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      • SCOPUSKCI등재
      • KCI등재후보

        경직성 양하지 마비아의 하지의 선택적 운동 조절 능력이 보행 시 관절 움직임에 미치는 영향

        신현희 ( Hyun Hee Shin ),오태영 ( Tae Young Oh ),서혜정 ( Hye Jung Seo ),서무정 ( Mu Jung Seo ) 대한물리의학회 2012 대한물리의학회지 Vol.7 No.3

        Background & Purpose The purpose of this study is to evaluate the impairment of SVMC(selective voluntary motor control) of the lower extremity by assessing each joints of lower limb and to analyze the motional relationship between each joints of lower limb using SCALE(Selective Control Assessment of the Lower Extremity) during the swing phase of gait cycle in children with spastic diplegia. Method 11 children with spastic diplegia CP who could walk independently and 10 normal developing children were participated. SCALE(Selective Control Assessment of the Lower Extremity) assessments were conducted for 11 children with CP. Gait analysis were accomplished in all participants. Qualisys motion analysis was used as a statistical tool to assess the motional relationship between hip joint, knee joint and ankle joint in each limb. We used descriptive statistics, cross-tabulation, independent t-test, linear regression to analysis motional relationship between each joints of lower limb using by SPSS ver.17.0. Result Firstly, there were significant differences in SCALE scores between the cerebal palsy group and the control group in knee joint(p<0.05), but no significant difference in hip and ankle joints during the swing phase of gait cycle. Secondly, the difference of SCALE scores showed no statistical motional difference in knee and ankle joints during the swing phase, and showed significant motional difference in hip joints during the swing phase(p<0.05). Thirdly, there was a liner relationship between the motion of hip and ankle joints during the swing phase. Conclusion The nature of SVMC(selective voluntary motor control) in each joints of the lower limb may reflect the ability of gait, thus SCALE may be used for assessing and for treating the cerebal palsy patients who are able to walk independently. Also we knew that the impairment of SVMC(selective voluntary motor control) increases from the proximal to the distal joints.

      • KCI등재
      • KCI등재

        성인 지적장애인에 대한 비디오 모델링 훈련이 식사준비에 미치는 영향: 단일사례연구

        신현희 ( Shin Hyeon Hui ),최연우 ( Choi Yeon Woo ),김수진 ( Kim Su Jin ),김경미 ( Kim Kyeong Mi ) 대구대학교 특수교육재활과학연구소 2014 특수교육재활과학연구 Vol.53 No.2

        본 연구는 성인 지적장애인에게 비디오 모델링 훈련을 적용하여 수단적 일상생활활동 중식사 준비, 특히 라면 끓이기 과제 수행에 미치는 영향을 알아보고자 하였다. 연구 방법은 단일사례연구(single subject design)를 사용하였다. 연구 대상은 지적장애 2급 진단을 받은 성인 지적장애인 1명이었으며, 8주간 주 1회씩 총 8회기 동안 비디오 모델링 훈련을 실시하였다. 식사준비활동에 대한 수행도는 활동분석을 통한 총 20단계 중 정확하게 수행한 단계를 백분율로 환산하여 평가하였다. 연구 결과, 대상자의 기초선 수행도 평균은 51.67%, 중재기간의 수행도 평균은 88.75%로 약 37.08% 증가되었다. 그리고 중재 1회기부터 5회기까지 70~90%의 수행도를 보였고, 중재 6회기부터는 100% 수행도를 보였다. 본 연구를 통해 비디오 모델링 훈련이 성인 지적장애인의 수단적 일상생활활동 중 식사준비 능력 향상에 효과적이라는 것을 알 수 있었다. 이는 비디오 모델링 훈련이 성인 지적장애인의 재활에 사용되어 질 수 있는 가능성을 나타내었다. This study is a single subject design. The aim of this study was to investigate the effects of video modeling on the meal preparation, especially cooking ramen among Instrumental Activities of Daily Living(IADL) of adult with mental retardation. The intervention was administered once a week for 8 weeks, and video modeling was used. The dependent measure was the percentage of steps performed correctly during sessions. As a result, mean percentage was 51.67 for baseline phase, 88.75 for intervention phase. About 37.08% was increased. From one session to five session, 70~90% of performance was appeared and 100% showed from six sessions. In conclusion, adult with mental retardation who received video modeling training showed improved function of meal preparation among IADL. Thus, video modeling has potential to be rehabilitation of adult with mental retardation.

