발병연령에 따른 공황장애 임상 양상의 차이

신은숙,하주원,김형태,임세원,신동원,신영철,오강섭,Shin, Eunsook,Ha, Juwon,Kim, Hyung Tae,Lim, Sewon,Shin, Dongwon,Shin, Youngchul,Oh, Kang-Seob 대한불안의학회 2014 대한불안의학회지 Vol.10 No.2

Objective : The correlation between age of onset and symptoms/severity of panic disorder has not yet been determined. The aim of this research is to determine the different clinical features of panic disorder according to the age of onset. Methods : Patients diagnosed with panic disorder were placed into two groups according to onset of age. The subjects were checked for 13 different panic symptoms presented in the DSM-IV. The investigation was also executed by severity, the anxiety sensitivity index, the scale for depression and anxiety. Results : The early onset group had significantly higher frequencies than the late onset group in the areas of "choking feeling" and "derealization or paresthesia". It was found that only "choking feeling" was statically significant as a risk factor of early onset panic disorder. Among the objective anxiety scale, the subscale of psychological anxiety was higher in the early onset group compared to the late onset group. Conclusion : "Choking feeling" was the only panic symptom that showed a significant difference in accordance with onset age. Earlier onset patients tend to experience a more frequent "choking feeling," which is related to respiratory symptoms. This could mean that earlier onset patients are more likely to have higher psychological anxiety.

800 nm급 해도형 폴리에스터 초극세사 편성물의 감량 거동 및 염색 특성

신은숙,김현성,이정진,Shin, Eun-Suk,Kim, Hyun-Sung,Lee, Jung-Jin 한국섬유공학회 2012 한국섬유공학회지 Vol.49 No.1

Weight reduction behavior and dyeing properties of sea-island PET ultra-microfiber knitted fabrics were compared to those on the fabrics of the conventional microfiber. In the dissolution of the sea component out of seaisland type nanofilaments, it is important to determine the optimum alkaline treatment time in order to avoid the further damage of island component. SEM micrographs reveal that the dissolution of the sea component of each nanofilament fabric completed after 30 or 40 min at $95^{\circ}C$. Build-up property of disperse dye on sea-island type PET fabric from microfiber or nanofilament was generally good. Color yield of fabric from micro filament was higher than that from the nanofilament. Color yield of the fabric from PET micro- or nano-filament was found out to be dependent upon the dyeing temperature. The color yield decreased as the dyeing temperature increased. Wash fastness was moderate and light fastness was very poor.

외국 국가보훈정책의 국내 학술지 연구동향

신은숙(Eun-Sook Shin) 한국보훈학회 2021 한국보훈논총 Vol.20 No.4

본 연구는 외국의 국가보훈정책 관련 국내 학술지 논문의 일반적인 연구동향(연구시기별, 학술지별), 연구시기에 따른 대상국가별 연구동향, 연구주제별 연구동향(연구시기별, 대상국가별), 연구방법별 연구동향을 비교 분석하여 외국의 보훈정책 연구의 방향과 다양하고 균형있는 연구개발을 위한 기초자료로 제시하는 데 목적을 두고 있다. 이러한 목적을 위해 국내 학술지(등재지, 등재후보지) 논문검색을 통해 선정된 23편의 논문을 중심으로 외국의 국가보훈정책의 동향을 살펴 보았다. 외국의 보훈정책 관련 학술지 논문를 2010년부터 2019년까지 1년단위로 구분하였다. 연구결과, 연구시기별 연구동향과 연구시기에 따른 주제별 동향, 2012년 이후 저조하여 활성화 방안이 필요하며, 학술지별 연구동향은 한국보훈농촌에 가장 많이 게재하였으나 관련학회에도 연구를 진행하여 국가보훈의 중요성을 확산하고 국민들에게 보훈의식을 고취시킬 필요가 있으며, 대상국가도 쿠바, 러시아 국가 외 더 확산되어야 하며, 문헌고찰연구에 비해 질적연구가 저조하여 질적연구가 더 활성화 되어야 할 것으로 가료된다. The study consists of general research trends (by research period, by journal), research trends by target country according to research period, research trends by research topic (by research period, by target country), research on foreign national veteran policy-related papers in domestic journals. The purpose of this study is to compare and analyze research trends by method and present them as basic data for the direction of foreign veterans policy research and diverse and balanced research and development. For this purpose, we looked at the trends of foreign national military policy, focusing on 23 papers selected through a paper search in domestic academic journals (registration papers, candidate sites). Papers in foreign academic journals related to veterans policy were divided into one-year units from 2010 to 2019. As a result of the study, the research trend by research period by the research period, the trend by topic according to the research period, was low after 2012, so an activation plan is needed. It is necessary to spread the importance of it and inspire the people to have a sense of patriotism, and it is necessary to expand the target countries to countries other than Cuba and Russia.

