생활 그림책을 활용한 가정연계 놀이가 만 1세반 영아의 기본생활습관 형성에 미치는 효과

서민희,김은심,문선영 한국어린이문학교육학회 2022 어린이문학교육연구 Vol.23 No.3

본 연구는 생활 그림책을 활용한 가정연계 놀이가 영아의 기본생활습관 형성에 미치는 효과를 알아봄으로써 교육현장에서 영아 대상 기본생활습관 형성을 위한 교수-학습방법을 제공하는 데 그 목적이 있다. 이를 위하여 강원도 S시에 소재한 국공립 D 어린이집 영아 15명을 실험집단에, 같은 지역의 국공립 I 어린이집 원아 15명을 비교집단에 임의로 배정하였다. 실험처치는 2021년 6월 14일부터 2021년 9월 24일까지의 12주 동안 주 2회씩 총 24회에 걸쳐 이루어졌으며, 12권의 생활 그림책을 활용하였다. 실험집단은 생활그림책을 활용한 가정연계 놀이를 비교집단은 동일한 생활 그림책 읽기 활동을 실시하였으며, 자료처리는 실험, 비교집단의 사전검사 점수를 공변인으로 하여 사후검사 점수에 대해 공분산분석(ANCOVA)을 실시하였다. 그 결과 생활 그림책을 활용한 가정연계 놀이가 영아의 기본생활습관 형성에 유의한 효과가 있는 것으로 나타났다. 이러한 결과는 생활 그림책을 활용한 가정연계 놀이가 실제 보육현장에서 영아에게 의미 있고 효과적인 놀이로써 기본생활습관 형성 교육에 활용될 수 있음을 시사한다.

지방문화원의 지역학 아카이브 활성화 방안: 춘천문화원을 중심으로

서민희,지윤호 한국관광연구학회 2023 관광연구저널 Vol.37 No.5

This study aimed to analyze records and methods through focus group interviews to foster and to utilize sustainable regional archives of local cultural centers, centering on local cultural centers in Chuncheon. There were four strategic categories: discovering archive resources, building governance of related agencies, expanding archive recording channels, and expanding digital archive services. A total of 22 strategic tasks were derived as related sub-strategic tasks. First, the archive resource discovery strategy drew three strategic tasks under local cultural utilization and three under local data collection and production. Six strategic tasks were derived in connection with educational institutions, public libraries, and local governments in building giant versions of related agencies. In the strategy to expand archive recording channels, three strategic tasks were derived under local cultural utilization and three strategic tasks under the theme of local data collection and production. Three strategic tasks were derived under the theme of expanding media channels and three strategic tasks on expanding permanent exhibitions. Finally, the digital archive service expansion strategy drew two strategic tasks under the theme of building a digital archive database and two strategic tasks under metaverse archive expansion. Today, the region's archives must be elaborately collected and recorded according to the region's characteristics. Historical records such as living customs must be collected from the local community through local-based oral records. It is necessary to recognize the importance and necessity of archives and to establish a platform for new cultural resources through systematic management of data on local culture.

제 7차 교육과정에 근거한 과학과 교수・학습 과정안의 분석

서민희,하미성,김나희,강경희,최원호 한국교원대학교 교육연구원 2009 敎員敎育 Vol.25 No.2

본 연구에서는 학교 수업에서 교육과정의 이해 및 적용 실태를 알아보기 위해 시・도 교수학습지원센터와 서울특별시과학전시관 홈페이지에 게재되어 있는 교수・학습 과정안에 나타나는 교육과정 위계 오류의 유형을 조사하였다. 각 시・도 교수학습지원센터와 서울특별시과학전시관 홈페이지에 게재되어 있는 교수・학습 과정안을 이용하여 제 7차 교육과정을 토대로 오류 유형 분류틀을 제작하고, 교육과정 위계 오류의 유형별 횟수와 그 내용적 특징을 살펴보았다. 연구 대상으로 분석한 교수・학습 과정안 모두 교육과정 위계 오류를 가지고 있었으며, 교육과정 위계 오류의 유형은 단원의 특성에 따라 다르게 나타났다. In this study we investigated error types of curriculum in the 'teaching-learning lesson plan' to know actual condition about the understanding and application of curriculum at the school lesson. We made classification rubric based on the 7th curriculum using 'teaching-learning lesson plan' which is on the web site of support center for the teaching and learning at each city and province and Seoul Science Park. And investigated the number and the feature in each error type of the curriculum hierarchy. All the 'teaching-learning lesson plan' which was used for study had error in the curriculum hierarchy. The error type of the curriculum hierarchy was varied at the feature of lesson unit.

