Psychometric Evaluation of Hill-Bone Medication Adherence Subscale

송영신,Hae-Ra Han,Hee-Jung Song,Soohyun Nam,Tam Nguyen,Miyong T. Kim 한국간호과학회 2011 Asian Nursing Research Vol.5 No.3

Purpose: Medication adherence is an essential part of the management and control of high blood pressure (HBP). Although the Hill-Bone Medication Adherence (HBMA) scale is one of the most frequently used instruments for measuring HBP medication adherence, the psychometric properties of the scale have never been tested among Korean Americans, a population that experiences a disproportionately high prevalence of HBP. Therefore, the objective of this study is to validate a Korean version of the HBMA subscale (HBMA-K). Method: We used two, independent samples of Korean Americans (KAs) (combined n ¼ 525) who participated in community-based intervention trials for HBP control. To develop the HBMA-K, the original scale was translated into Korean and then back translated into English. Reliability was assessed by calculating the Cronbach’s alpha. Exploratory factor analysis (EFA) was done to assess construct validity. We also calculated the Pearson’s correlation coefficients between the scale and theoretically driven variables such as blood pressure, knowledge, and HBP belief to test concurrent validity. Results: The EFA revealed a one-factor solution with eight items, explaining 35.4% of the variance. Cronbach’s alpha was .80. The 8-item HBMA-K scale was significantly associated with systolic blood pressure (BP) (r ¼ .18, p < .01), diastolic BP (r ¼ .24, p < .01), HBP knowledge (r ¼ .13, p < .01), and HBP belief score (r ¼ .18, p < .05). Conclusions: The 8-item HBMA-K scale is a valid and reliable instrument for measuring medication adherence among KAs with HBP. It can be easily administered at community and clinical settings to screen hypertensive patients with low medication adherence.

지역사회 거주 기혼 여성의 요실금 중증도에 따른 불안, 우울 및 삶의 질

송영신(Song Young-Shin),손연정(Son Youn-Jung),홍성경(Hong Sung-Kyung),송주은(Song Ju-Eun),조혜경(Cho Hye-Kyung) 기본간호학회 2007 기본간호학회지 Vol.14 No.4

Purpose: The purpose of this study was to compare anxiety, depression and quality of life according to the severity of urinary incontinence in married women. Method: The participants were 168 married women aged 30-65 years who experienced urinary incontinence. The data were collected from May to July, 2006 using a structured questionnaire. Frequencies, percent, means and standard deviation, t-test, ANOVA, X²-test and Scheffe test with SPSS win 14.0 program were used to analyze the data. Results: The distribution of urinary incontinence severity was mild 87.5%, or moderate 12.5%. Significant differences in the severity of urinary incontinence were found for the general characteristics of age, education level, having a job and having a spouse and for the obstetric characteristics of type of delivery, and menopause. Differences in the score for anxiety (t=-2.41, p=0.001) and quality of life (t=5.50, p<0.001) according to the severity of urinary incontinence were statistically significant. Conclusion: Women with moderate to severe urinary incontinence should be screened for psychosocial factors. Severity of urinary incontinence in married women negatively affects their quality of life. Further research is needed to determine factors predicting the quality of life for incontinent women.

지식경영 시스템을 활용한 신규간호사 e-Learning 프로그램 개발 및 평가

송영신(Song, Youngshin) 한국간호교육학회 2007 한국간호교육학회지 Vol.13 No.1

미세 채널에서 칼슘이온 물질전달을 이용한 단분산성 알지네이트 하이드로젤입자의 실시간 젤화

송영신 ( Young Shin Song ),이창수 ( Chang Soo Lee ) 한국화학공학회 2014 Korean Chemical Engineering Research(HWAHAK KONGHA Vol.52 No.5

