 협력, 수술로봇 기술 대한 안전관리, 수술로봇 활용을 위한 제도적 뒷받침이 필요할 것이다. This study is a review study attempted to analyze the current situation of surgical robots based on previous research on surgical robots in the era of the 4th revolution, and to forecast the future direction of surgical robots. Surgical robots have made full progress since the launch of the da Vinci and the surgical robot is playing a role of supporting the surgeries of the surgeons or the master-slave method reflecting the intention of the surgeons. Recently, technologies are being developed to combine artificial intelligence and big data with surgical robots, and to commercialize a universal platform rather than a platform dedicated to surgery. Moreover, technologies for automating surgical robots are being developed by generating 3D image data based on diagnostic image data, providing real-time images, and integrating image data into one system. For the development of surgical robots, cooperation with clinicians and engineers, safety management of surgical robot, and institutional support for the use of surgical robots will be required.

우리를 호스피스 사역자로 부르신 하나님의 목적은 무엇인가?

송미옥,Song, Mi-Ok 한국호스피스협회 2007 한국호스피스협회 Vol.101 No.-

내 친구가 되어 주실래요?

송미옥,Song, Mi-Ok 한국호스피스협회 2006 한국호스피스협회 Vol.94 No.-

호스피스 간호사의 소진과 대처방안

송미옥,Song, Mi-Ok 한국호스피스협회 2005 호스피스 학술지 Vol.5 No.1

영적간호중재가 호스피스 환자의 영적안녕과 우울에 미치는 효과

송미옥,Song, Mi-Ok 한국호스피스협회 2003 호스피스 학술지 Vol.3 No.1

Purpose: The purpose of this study was to elucidate the effects of spiritual nursing intervention on spiritual well-being and depression level of the hospice patients. Method: The subjects for this study were collected from 62 patients who were admitted in the hospice care unit from July 28, 2002 to October 31, 2002 in D city K hospital. Subjects were 31 members of the experimental group and 31 members of the control group. It was devised with a nonequivalent control group pretest-posttest design. The spiritual nursing intervention was given by using the therapeutic use of self, Scripture, prayer, Hymn and music, use of church community involvement and refer to pastors according to assessment of patients' spiritual need for 3 weeks(total 12 times and 1 hour per each intervention). Sangsoon Choi(1990) and Jungho Kang(1996)'s spiritual well-being scale, which was modified from Palautzian and Ellison(1982)'s spiritual well-being scale, was used to investigate patients' spiritual well-being. To investigate level of depression, OkHyun Song(1977)'s Depression Scale, which was modified from Zung(1965)'s Depression Inventory, was used. Data were analyzed by x2-test, t-test, Repeated measures ANOVA with SPSS/Win 10.0 program. Results: 1.The 1st hypothesis, 'total spiritual well-being score in the experimental group, who received the spiritual nursing intervention, will be higher than the control group who did not receive the spiritual nursing intervention' was supported(F=6.28, p=0.015, Interaction: p=0.000). 2.The 1-1st sub-hypothesis, 'religious well-being score in the experimental group, who received the spiritual nursing intervention, will be higher than the control group who did not receive the spiritual nursing intervention' was supported(F=12.75, p=0.001, Interaction: p=0.000). 3.The 1-2nd sub-hypothesis, 'existential well-being score in the experimental group, who received the spiritual nursing intervention, will be higher than the control group who did not receive the spiritual nursing intervention' was supported(F=6.87, p=0.016, Interaction: p=0.000). 4.The 2nd hypothesis, 'depression level in the experimental group, who received the spiritual nursing intervention, will be lower than the control group who did not receive the spiritual nursing intervention' was supported(F=10.45, p=0.002, Interaction: p=0.000). Conclusion: From the above results, spiritual nursing intervention was an effective program to improve spiritual well-being state and decrease depression level for the hospice patients. In the future, when the spiritual intervention, which the researcher developed, applied on nursing field, the hospice patients can have comprehensive well being including spiritual well being and peaceful dying life.