노인요양병원에 입원한 경도인지장애 노인의 휴식-활동 일주기 리듬에 관한 탐색적 연구: 타액 알파 아밀라제와의 관련성을 중심으로

서민희,최지혜 한국기초간호학회 2023 Journal of korean biological nursing science Vol.25 No.4

Purpose: This study aimed to evaluate the rest-activity circadian rhythm (RAR) using data obtained from wearable actigraph devices in hospitalized older adults with mild cognitive impairment (MCI), and to investigate its relationship with salivary alpha amylase (sAA). Methods: This secondary data analysis used data from the Hospitalized Older Adults’ Cognition and Physical Activity Study. Actigraph data for 3-4 days were analyzed for RAR. RAR indices such as interdaily stability (IS), intradaily variability (IV), activity level during the most active 10-hour period and during the most least active 5-hour period, and relative amplitude (RA) were calculated. Data on sAA collected in the morning and general characteristics, including body mass index (BMI), were analyzed. Results: Data from 92 hospitalized older adults with MCI were analyzed. The IS, IV, RA were 0.23, 0.73, 0.88, respectively. The average level of sAA was 77.02 U/mL, and a higher level of sAA was significantly associated with better IS and RA in the regression analysis, while age, BMI, and cognitive level were not. BMI showed positive correlations with IS and RA. Conclusion: RAR in the hospitalized older adults with MCI was attenuated, showing especially low IS, which implies they failed to maintain regular and repetitive 24-hour RAR. Increased sAA and BMI were associated with robust RAR. Nurses need to pay attention to maintain robust RAR in hospitalized older adults with MCI, and strategies should be developed to improve their RAR.

Chest Physiotherapy on the Respiratory Mechanics and Elimination of Sputum in Paralyzed and Mechanically Ventilated Patients With Acute Lung Injury: A Pilot Study

서민희,Margaret Heitkemper,최스미 한국간호과학회 2011 Asian Nursing Research Vol.5 No.1

Purpose Chest physiotherapy (CPT) is commonly used for mechanically ventilated patients, but little is known about its physiological effects, particularly in patients with acute lung injury (ALI). The aim of the study was to determine the benefits and risks of delivering multimodal respiratory physiotherapy to mechanically ventilated patients with ALI receiving paralytic agents. Methods A repeated measure-experimental design using a counterbalancing method was employed. Fifteen patients received CPT (vibration, percussion, or palm-cup percussion) in addition to the routine CPT in a randomized order. Another 15 patients, contraindicated for the percussion technique, received routine CPT including manual hyperinflation and position change, and were observed as a comparative group. The effects of CPT were evaluated by measuring the volume of aspirated secretions and the dynamic lung compliance (Cd) over time. For the adverse effects, peripheral oxygen saturation (SpO2) was recorded. Cd and SpO2 were recorded at the baseline period, immediately after the physiotherapy treatment,and at 10, 20, 30 and 60 minutes posttreatment. Results The volume of collected secretions did not differ significantly when compared between the groups (p = .838). Cd increased significantly over time in the manual percussion (p = .042) and palm-cup percussion (p = .046) group, where Cd in the latter remained elevated twice longer than in the former. None of the CPT techniques exerted major detrimental effects on SpO2. Conclusions We found that the palm-cup percussion technique was the most effective in increasing Cd without any accompanying detrimental effects on SpO2. However, additional CPT did not affect the volume of aspirated secretions. [Asian Nursing Research 2011;5(1):60–69]

팀기반학습

서민희,Seo, Minhee 연세대학교 의과대학 2016 의학교육논단 Vol.18 No.1

DEL 변이형의 수혈전략과 검사의 최신지견

서민희,김보람,권정란,최영실,김준년,박경운,조덕 대한수혈학회 2015 大韓輸血學會誌 Vol.26 No.1

Red cells that express extremely low levels of D antigen that cannot be detected by routine serologic tests are designated as DEL. Most DEL blood donors are typed as D-negative. However, DEL red blood cells can be recognized by serological adsorption and elution test or molecular RHD genotyping. Anti-D production in patients with D-negative who received transfusion containing DEL blood has reported, therefore distinction between DEL variant and true D- negative is clinically important. This review highlights a transfusion strategy and laboratory update on the DEL variant in the Korean population 극히 낮은 D 항원을 발현하는 적혈구는 기본혈청학적 검사법으로는 검출할 수 없어 DEL 이라고 부른다. 대부분 DEL형은 D 음성으로 보고된다. 그러나, 이들 DEL 적혈구는 흡착 및 용출시험(adsorption-elution test) 혹은 RHD 유전자 검사로 이를 규명할 수 있다. RhD 음성 환자가 DEL 혈액 수혈 후 항-D항체가 발생됨이 보고되었기때문에, DEL형과 순수 D 음성의 감별이 임상적으로 중요하다. 본 원고에서는 한국인에서 DEL 형에 대한 수혈전략과 검사법의 최신지견을 다루고자 한다.