농촌지역 노인들의 신체적 기능(ADL, IADL)과 우울수준과의 관련성

신은숙(Shin, Eun-Sook),조영채(Cho, Young-Chae) 한국산학기술학회 2012 한국산학기술학회논문지 Vol.13 No.1

본 연구는 노인들의 ADL, IADL 및 우울수준을 알아보고, ADL, IADL과 우울수준과의 관련성을 검토하고 자 농촌지역 노인 412명(남자 191명, 여자 221명)을 대상으로 2010년 4월 1일부터 6월 30일까지의 기간 동안에 표준 화된 무기명식 면접조사용 설문지를 사용하여 면접조사를 실시하였다. 연구결과, 조사대상자의 ADL의 분포는 정상 범위노인군 94.7%, 기능장애노인군 5.3%이었으며, IADL의 분포는 정상범위노인군 87.4%, 기능장애노인군 12.6%이었 다. 우울수준의 분포는 정상군 59.0%, 우울군 41.0%이었다. 조사대상자의 우울군의 분포는 ADL이 정상범위노인군에 서 38.2%, 기능장애노인군에서 90.9%로 기능장애노인군에서 유의하게 높았으며, IADL이 정상범위노인군에서 35.8%, 기능장애노인군에서 76.9%로 기능장애노인군에서 유의하게 높았다. 다른 변수를 통제한 다변량 모델에서의 로지스틱 회귀분석 결과 우울수준에 대한 위험비는 ADL에서 정상범위노인군보다 기능장애노인군에서 23.21배(95% CI=4.38~123.05) 높았고, IADL에서 정상범위노인군보다 기능장애노인군에서 7.76배(95% CI=2.99~20.08) 높은 것으로 나타났다. 결론 적으로, 농촌지역 노인들의 ADL과 IADL이 기능장애노인군인 경우 정상군에 비해 우울상태로 되는 위험비가 높아졌 다. 따라서 향후 노인들의 우울을 예방하기 위한 대책의 하나로 개인의 ADL 및 IADL과 같은 신체적 기능을 더욱 건강하게 유지 증진시킬 수 있는 방안을 모색할 필요가 있다고 생각된다. This study was performed to determine the levels of depressive symptoms and to reveal its relationships between ADL and IADL among rural elderlies. The interviews were performed, during the period from April 1st, to June 30th, 2010, to 412 elderlies in rural areas. As a results, the distribution of ADL among all subjects were 94.7% in normal-range group, and 5.3% in impaired group. In terms of IADL, 87.4% of the subjects were normal-range group, 12.6% were impaired group. The distribution of depression group among all subjects were 38.2% in normal-range group of ADL, and 90.9% in impaired group of ADL, but it was 35.8% in normal-range group of IADL, and 76.9% in impaired group of IADL. In logistic regression analysis, the adjusted odds ratio of the depression was significantly increased in impaired group of ADL than in normal-range group of ADL(OR=23.21, 95% CI=4.38~123.05). Also it was significantly increased in impaired group of IADL than in normal-range group of IADL(OR=7.76, 95% CI=2.99~20.08). In conclusion, the depression of rural elderlies was significantly increased in impaired group than in normal-range group of ADL and IADL. Thus, strategic effort needs to be prevented to depression in impaired group of ADL and IADL.

