취약계층 여성노인의 연령주기별 건강관련 삶의 질 관련 요인

신계영(Shin, Gyeyoung),김은경(Kim, Eun Kyung) 한국보건간호학회 2014 韓國保健看護學會誌 Vol.28 No.3

임산부의 산전 기형아 검사에 관한 지식과 정보 요구 및 낙태에 대한 태도

전명희(Jun, Myunghee),신계영(Shin, Gyeyoung),김혜경(Kim, Hye-Kyung) 한국간호교육학회 2018 한국간호교육학회지 Vol.24 No.4

Purpose: This study identifies correlations among information needs and knowledge about prenatal genetic screening and diagnosis (I-PGSD & K-PGSD), and attitude toward terminating pregnancy (ATP) among pregnant women in South Korea. Methods: A descriptive survey was conducted from January 2013 to April 2014 in South Korea. 222 pregnant women responded to three questionnaires developed by the authors. The questionnaire for I-PGSD consisted of 19 questions; 18 questions for K-PGSD; and 10 questions for ATP. Results: Mean scores were 80.46±11.73 for I-PGSD; 14.86±3.74 for K-PGSD; and 33.71±6.13 for ATP. The ATP score was positively correlated with the I-PGSD and K-PGSD scores, but statistically significant with only I-PGSD (p=.006). I-PGSD scores were higher than average on three genetic syndromes (Down, Patau, and Edwards syndrome), on management after the diagnosis of positive fetal aneuploidy, and on test result interpretation after the amniocentesis and level II fetal ultrasonogram. Conclusions: In light of current legal and moral controversy regarding terminating pregnancy and rapidly advancing prenatal genetic testing technology, more prenatal genetic education for nurses and nursing students who teach pregnant women is needed. In addition, more professional counseling services provided by trained nurses are also required.

간호대학생의 결혼, 임신 및 낙태에 대한 태도

전명희(Jun, Myunghee),신계영(Shin, Gyeyoung),최경숙(Choi, Kyung Sook),이선애(Lee, Sun Ae),홍선우(Hong, Sun Woo) 한국간호교육학회 2014 한국간호교육학회지 Vol.20 No.2

Purpose: There recurred controversies related to legal allowance of abortion since newly advancing prenatal genetic testing technology. This survey was aimed to identify the attitudes toward marriage, and pregnancy (AMP) and terminating pregnancy (ATP) among Korean nursing students. Method: A descriptive study was performed from October to November 2012 in South Korea. 424 nursing students responded to two types of tools developed by authors. Questionnaire for ATP is consisted of 10 items with 5-points Likert Scale. Questionnaire for AMP is 12 items containing 5 categories. Results: Mean score of ATP was 36.90. Students that are enrolled in bachelor degree had a significant higher ATP. Students who are currently dating with an opposite gender showed much higher level of ATP than those are not. Lower group of delayed the time of getting marriage and pregnancy showed highest score of ATP, significantly. Conclusion: Individual factor must be primarily considered when assessing ATP of nursing students, for example current relationship with opposite gender and educational background, attitude toward marriage and pregnancy. Further studies are needed to identify personal factors of the young adults affecting on the ATP.

블로그를 통해 본 산전 기형아 검사와 양수검사에 대한 질문과 댓글 분석

전명희(Myunghee Jun),신계영(Gyeyoung Shin),최경숙(Kyung Sook Choi) 한국콘텐츠학회 2015 한국콘텐츠학회논문지 Vol.15 No.3