본 논문은 가교제의 물질전달을 통한 실시간 생체고분자의 젤화 과정으로 단분산성을 갖는 구형의 알지네이트 하이드로젤을 미세유체 채널 내에서 제조하는 방법에 관한 연구이다. 먼저 미세유체 채널 내에서 단분산성 알지네이트 액적들을 형성하고 연속상에 분산된 염화칼슘 분자들의 물질전달 과정을 통해 실시간 젤화과정이 이루어지게 하여 알지네이트 하이드로젤 입자를 제조하였다. 이때, 미세유체 채널에서 형성되는 액적의 크기는 손쉽게 케필러리 수(capillarynumber)와 분산상의 유속 조절을 통하여 제어할 수 있다. 본 방법은 미세유체 채널 내에서 안정적인 액적을 형성할 수있고 칼슘 가교제로 제조된 알지네이트 하이드로젤 입자들은 균일한 크기 분포를 가지며(C.V=2.71%) 유속, 점도, 및계면장력의 조절을 통하여 30 μm에서 60 μm까지의 다양한 크기의 알지네이트 하이드로젤 입자를 제조할 수 있다. 본논문에서 제시한 간단한 미세유체 접근방법을 통해 제조되는 단분산성을 갖는 알지네이트 하이드로젤 입자는 생체물질들을 손쉽게 함입(encapsulation)할 수 있으며 이는 식품, 화장품, 잉크 및 약물 등의 전달체로 활용이 가능하고 생체적합성이 뛰어나 세포이식 분야에도 활용될 가능성이 있다. A microfluidic method for the in situ production of monodispersed alginate hydrogels using biocompatiblepolymer gelation by crosslinker mass transfer is described. Gelation of the hydrogel was achieved in situ by the dispersedcalcium ion in the microfluidic device. The capillary number (Ca) and the flow rate of the disperse phase whichare important operating parameters mainly influenced the formation of three distinctive flow regions, such as dripping,jetting, and unstable dripping. Under the formation of dripping region, monodispersed alginate hydrogels having a narrowsize distribution (C.V=2.71%) were produced in the microfluidic device and the size of the hydrogels, ranging from30 to 60 μm, could be easily controlled by varying the flow rate, viscosity, and interfacial tension. This simple microfluidicmethod for the production of monodisperse alginate hydrogels shows strong potential for use in delivery systemsof foods, cosmetics, inks, and drugs, and spherical alginate hydrogels which have biocompatibility will be applied to celltransplantation.

국내 운동 관련 메타분석 논문의 질 평가

송영신(Song, Youngshin),강문희(Gang, Moonhee),김선애(Kim, Sun-Ae),신인수(Shin, In-Soo) 한국간호과학회 2014 Journal of Korean Academy of Nursing Vol.44 No.5

Purpose: The purpose of this study was to evaluate the quality of meta-analysis regarding exercise using Assessment of Multiple Systematic Reviews (AMSTAR) as well as to compare effect size according to outcomes. Methods: Electronic databases including the Korean Studies Information Service System (KISS), the National Assembly Library and the DBpia, HAKJISAand RISS4U for the dates 1990 to January 2014 were searched for ‘meta-analysis’ and ‘exercise’ in the fields of medical, nursing, physical therapy and physical exercise in Korea. AMSTAR was scored for quality assessment of the 33 articles included in the study. Data were analyzed using descriptive statistics, t-test, ANOVA and χ2-test. Results: The mean score for AMSTAR evaluations was 4.18 (SD=1.78) and about 67% were classified at the low-quality level and 30% at the moderate-quality level. The scores of quality were statistically different by field of research, number of participants, number of databases, financial support and approval by IRB. The effect size that presented in individual studies were different by type of exercise in the applied intervention. Conclusion: This critical appraisal of meta-analysis published in various field that focused on exercise indicates that a guideline such as the PRISMA checklist should be strongly recommended for optimum reporting of meta-analysis across research fields.

일 지역 간호사의 뇌사자 장기기증에 대한 태도 조사

송영신(Song, Young-Shin),이미영(Lee Mi-Young) 한국간호교육학회 2008 한국간호교육학회지 Vol.14 No.2

기본간호학 교과서 표준화작업을 위한 기초조사 Ⅱ: 투약, 감염, 욕창

송영신(Song, Youngshin),김지수(Kim, Ji-Su),박수현(Park, Soohyun) 기본간호학회 2020 기본간호학회지 Vol.27 No.2