보훈대상자들의 보건의료서비스 실태 및 발전방안에 관한 연구

신은숙(Eun-Sook Shin) 한국보훈학회 2018 한국보훈논총 Vol.17 No.3

본 연구는 국내 보훈대상자들의 보건의료서비스 실태를 파악하고 국외 주요국가들의 보건의료서비스 동향을 알아본 후 우리나라 보훈대상자들의 보건의료서비스 발전방안을 모색해 보고자 하였다. 현재 국내 보훈대상자가 851,968명으로, 보훈병원과 민간병원의 가장 큰 차이가 진료비 청구이다. 또한, 보훈·의료전달체계는 1, 2, 3차 통합 진료체계를 구축하고 있었으며, 보건의료서비스 정보화가 되면서 병원 업무 전산 S/W 개발하여 컴퓨터 네트워크를 통해 업무 처리함으로써 인력과 처리시간을 감축하였다. 그리고 보험청구 시스템 개발하여 사용하면서 청구 미수금 회수 기간 단축 등의 효과를 보았으며, 병원정보시스템이 표준화가 되면서, 5개 병원 경영정보 및 각종 통계연보를 손쉽게 조회할 수 있는 체제가 구축되었으며, 보건의료정보 시스템을 구축하여 보훈대상자에게 질 높은 서비스를 제공하고 있다. 국외 주요 국가들의 동향을 알아본 결과, 정확한 통계자료는 현재 제대군인들이 직면한 문제가 어떤 것인지, 그리고 새로 입안된 정책이 어떤 효과를 거두고 있는지를 파악하는데 필수적인 요소 이어, 통계자료만을 전문적으로 수집․분석하는 주체가 필요하다고 보인다. 또한, 미국 정부에서 직접 운영하는 보훈병원보다 민간 위탁병원의 수가 많은 한국의 경우 위탁병원 진료의 효율성 문제가 좀 더 중요한 비중을 가지고 검토되어야 할 것이다. 대만의 경우는 보훈병원을 이용함으로써 일반 시민들의 보훈대상자를 포함한 국가보훈에 대해 친밀감을 강화하고 있다. 우리도 보훈 정책 특히 의료지원과 관련하여 일반 시민들과 더욱 폭넓게 접촉할 수 있는 사회화 방안에 대해 연구해야 할 필요가 있다고 본다. The purpose of this study is to investigate the health care service status of domestic veterans and to examine the trends of health care services in major foreign countries. After that, I tried to find out how to develop health care services for the nation s veteran. Currently, there are 851,968 domestic veterans in S. Korea. The biggest difference between a veterinary hospital and a private hospital is the charge for medical expenses. Also, the veterinary medical delivery system establishes the first, second and third integrated medical treatment system. As healthcare service information became available to veterinary hospitals, hospital computerization software was developed and processed through computer network to reduce manpower and processing time. In addition, the insurance billing system was developed and used to shorten the payback period of charged account receivable . As the hospital information system became standardized, a system was established to easily inquire the management information of 5 hospitals and various statistical yearbooks, and hospital information system has been established to provide higher quality services to veteran patients. As a result of analyzing the trends of major foreign countries, the accurate statistical data shows what are the current problems that discharged soldiers are facing, and as it is essential to identify the effects of the new policy, it is considered to be necessary to collect and analyze statistics professionally. Also, in Korea, where the number of private foster hospitals is higher than that of veterans hospitals directly operated by the US government, the problem of efficiency of foster hospitals should be examined with more weight. In the case of Taiwan, the use of the Veterans Hospital strengthens the intimacy of the nation s war veterans including the general public s patronage. In our case, we also need to find out socialization plans that can make more extensive contact with the general public regarding the veterinary policy, especially medical support.