      • KCI등재

        의료서비스 신뢰의 선행요인과 신뢰가 고객반응에 미치는 영향에 관한 연구

        신현희 ( Hyun Hee Shin ) 한국병원경영학회 2011 병원경영학회지 Vol.16 No.1

        This study tried to examine the antecedents of antecedents of trust and customer response at the healthcare service. A total of 230 patient` data were used with a structural equation analysis. They were verified by covariance modeling, using SPSS 18.0 and AMOS 5.0 program. Trust is significantly affected by the three factors. Doctors` professionalism and effort of relationship continuity have a positive impact on trust simultaneously. Also, brand reputation have a positive impact on trust simultaneously. But, Trust is not significantly affected by tangibles. And, Trust has a not positive impact on the word of mouth(WOM). Satisfaction has a positive impact on the repurchase and WOM. Repurchase has a positive impact on the WOM.

      • KCI등재

        산전 우울 임부를 위한 긍정심리기반 프로그램의 효과

        신현희 ( Hyeon Hee Shin ),신영희 ( Yeong Hee Shin ) 한국모자보건학회 2021 한국모자보건학회지 Vol.25 No.2

        Purpose: This study examined the effects of a positive psychology-based program for depressed pregnant women. Methods: Of the 221 pregnant women who were screened, 24 were recruited from 4 local women’s clinic in Daegu city, South Korea. Subjects were at 6-29 weeks of gestation and scored 9-13 points on the Korean version of the Edinburgh Postnatal Depression Scale. Subjects were assigned to experimental (n= 12) and control (n=12) groups. The program consisted of ten 120-minute sessions conducted twice a week. Data were collected during the period between December 21, 2017 and April 12, 2018 and analyzed using IBM SPSS/WIN (ver. 21.0). Homogeneity of the experimental and control groups was evaluated by chi-square test and t-test. Hypotheses were tested by repeated measure analysis of variance. Results: The results revealed that in terms of stress coping styles, the active coping style (group*time= 15.23, p<0.001) increased, while the passive coping style decreased (group*time=15.27, p<0.001). Perceived spouse support (group*time=19.45, p<0.001), self-esteem (group*time=17.39, p<0.001), perinatal depression (group*time=78.77, p<0.001), and flourish (group*time=57.56, p<0.001) have significantly improved in the experimental group compared with the control group. Conclusion: These findings indicate that positive psychology-based program can be useful for pregnant women already suffering from depression to prevent perinatal depression.

      • KCI등재

        산전우울 임부를 위한 인지행동치료 프로그램의 효과

        신현희(Hyeon-Hee Shin),신영희(Yeong-Hee Shin),김가은(Ga-Eun Kim) 한국산학기술학회 2016 한국산학기술학회논문지 Vol.17 No.11