본 연구의 목적은 블로그에 나타난 임신 여성의 산전 기형아 검사 및 양수검사 관련 교육요구를 파악하기 위하여 총 7개의 국내 인터넷 블로그를 분석하였다. 본 연구는 두 단계로 이루어졌다. 1 단계는 2011년 10월 31일까지 6년간 7개 블로그 중 6개 블로그에 게시된 내용 중 산전 기형아 검사 389건을 통하여 연구의 분석 틀을 마련하였다. 2 단계에서는 ‘맘스홀릭 베이비’에 게시된 산전 기형아 검사에 관한 질문 100건, 양수 검사에 관한 질문 200건과 댓글 1,665건을 2011년 12월 텍스트화하고 산전 기형아 검사와 양수검사의 건수, 검사 이유 및 검사와 관련된 문제점을 분석하였다. 그 결과, 임신부들은 산전 기형아 검사와 양수검사와 관련하여 검사의 용어, 목적 및 임신 주수에 따른 검사 지식이 부족하였고, 양수 검사를 권유 받은 임신부 중 56.5%가 불안과 두려움을 호소하였다. 양수검사에 관한 찬성과 반대 건수를 분석한 결과, 찬성 보다는 반대 건수가 더 많았고, 양수검사를 권유 받은 자 중 33.9%는 양수검사를 받지 않았다. 이상의 결과에서 보듯이 의료 기관 서비스 안에서 임신 여성과 가족들에게 임신 주수에 따른 산전 기형아 검사에 관한 교육 및 지지가 강화될 필요가 있다. 이를 위하여 산전 클리닉 외래의 상담 및 교육 서비스 기능을 강화하고, 유전 상담전문가를 추가로 배치할 필요가 있으며 인터넷 보급률 증가와 현대 임신 여성이 선호하는 커뮤니케이션 방식을 고려하여 온라인 건강 정보 사이트 운영 및 콘텐츠 개발에 관심을 기울일 필요가 있다. 또한 본 연구결과는 기형아 검사 후 낙태 허용범위 기준에 대한 논의 시 기초자료로 활용될 수 있을 것이다. The purpose of this study was to identify pregnant women’s needs for information on prenatal genetic diagnosis and screening. This study is consisted of two phases. In the first phase in December 2011, six blogs featuring questions and answers on prenatal genetic diagnosis and screening were selected from four major search engines in Korea by using the keywords “prenatal genetic diagnosis,” “prenatal genetic screening”, and “amniocentesis.” An analyzing framework was constructed on the basis of 389 posts on six blogs between November 2006 and October 2011. In the second phase, the contents of the “MomsHolicbaby” blog posted from November 2010 to October 2011 were reviewed. Then, pregnant women’s questions on prenatal genetic diagnosis and screening (100 questions) and amniocentesis (200 questions with 1,665 answers) were analyzed using descriptive statistics. Among posters who had ever been recommended to undergo amniocentesis, 56.5% described feelings of anxiety, 25.5% did not know the purpose of the test, and 33.9% refused to undergo the test. Among 295 posters answering questions about amniocentesis, 61.4% disagreed with undergoing the test. The results show that there is a need for healthcare professionals to provide more educational and emotional support to pregnant women considering prenatal genetic diagnosis and screening. Providing online health information can be integrated into prenatal genetic education for pregnant women as well as nurses. In addition, prenatal women’s preferences about undergoing amniocentesis should be reflected in the current legal discussion on criteria for termination of pregnancy.

최신 비침습적 산전 유전 검사(NIPT)의 임상 적용과 간호학적 의미

전명희(Jun, Myunghee),신계영(Shin, Gyeyoung),허명행(Hur, Myung Haeng),최경숙(Choi, Kyung-Sook) 한국간호교육학회 2013 한국간호교육학회지 Vol.19 No.4

Purpose: Nineteen articles were analyzed to gather opinions and nursing implications about NIPT recently launched. Methods: Nineteen articles were selected from EBSCO (eBook business collection), Google Scholar, and two Korean academic d-bases with key words ‘prenatal screening testing’, ‘prenatal genetic diagnostic testing’, NIPT or ‘cell free DNA (cfDNA)’. Authors developeda framework for analyzing the 19 articles including opinions and suggestions for future implications. Results: Eleven articles written by the first author affiliated with medicine or genetics, viewed NIPT as promising because of safety, accuracy, early detectability and cost effectiveness. Articles written by journalists or authors affiliated with history and ethics were concerned with the possible risk of ELSI (ethical, legal, social issues), erratic interpretation of test results, and lack of genetic counseling service. Conclusion: With consideration of Korean clinical, andlegal circumstances, not only pregnant women and families but also health professionals must prepare for clinical NIPT implications including updating prenatal genetic testing, counseling services, protecting ELSI and amulticultural team approach.