원예치료가 호스피스 환자의 통증, 우울, 삶의 질에 미치는 효과

송미옥,Song, Mi-Ok 한국호스피스협회 2006 호스피스 학술지 Vol.6 No.1

영적간호중재가 호스피스 환자의 영적안녕과 우울에 미치는 효과

송미옥,김정남,Song, Mi-Ok,Kim, Jeong-Nam 한국호스피스협회 2004 호스피스 학술지 Vol.4 No.2

Purpose: The purpose of this study was to elucidate the effects of spiritual nursing intervention on spiritual wee-being and depression level of the hospice patients. Method: The subjects for this study were collected from 62 patients who were admitted in the hospice care unit from July 28, 2000 to October 31, 2002 in D city K hospital. Subjects were 31 members of the experimental group and 31 members of the control group. It was devised with a nonequivalent control group pretest-posttest design. The spiritual nursing intervention was given by using the therapeutic use of self, Scripture, prayer, Hymn and music, use of church community involvement and refer to pastors according to assessment of patients' spiritual need for 3 weeks(total 12 times and 1 hour per each intervention). Sangsoon Choi(1990) and Jungho Kang(1996)'s spiritual well-being scale, which was modified from Palautzian and Ellison(1982)'s spiritual well-being scale, was used to investigate patients' spiritual well-being. To investigate level of depression, OkHyun Song(1977)'s Depression Scale, which was modified from Zung(1965)'s Depression Inventory, was used. Data were analyzed by x2-test, t-test, Repeated measures ANOVA with SPSS/Win 10.0 program. Results: 1.The 1st hypothesis, 'total spiritual well-being score in the experimental group, who received the spiritual nursing intervention, will be higher than the control group who did not receive the spiritual nursing intervention' was supported(F=6.28, p=0.015, Interaction: p=0.000). 2.The 1-1st sub-hypothesis, 'religious well-being score in the experimental group, who received the spiritual nursing intervention, will be higher than the control group who did not receive the spiritual nursing intervention' was supported(F=12.75, p=0.001, Interaction: p=0.000). 3.The 1-2nd sub-hypothesis, 'existential well-being score in the experimental group, who received the spiritual nursing intervention, will be higher than the control group who did not receive the spiritual nursing intervention' was supported(F=6.87, p=0.016, Interaction: p=0.000). 4.The 2nd hypothesis, 'depression level in the experimental group, who received the spiritual nursing intervention, will be lower than the control group who did not receive the spiritual nursing intervention' was supported(F=10.45, p=0.002, Interaction: p=0.000). Conclusion: From the above results, spiritual nursing intervention was an effective program to improve spiritual well-being state and decrease depression level for the hospice patients. In the future, when the spiritual intervention, which the researcher developed, applied on nursing field, the hospice patients can have comprehensive well being including spiritual well being and peaceful dying life.

수술실 간호사 안전역량 도구의 타당도 및 신뢰도 검증

송미옥(Mi-Ok Song),장금성(Keum Seong Jang) 한국산학기술학회 2016 한국산학기술학회논문지 Vol.17 No.10

본 연구는 수술실 간호사의 안전역량 도구를 개발하고 타당도와 신뢰도를 검증하고자 시행되었다. 도구의 개발 과정은 문헌고찰을 통한 예비 문항 개발, 예비 문항의 개념적 기틀에 맞는 구성 타당도 검증으로 이루어졌다. 개발된 문항은 전문가 타당도를 거쳐 30개의 문항으로 확정하였다. 377명의 수술실 간호사를 대상으로 30개 문항으로 이루어진 예비 도구의 타당도와 신뢰도를 검증하였다. 도구의 구성요소를 확인하기 위해 탐색적 요인분석과 평행선 분석을 시행하였으며 그 결과 지식, 기술, 태도 3개 요인으로 이루어진 27개 문항을 도출하였다. 도구의 내적 구조를 도식화하기 위해 확인적 요인분석을 시행하였으며 최종 모델의 적합도는 TLI=.90, CFI=.91, RMSEA=.07 SRMR=.07 로 매우 적합하였다. 확인적 요인 분석 결과를 토대로 27문항 3개 요인(지식 6문항, 기술 13문항, 태도 8문항)으로 이루어진 최종 도구를 확정하였다. 최종 도구의 Cronabach’ α 는 .94로 나타나 내적일관성을 확인하였다. 본 연구에서 개발된 수술실 간호사의 안전역량 도구는 환자 안전에 대한 수술실 간호사의 역량을 사정하고 환자 안전 연구나 경력 개발에 유용하게 사용될 수 있을 것으로 기대한다. The purpose of this study was to develop a scale to evaluate the safety competency of perioperative nurses and to examine its validity and reliability. The research process included the development of preliminary items through literature reviews and the construct validity examination of the conceptual framework for the preliminary scale. The content validity of the identified items was evaluated by experts, resulting in 30 preliminary items. The participants involved in testing the validity and reliability of the preliminary scale were 377 perioperative nurses. The data were analyzed using exploratory factor analysis, parallel analysis, confirmatory factor analysis, and internal consistency. To verify the construction factor of the preliminary scale, exploratory factor analysis and parallel analysis were performed, resulting in 3 factors and 27 items. The internal structure of the scale was schematized using confirmatory factor analysis and the goodness of fit of the final research model was very appropriate, as shown by the values of TLI=.90, CFI=.91, RMSEA=.07, and SRMR=.07. The final scale consisted of 27 items and 3 factors including knowledge (6 items), skill (13 items), and attitude (8 items). Cronbach" α for the final scale was .94, showing good internal consistency. This safety competency scale can be used for assessing the competency of perioperative nurses regarding patient safety, for developing patient safety studies and for the career development of perioperative nurses.