관상동맥 집중치료실 입원 환자의 예후 및 사망의 예측인자 분석

신은숙 ( Eun Suk Shin ),정명호 ( Myung Ho Jeong ),김계훈 ( Kye Hun Kim ),지순일 ( Sun Il Ji ),신지혜 ( Ji Heo Shin ),이은정 ( Eun Jeong Lee ),홍영준 ( Young Joon Hong ),박형욱 ( Hyung Wook Park ),김주한 ( Ju Han Kim ),김원 ( Weon 대한내과학회 2006 대한내과학회지 Vol.70 No.4

도시지역 고등학생들의 사회심리적 스트레스 수준과 그의 관련요인

신은숙(Shin, Eun-Sook),조영채(Cho, Young-Chae) 한국산학기술학회 2012 한국산학기술학회논문지 Vol.13 No.2

본 연구는 도시지역 고등학생들의 사회심리적 스트레스 수준을 파악하고 그에 관련된 요인을 규명하고자 대 전광역시의 남․여 고등학생 514명을 대상으로 2011년 4월 1일부터 5월 31일까지의 기간 동안에 표준화된 자기기입식 설문지를 사용하여 설문조사하였다. 연구결과, 조사대상 학생들의 사회심리적 스트레스 수준은 건강군이 6.4%, 잠재적 스트레스 군이 72.4%, 고위험스트레스 군이 21.2%로 나타났다. 일반적 특성별 고위험스트레스 군의 분포는 교우관계 가 좋지 않다는 군에서, 학교생활에 만족하지 못한다는 군에서, 형제자매가 없다는 군에서, 가정생활에 만족하지 못한 다는 군에서 유의하게 높았다. 로지스틱 회귀분석 결과 고위험스트레스 군에 속할 교차비는 교우관계가 좋다는 군보다 좋지 않다는 군에서, 학교생활에 만족한다는 군보다 만족하지 못한다는 군에서, 형제자매가 있다는 군보다 없다는 군 에서, 가정생활에 만족한다는 군보다 만족하지 못한다는 군에서 유의하게 증가하였다. 단계별 다중회귀분석 결과 사회 심리적 스트레스 수준에 영향을 미치는 요인으로는 학교생활만족도, 교우관계, 형제자매유무 및 가정생활만족도가 유 의한 변수로 선정되었다. The purpose of this study was to identify the degree of psychosocial stress and its related factors. The self-administered questionnaires were delivered to 514 high school students of both sexes in Daejon city during the period from April 1 to May 31, 2011. As a results, the degree of psychosocial stress of study subjects was 6.4% in healthy group, 72.4% in latent stress group, 21.2% in high risk stress group. The high risk stress group was significantly high in the group of worse relation with friend, lower satisfaction with the school life, none of siblings and lower satisfaction with the home life. The odds ratio of the high risk stress group significantly increased in the worse relation with friend, lower satisfaction with the school life, none of siblings and lower satisfaction with the home life than their respective counterparts. Multiple regression analysis showed that the major variables of influence on psychosocial stress included satisfaction of school life, friendship with the school fellow, number of siblings and satisfaction of home life.

망막질환 환자를 위한 시청각 교육프로그램의 개발 및 효과 : 수술적 치료 전 환자를 중심으로

신은숙(Eun-Suk Shin),김장순(Jang-Soon Kim),이연후(Yeon-Hu Lee),안민정(Min-Jeong An),황윤영(Yoon-Young Hwang) 한국보건복지학회 2020 보건과 복지 Vol.22 No.2