간호대학생의 윤리의식과 환자안전에 대한 태도가 환자안전 수행자신감에 미치는 영향

임경춘(Lim, Kyung Choon),박미성(Park, Misung),신계영(Shin, Gyeyoung) 대한근관절건강학회 2017 근관절건강학회지 Vol.24 No.2

Purpose: This study aimed to explore the influences of sense of ethics and attitude toward patient safety in confidence in patient safety in nursing students. Methods: This descriptive study was conducted with 198 students who had clinical practices in two nursing schools. Sense of ethics, attitude and confidence about patient safety were measured by a questionnaire. Data were analyzed with SPSS/WIN 19.0 using descriptive statistics, t-test, ANOVA, Pearsons correlation coefficient, and multiple regression analysis. Results: There were significant differences in satisfaction with nursing major by grade. There were significant positive correlations among sense of ethics, attitude toward patient safety, confidence in patient safety, view on patients safety, and satisfaction with nursing major. Confidence in patient safety was associated with sense of ethics, attitude toward patient safety, and view on patients safety, with 37.6% of the variance. Conclusion: The findings suggest that we need to develop curriculums for undergraduate students to improve their sense of ethics and patient safety. Further research is needed to examine educational needs on patient safety in nursing students.

유전체학 시대의 한국 종양 유전 간호의 과제

전명희(Jun, Myunghee),최경숙(Choi, Kyung Sook),신계영(Shin, Gyeyoung) 대한종양간호학회 2012 Asian Oncology Nursing Vol.12 No.4

Purpose: The purpose of this review article is to introduce how the Korean Society of Genetic Nursing (KSGN) has evolved and tried to translate genomic knowledge to nursing practice, and then to suggest the future role of genetic nurses in Korea. Methods: A literature review was performed and the current status of genetic counselling in Korea was explored. Then the educational and clinical experiences of the authors were incorporated. Finally, the main activities of Korean nursing for genetics were identified. Results: Two types of genetic counsellor certification have been issued in Korea: one is issued by the Korean Society of Genetic Medicine, another by the Korean Society of Breast Cancer since June 2011. A few Korean nursing researchers have continuously performed research related to genetic nursing and undertook several research projects funded by the government since 2003. In February 2011, KSGN was established and is now trying to establish further international networks. Conclusion: Nursing genetic experts should be trained to integrate all specialties for genetic counselling, so they can provide holistic genetic services including ethical, legal, and social issues (ELSI).

노인 낙상 예방을 위한 운동 가이드라인의 적절성과 적용가능성

이선희(Lee, Seon Heui),은영(Eun, Young),박원숙(Bak, Won-Sook),신계영(Shin, Gyeyoung),전미양(Jeon, Mi Yang),임경춘(Lim, Kyung-Choon),이인옥(Lee, Inok),최희권(Choi, Hee Kwon),김민주(Kim, Minju),배선형(Bae, Sun Hyoung),최미경(Choi, Mi- 대한근관절건강학회 2017 근관절건강학회지 Vol.24 No.3