간호대학생의 자기-성찰 및 통찰력 측정도구 타당도 및 신뢰도 검증

송미옥(Song, Mi Ok),김희영(Kim, Heeyoung) 기본간호학회 2018 기본간호학회지 Vol.25 No.1

Purpose: The purpose of this study was to translate the Self-Reflection and Insight Scale (SRIS) into Korean and test its validity and reliability. Methods: Participants were 340 nursing students who were recruited from 5 nursing colleges in Korea. Data were collected from November 21 to December 20, 2016 and analyzed using the IBM Statistics SPSS 22.0 and AMOS 23.0 programs. Exploratory factor analysis, Confirmatory factor analysis, and concurrent validity analysis were performed. Results: For the Korean-SRIS (K-SRIS) 4 items were deleted from the original SRIS. The final scale consisted of 16 items which were sorted into- the 2 factors: self-reflection (11 items), insight (5 items). The cumulative percent of variance was 50.91%. The statistically significant correlation between K-SRIS scores and the Reflection in Learning Scale (RLS) support the concurrent validity of the K-SRIS. The reliability of the scale, Cronbach"s α was .83. Conclusion: The finding indicate that the K-SRIS has validity and reliability. Therefore it can be used for measuring and developing reflection ability in nursing students.

간호대학생의 의사소통 태도 측정도구 타당도 및 신뢰도 검증

송미옥(Mi-Ok Song),윤소영(So-Young Yun) 한국산학기술학회 2017 한국산학기술학회논문지 Vol.18 No.3

본 연구는 국내 간호대학생을 대상으로 Communication Skills Attitudes Scale (CSAS)의 타당도와 신뢰도를 검증하기 위해 시행되었다. 2016년 6월 1일부터 15일 사이에 일 지역 2개 간호대학의 1학년부터 4학년에 재학 중인 간호대학생 401명을 대상으로 26개 문항으로 이루어진 CSAS 설문지를 작성하도록 하였다. 자료분석은 IBM Statistics SPSS 21.0, IBM Statistics AMOS 21.0 프로그램을 활용하여 탐색적 요인분석, 확인적 요인분석, 내적 일관성을 분석하였다. 도구의 구성요인을 파악하기 위해 베리멕스 회전을 이용한 탐색적 요인분석을 시행하였으며 그 결과 4개 요인이 추출되었지만 이론의 구조 및 해석가능성을 고려하여 긍정태도, 부정태도 2개 요인으로 범주화한 19문항을 확정하였다. 도구의 내적 구조를 도식화하기 위해 확인적 요인분석을 시행하였으며 최종 모델의 적합도는 χ<SUP>2</SUP>=446.475(df=148, p<0.001), TLI=.90, CFI=.91, RMSEA=.07, SRMR=.05로 매우 적합하였다. 확인적 요인분석 결과를 토대로 19개 문항 2개 요인으로 이루어진 최종 도구를 확정하였다. 최종 도구의 Cronbach’α=.90으로 나타나 내적일관성을 확인하였다. 본 연구에서 검증된 의사소통 태도 측정도구는 간호대학생의 의사소통에 대한 다양한 교수전략의 효과를 모니터링 하는데 도움을 줄 수 있을 것으로 기대한다. The purpose of this study was to examine the validity and reliability of the Communication Skills Attitude Scale, which is used to examine communication learning attitudes for domestic nursing students. Study subjects were 401 nursing students at two nursing college who completed the CSAS scale consisting of 26 items from June 1 to 15. Data were analyzed using exploratory factor analysis, confirmatory factor analysis, internal consistency with IBM Statistics SPSS 21.0, and the IBM Statistics AMOS 21.0 program. To verify the construction factor of the scale, exploratory factor analysis with varimax rotation was performed, resulting in four factors but confirmed positive and negative attitudes two factors with 19 items considering the construct of theory and interpretability. The internal structure of the scale was schematized using confirmatory factor analysis, and goodness of fit of the final research model was very appropriate as shown by χ<SUP>2</SUP>=446.475 (df=148, p<0.001), TLI=.90, CFI=.91, RMSEA=.07, SRMR=.05. The final scale consisted of 19 items and two factors based on the confirmatory factor analysis. Cronbach"s α for final scale was .90, showing internal consistency. The CSAS is expected to be useful to monitor the effectiveness of multiple teaching strategies about communication for domestic nursing students.