본 연구는 망막질환 수술 전 환자에게 시청각 교육프로그램을 이용해 정보를 제공함으로써 질환관련 지식, 불확실성, 불안 및 간호교육 만족도에 미치는 효과를 규명하고자 시도되었다. 비동등성 대조군 전후시차설계의 유사실험연구로 연구대상자는 실험군 40명, 대조군 40명 총 80명이었다. 중재로 실험군에는 입원 당일 시청각 교육프로그램을 통해 정보를 제공하였고, 대조군에는 입원 당일 기존 안내서와 교육자료를 통해 정보를 제공하였다. 수집된 자료는 SPSS version 20.0을 이용하여 분석하였다. 연구결과, 실험군의 질환관련 지식(F=5.32, p =.024)과 간호교육 만족도(F=8.67, p =.004)가 증가하였다. 효과크기는 질환관련 지식과 간호교육 만족도에서 에타제곱 (η<SUP>2</SUP>) 0.07과 0.10으로 중간 이상의 효과크기를 나타냈다. 시청각 교육프로그램을 통한 정보제공은 수술 전 망막질환 대상자의 질환관련 지식과 간호교육 만족도 상승에는 효과적이었으나, 불확실성과 불안을 감소시키지는 못하는 것으로 나타났다. 불확실성과 불안은 교육프로그램을 통한 정보제공만으로 효과가 충분치 않음이 확인되었으므로, 의료진의 정서적지지 등을 포함하여 효과를 검증하기 위한 후속 연구가 필요할 것으로 사료된다. The purpose of this study was to examine the effects of audiovisual education program on disease-related knowledge, uncertainty, anxiety, and nursing education satisfaction in patients undergoing surgery for retinal disease. A quasi-experimental study design was applied. A total of 80 patients were assigned to either an intervention group or a control group(each, n=40, respectively). The intervention group received the audiovisual education and the control group received a usual care. Data were analyzed using SPSS version 20.0. Upon the intervention completion, the intervention group showed greater improvements than the control group in disease-related knowledge and nursing education satisfaction(F=5.32 <SUP>*</SUP>, F= 8.67 <SUP>**</SUP>, respectively). The effect size for the intervention in disease-related knowledge and nursing education satisfaction was η<SUP>2</SUP>=.07 and η<SUP>2</SUP> =.10. There were no significant changes in uncertainty and anxiety between the groups. This study findings demonstrate the feasibility and preliminary effectiveness of the audiovisual education program to increase disease-related knowledge and improve nursing education satisfaction. Further studies are needed to develop an intervention and/or strategies to reduce their uncertainty and anxiety including medical personal emotional support to improve their psychological health outcomes.