영아교사 성인애착 및 교사효능감이 영아-교사 상호작용에 미치는 영향

서민희,유경훈 제주대학교 교육과학연구소 2020 교육과학연구 Vol.22 No.2

The purpose of this study is to investigate the relationship among adult attachment, teacher efficacy and infant-teacher interaction; the effect of adult attachment and teacher efficacy on infant-teacher interaction. This study subjects were 189 infant teachers in the metropolitan area, and were used to test adult attachment types, teacher efficacy scale, and infant-teacher interaction measurement tool. The collective data were analyzed, using pearson correlation analysis for correlation among variables, multiple regression analysis for the explanatory power, reliability test to verify reliability. The results are as follows: First, there was a significant correlation between infant attachment and teacher-infant interaction. The relationship between teacher efficacy and teacher-infant interaction has also significant positive correlation. Second, the effect of the adult attachment type was shown to have significant effect to the infant-teacher interaction. Third, the effect of teacher efficacy on infant-teacher interaction, there was meaningful influence on the interaction. 본 연구는 영아교사의 성인애착과 교사효능감 및 영아-교사 상호작용 간의 상관성 및 영향력을 알아보고자 실시되었다. 이에 따라 수도권 지역의 영아교사 189명을 대상으로 성인애착 척도, 교사효능감 척도, 영아-교사 상호작용 척도를 사용하였다. 수집된 자료는 Pearson 상관 분석과 중다회귀분석을 실시하였으며 결과를 요약하면 다음과 같다. 첫째, 영아교사의 성인애착과 영아상호작용은 의미 있는 상관관계가 나타났고 안정애착과는 정적 상관이, 회피애착과는 부적 상관관계가 나타났다. 교사효능감과 영아상호작용과는 유의한 정적인 영향을 미치는 것으로 나타났다. 둘째, 영아교사의 성인애착이 영아-교사 상호작용에 영향력을 미치는 요인으로 나타났다. 안정애착은 반응적 태도와 적극적 활동 참여에 의미 있는 영향력을 보였고, 회피애착은 반응적 태도에만 의미 있는 영향력을 나타냈으며 허용적 태도에는 성인애착의 하위요인들이 의미 있는 영향력을 설명하지 못하였다. 셋째, 영아교사의 교사효능감이 영아-교사의 상호작용에 미치는 영향을 살펴본 결과, 교사효능감이 영아-교사 상호작용에 영향을 미치는 요인으로 나타났다. 영아교사의 학급운영관리, 영아상호작용, 교수활동은 교사의 반응적 태도, 적극적인 활동 참여, 허용적 태도에 유의미한 영향력을 보였다.

뇌졸중 후 수면-각성장애

서민희,최스미 기초간호학회 2009 Journal of korean biological nursing science Vol.11 No.1

뇌졸중은 우리나라에서 단일 질환으로 남녀 모두 사망률 제1위를 차지한다. 또한 생존한다고 하여도 여러 유형의 신체 장애와 통증이 나타나며, 우울 등 감정 장애를 경험하는 것으 로 보고되었다(Kim & Choi-Kwon, 2000). 이러한 신체적, 정신적 변화는 뇌졸중 환자의 수면에 다양 하게 영향을 줄 수 있다. 여러 선행연구 결과, 뇌졸중 발생 후 수면-각성 주기의 변화가 자주 일어나는 것으로 보고되었다 (Leppavuori, Pohjasvaara, Kaste, & Erkinjuntti, 2002; Palomaki et al., 2003). 수면-각성 주기의 변화는 뇌졸중 환자에게서는 40-60% (Leppavuori et al., 2000) 정도가 발 생하는 것으로 보고되어, 일반인의 발생 빈도(10-40%, Hohagen et al., 1993)에 비해서 높은 것으로 보인다.

근무형태별 간호사의 스트레스와 불안 조사: 타액 코티솔과 자가보고 척도를 이용한 탐색적 연구

서민희,Suh, Minhee 한국기초간호학회 2017 Journal of korean biological nursing science Vol.19 No.3

Purpose: The purpose of the study was to compare salivary cortisol levels, self-reported occupational stress, and anxiety before duty to those after duty in the shift and regular work nurses, and the relationships among them. Methods: Thirty nurses working in a tertiary hospital participated in the study. Salivary specimens were collected before and after daytime duty for 2 days. The occupational stress and state anxiety were also evaluated using self-report questionnaires. Results: The average level of salivary cortisol was $0.40{\mu}g/dL$ before duty and $0.20{\mu}g/dL$ after duty in Korean nurses. Overall levels of salivary cortisol, self-reported occupational stress, and anxiety were higher in shift working nurses than regular working nurses. In shift working nurses, the salivary cortisol gap between before and after duty was attenuated on the first day of daytime duty. Significant positive correlation was found between the level of cortisol before duty and anxiety after duty. Conclusion: Strategies to alleviate occupational stress and anxiety are needed for shift working nurses, especially for those with elevated levels of cortisol. It seems to require 3days to recover from attenuated cortisol rhythm during nighttime duty in shift working nurses.