Purpose: The purpose of this study is to analyze the suitability and applicability of the recommendations for the exercise intervention program in fall prevention guidelines for the elderly. Methods: We searched systematically RISS, KISS, National Assembly Library, KoreaMed, and KM base for Korean guidelines and used OVID-MEDLINE, EMBASE, Cochrane library, Trip database, GIN, NGC, WHO, and CDC for international guidelines including fall prevention exercises for the elderly until August 2016. Results: A total of 11 guidelines were selected as the result of the literature search. After evaluating the quality of guidelines, 9 guidelines were used to analyze the recommendations. A total of 19 recommendations were derived from 9 guidelines. Of 19 recommendations, 12 recommendations were considered to be appropriate and applicable. As a result, we recommend for the elderly to do a single type of balance exercise, strength exercise, aerobic exercise or multiple forms of exercise for 20~30 minutes per a day, 2~3 days or more than 3 days per a week, and consistently for more than 10 weeks. Conclusion: To prevent falls in the elderly, it is important for the elderly to perform a regular balance, strength, or aerobic exercise for 20~30 minutes per a day, 2~3 days per a week.

간호대학생이 지각한 임상실습 교수 효율성과 임상실습 적절성

정명실(Chung, Myung Sill),박정숙(Park, Jeong Sook),류은정(Ryu, Eunjung),신계영(Shin, Gyeyoung),전화연(Jun, Hoa Yun),김복자(Kim, Bog Ja) 한국간호교육학회 2015 한국간호교육학회지 Vol.21 No.4

Purpose: The purpose of this study was to identify the teaching effectiveness and adequacy of practical training in nursing students. Methods: This descriptive research was conducted using a convenience sampling. The sample consisted of 619 nursing students with experience in practical training among five colleges, located in four cities. The data collection was performed using self-reported questionnaires. Research tools, developed by Kim (1996), were used to measure the effectiveness of clinical instructors and the adequacy of practical training developed by researchers. The data was analyzed using SPSS 20.0. Results: The average of teaching effectiveness was 3.43 (out of 5) and adequacy of practical training was 3.33 (out of 5). Teaching effectiveness and adequacy of practical training showed a significant positive correlation (r=.74, p<.001). Teaching effectiveness and each sub-area: adequacy of practical training, practical contents (r=.59, p<.001), practical attitude (r=.45, p<.001), practical instructor (r=.62, p<.001), practical environment (r=.46, p<.001), and practical evaluation (r=.64, p<.001), revealed a significant positive correlation. Conclusion: Nursing students prefer the actual training from professors who are more professional and clinical experienced. Professors presenting the theory lectures should also be aware of clinical practice so that education can be more professional and effective in terms of clinical practice.

지역사회 노인낙상예방을 위한 운동 프로그램 개발 및 예비조사

이선희(Lee, Seon Heui),박원숙(Bak, Won-Sook),신계영(Shin, Gyeyoung),이경숙(Lee, Kyung-Sook),임경춘(Lim, Kyung-Choon),김민주(Kim, Minju),이인옥(Lee, Inok),최희권(Choi, Hee Kwon),박미성(Park, Mi Sung),배선형(Bae, Sun Hyoung),유재선(Yu, 대한근관절건강학회 2020 근관절건강학회지 Vol.27 No.1

Purpose: The purpose of this study was to develop a new fall-prevention exercise intervention for the community-dwelling elderly and to examine the effects of program. Methods: A total of 7 older adults were participated in a 10-week fall-prevention exercise intervention (1 day per a week in community centers, 2 days per a week in a home). The exercise program consisted of warming-up, extension exercises, muscle strength exercises, balance exercises, and finishing exercise. Data were collected before the exercise and after 10 weeks of exercise. In this study, muscle strength of lower limbs was measured by 10 times of standing up and sitting on a chair. Static balance was measured by one-leg standing, and dynamic balance was measured by 6 meter walking. Results: After a 10-week exercise program, muscle strength of lower limbs (t=4.18, p<.05), statical balance were significantly improved (left leg, t=-3.11, p<.05; right leg, t=-4.56, p<.05). Seven of 11 items measuring fear of falls were significantly decreased (p<.05), and dynamic balance tended to be improved (p=.117). Conclusion: This result suggests that evidence-based, fall-prevention exercise program can improve muscle strength, static and dynamic balance, and fear of falling in the community living elderly.