논문(論文) : 김복진의 <소년>과 그 제작 배경

신은숙 ( Eun Sook Shin ) 동국사학회 2007 동국사학 Vol.43 No.-

Mr. Bok-Jin, Kim(金福鎭 1901-1940), with the artistic name of Jung-Kwan(井觀), having taken the western sculpture lesson in Japan, is the first Korean modern sculptor who initiated the phase of fine art of sculpture genre. Involved in social movement and communist and literary art activities he was an intelligentsia as well as an educator who performed resistance movement against Japan during the colonial period. There is a limit to evaluate his sculptural boundary by illustrative record alone under the circumstance that even a general sculpture works of his does not subsist now. However, it appears necessary to re-evaluate the creation background of the work <BOY> which was presented to Cho-Sun Fine Art exhibition held in 1940. This manuscript is in pursuit of the plausible relationship between <BOY> and Mr. Ki-Jung, Sohn(the gold-medalist of marathon race in the 11th Berlin Olympic held in August, 1936.) by reviewing his work scope and the presented last work of <BOY> in comparison with the photo of the great player and the work under the background of colonial era. His technique of sculpture was faithful to westernized formula of figurative human organism. Influenced by Auguste Rodin his early works are regarded as too much imitative female statues and therefore lacked in qualification to be called art works. Ever since the release from prison in 1935 the works like <Paik-Hwa> and <BOY> show the profound spiritual field and fully matured sculptural technique resulted from the effort to reach `localism and nationalism`. Particularly the work <BOY> represents both his cumulated thoughts and the situation of the times. Reviewing backward the situation of the times till 1940 when <BOY> is presented Japanese colonial rule forced the complete abolition policy of Cho-Sun nationality humiliating the tribe. And against such a circumstance the intelligentsia group and literary art people felt desperate necessity to educate the juveniles looking forward to the new era to come. Therefore, the symbolic meaning of `BOY` was found even in many other literary art movements. The sculptor Bok-Jin, Kim who had been also expert in literary art from his boyhood. Once contributed script to the first publication of journal 《BOY》published in 1937 and he himself published the magazine of 《Juvenile Cho-Sun》in 1934. He expected the hero of national salvation to bring hopeful future of nation by sculptured statue of <BOY> with materializing the symbolic meaning of `Boy` formatted under the social and cultural background. It is highly possible that the genuine physical and emotional model of <BOY> must be Ki-Jung, Sohn. It is also assumed that the heroic image of the player might provide the nationalist sculptor with the momentum to create <Boy> under the Japanese compulsory occupation. Comparing with the sculpture <Boy> and the photo of Ki-Jung, Sohn there exist many similarities. Standing posture, overall physical proportion and frame, well-built muscles at arms and legs, visage and skinhead, and short pants are thought to be almost identical. The event of mastering Berlin Olympic marathon race might engrave the image of national hero and new hopeful Boy of Cho-Sun, at the heart of the sculptor Bok-Jin, Kim and thereby he perhaps inspired the image of player into the image of the work. <Boy> is a mysterious masterpiece, sculpturally well controlled, tense and viable in itself. Reviewing all the related production surroundings the <Boy> is the representative work to materialize the `localism and nationalism` he pursued. And furthermore, he specifically described the future archetype image of `BOY` to open the independent nation free from the occupation through the work. If the work <BOY> sculptured the image of Ki-Jung, Sohn, the great player under the somber colonial days it could be still more the brilliant work in Korean Sculpture history.

소규모 제조업 남성 근로자의 직무스트레스와 흡연행동과의 관련성

신은숙(Shin, Eun-Sook),조영채(Cho, Young-Chae) 한국산학기술학회 2015 한국산학기술학회논문지 Vol.16 No.12

본 연구는 소규모 제조업 사업장 남성 근로자들의 직무스트레스와 흡연과의 관련성을 검토할 목적으로 50인 미만의 소규모 제조업 사업장 24개소에 근무하고 있는 남성 근로자 856명을 대상으로 무기명 자기기입식 설문조사를 실시하였다. 연구결과, 조사대상 제조업 남성 근로자의 흡연율은 35.2%이었다. 직무스트레스의 하위영역과 흡연과의 관련성을 검토하기 위한 다변량 로지스틱회귀분석 결과, 직무스트레스 요인 총점과 하위영역(물리적 환경, 직무요구, 조직체계, 보상부적절 및 직장문화)에서의 스트레스요인 점수가 정상군에 비해 고위험 스트레스군에서 현재 흡연군에 속할 위험비가 유의하게 증가하 였다. 이 같은 결과는 소규모 제조업 남성 근로자에서의 직무스트레스가 정상인 군보다 고위험스트레스군에서 흡연과의 관 련성이 더 높음을 시사하고 있다. The aim of this study was to investigate the relationship between job stress and smoking behaviors among small scale manufacturing male workers. A self administered questionnaire was given to 856 male workers employed in 24 work places under 50 members of manufacturing industries. As a results, the smoking rates of small scale manufacturing male workers was 35.2%. In the results of multiple logistic regression analysis to know the relationship between job stress and smoking behaviors, the Odds ratio of the total score of Korean Occupational Stress Scale(KOSS) and its subarea(physical environment, job demand, organizational system, lack of reward and occupational climate) were significantly increased in high risk group than normal group. These results suggested that job stress may play a significant role in the smoking behaviors in the high risk group than normal group of small scale manufacturing male workers.