Purpose: The purposes of this study were to analyze and compare the textbooks of fundamentals of nursing and practice in order to standardize them for medication administration, infection control, and pressure injury. Methods: The current study is a literature review of the ten textbooks published after 2013. Ten textbooks were the ones selected by the Korea Health Personnel Licensing Examination Institute as major textbooks. Three items were reviewed: medication administration, infection control, and pressure injury, with a focus on differences in numbers, range, direction, and others. Results: For medication administration, there were some discrepancies in the size of needle and syringe, maximum dosage depending on injection methods, replacement period of catheter and infusion set, depth of insertion for vaginal medication administration. For infection control, items with discrepancies included length of time for hand washing, concentration of chemical sterilant, frequency of ventilation to prevent airborne disease, distance to prevent droplet-borne infection, the latent period of infectious disease, and methods to treat medical wastes. For pressure injury, the discrepancies were exhibited in the degree and duration of pressure for pressure injuries, range of scores for risks in pressure injury assessment tools, and temperature of the solution to irrigate pressure injuries. Conclusion: Standardized textbooks for these three parts will be useful teaching aide for students and nurses to carry out consistent and professional nursing for patients’ safety.

신규간호사의 기본간호 업무에 대한 자기효능감과 비판적 사고성향 및 간호실무능력간의 상관성 연구

송영신(Song Youngshin) 기본간호학회 2009 기본간호학회지 Vol.16 No.1

Purpose: The purpose of this study was to identify self-efficacy, disposition to critical thinking and level of nursing competency in new nurses and to exam the correlation among these variables. Method: The sample was composed of 286 new nurses who had worked at E hospital for 1 year. Descriptive and correlation analysis using the SPSS program were used to analyze the data. Results: The mean score for self-efficacy was 67.10, disposition to critical thinking, 3.01 and nursing competency, 3.02. There were significant differences in scores for 3 variables between nurses with College degrees and nurses with Baccalaureate degrees. There was a significant positive correlation between disposition to critical thinking and nursing competency scores. Couclusion: Further study of the various components that influence nursing competency is necessary. Also based on the disposition to critical thinking, there is a need to develop education programs to strengthen curiosity and other related variables. The results of this study confirmed the necessity of developing a clinical model of nursing competency ability.

독일 근대신문의 다원성에 대한 논의

송영신(Young-Shin Song) 한국방송학회 2004 한국방송학보 Vol.18 No.3

노인학대 사례개입의 연계체계 문제점 : 인식, 실행, 제도체계 중심으로

송영신(Song, Young-sin),양호정(Yang, Ho-jung),이미진(Lee, Mi-jin) 한국지역사회복지학회 2021 한국지역사회복지학 Vol.- No.77

본 연구는 노인학대 사례개입의 연계체계 문제점을 탐색하는 것을 목적으로 한다. 이를 위해 노인학대 관련 학계전문가와 현장전문가 15인을 대상으로 FGI를 실시하고 내용분석방법을 활용하여 분석하였다. 연구결과, 노인학대 사례개입 연계의 문제점은 인식체계, 실행체계, 제도체계 3개의 범주로 분류되어 도출되었다. 인식체계에서는 학대개념의 차이, 역할이해 부족, 개입목적 이해부족, 실행체계에서는 담당업무 과중 및 자체역량 부족, 유관기관 협력부족, 지자체 협의 미비 그리고 제도체계에서는 노인보호전문기관 수 부족, 유관기관 인프라 부족, 법률적 장치 미비의 범주가 구성되었다. 연구결과를 근거로 노인학대 사례개입 연계체계 구축을 위한 정책적ㆍ실천적 제언을 하였다. This study explores the problems of the inter-agency networking in the intervention of elder mistreatment (EM) cases. For this purpose, focus group interview was conducted for 15 academic and field experts on elder mistreatment and qualitative data were analyzed using content analysis methods. Results indicate that the problems of the inter-agency networking in this area were derived and they were classified into three categories: 1) Perceptions (difference in EM concept, unclearly defined roles of elder protective service agencies, and lack of understanding the purpose of intervention); 2) Performance (social workers’ work overload and lack of competence, lack of inter-agency cooperation, and lack of consultation from local governments), 3) Structural system (the small number of elder protective service agencies, lack of infrastructure, and legal issues). Based on the results, we suggest policy and practice implications to elaborate inter-agency networking in the intervention of elder mistreatment (EM) cases.