        본 연구는 임부의 산전우울에 대한 인지행동치료 중재의 효과를 검증하기 위해 수행된 체계적 문헌고찰 및 메타분석 연구이다. 데이터베이스는 CINAHL, PubMed, EMBASE 및 Koreamed, 국회도서관, 한국학술정보(Korean studies Information Service System, KISS), 한국의학논문데이터베이스 등 국내외 domain을 활용하였다. 검색은 ((Perinatal OR Antenatal OR Antepartum OR Pregnant) AND Depression) AND Women AND (CBT OR (Cognitive behavioral AND (Therapy OR Treatment)))와 ‘산전우울’, ‘임부’, ‘인지행동치료’ 등의 검색어로 2016년 5월까지 출판된 문헌을 검토하였다. 분석은 R을 이용한 임의효과모형을 적용하여 산전우울과 불안의 효과크기를 각각 산출하였으며, 효과크기의 이질성을 검증하기위해 메타 ANOVA를 활용하여 조절효과분석을 실시하였다. 그리고 funnel plot, Egger’s regression test, fail-safe N, trim-and-fill 분석을 활용한 출간오류분석과 민감성 분석을 실시하여 전체 연구 결과의 타당성을 검증하였다. 연구결과 총 180편의 문헌이 검색되었으며, 선택배제기준에 따라 최종적으로는 clinical trials 16편을 분석하였다. 분석에 포함된 개별문헌은 Scottish Intercollegiate Guideline Network (SIGN)의 checklist를 통해 비뚤림 위험을 평가하였으며, 대체로 비뚤림 위험은 낮았다. 연구결과 본 연구에서 중재의 산전우울에 대한 효과크기는 Hedges’ g=-0.55(95% CI: -0.76∼-0.33)로 통계적으로 유의하게 낮았으며, 불안에 대한 효과크기는 Hedges’ g=-0.20(95% CI: -0.48∼-0.08)이었으나, 통계적으로 유의한 차이는 없었다. 문헌의 이질성, 출판오류의 위험성 등은 낮았다. 본 메타분석결과에 의하면 인지행동치료는 임신부의 산전우울 증세 완화에 보통 정도의 효과가 있음이 밝혀졌다. This study was carried out to evaluate the efficacy of CBT for perinatal depression through systematic literature review and meta-analysis. The following databases were used to search the literature: CINAHL, PubMed, EMBASE, Koreamed, Library of Korean Congress, KISS, and Korean Academic Publication Database. Keywords included "perinatal depression," "pregnant women," and "cognitive behavioral therapy," and the evaluated articles were published up to May 2016. Using the R program, the effect size of perinatal depression and anxiety were calculated by random-effects model. The heterogeneity of the effect size was analyzed by data moderator analysis using the meta-ANOVA. Furthermore, the funnel plot, Egger"s regression test, fail-safe N, trim-and-fill test, and publication bias analysis were conducted and used to verify the results. Out of the 180 selected articles, 16 clinical trial studies were meta-analyzed. Each articles were evaluated for the risk of bias by the checklist of SIGN; the overall risk of bias was low. The effect size of CBT for perinatal depression was Hedges" g=-0.55 (95% CI: -0.76∼-0.33), which was a moderate level, while for anxiety reduction, Hedges" g=-0.20 (95% CI: -0.48∼-0.08) and it was not statistically significant. Heterogeneity or risk of publication bias were low. This meta-analytic study found that CBT is moderately effective in reducing perinatal depression in pregnant women.

      • SCOPUSKCI등재
      • KCI등재

        의료서비스에 대한 이용자의 서비스 지각에 대한 연구

        신현희 ( Hyun Hee Shin ),김현정 ( Hyun Jeong Kim ),이진우 ( Jin Woo Lee ) 한국병원경영학회 2008 병원경영학회지 Vol.13 No.1

        The purpose of this article is to find out consumers` behavior styles in using of medical services and their perceptions of medical services. To that end, methodologies used include SERVQUAL and a part of HBM model. SERVQUAL is consumer`s content dimensions about some service and HBM is a Model of health beliefs. In particular, the purpose is to find out how their perceptions about two dimensions of HBM(perceived benefits, perceived barriers) influence their satisfaction and medical service usage. As a result, it reveals that 4 dimensions of SERVQUAL influence significantly to the perceived benefits in medical service. Our finding might have strategic implications needed for hospitals by consumers of medical services.

      • 의료진의 커뮤니케이션 스타일이 환자의 자기정보공개에 미치는 영향에 관한 연구

        신현희(Shin Hyun Hee),김성호(Kim Sung Ho) 대한경영학회 2009 대한경영학회 학술발표대회 발표논문집 Vol.2009 No.2

        본 연구의 주된 관심은 의료서비스에서 환자의 자발적 자기정보공개행동에 영향을 미치는 요인을 파악하는 것이다. 선행요인으로 특히 의료진의 커뮤니케이션 스타일을 중심으로 환자의 자기정보공개의 정도에 미치는 영향력을 살펴보았다. 또한 환자의 특성에 따라 자기정보공개의 정도가 어떻게 달라지는지도 함께 알아보고자 한다. 연구결과, 커뮤니케이션 스타일은 자기정보공개의 정도(양, 질)에 모두 영향을 주었다. 특히, 신뢰형, 전문형, 협력형은 자기정보공개(양, 질)에 긍정적인 영향을 주었으며, 통제형은 자기정보공개의 양에는 긍정적인 영향을 미쳤으나, 질(정확성)에는 부정적인 영향을 미쳤다. 또한 환자의 특성에 따라 자기정보의 공개에 미치는 영향도 차이가 있는 것으로 나타났다. 이러한 결과를 통하여, 환자의 자기정보공개를 더욱 활성화시키기 위하여, 의료진은 신뢰형, 전문형, 협력형으로 커뮤니케이션을 해야 하며, 정보의 양이 목적일 경우, 통제형 커뮤니케이션을 실행하고, 정보의 질(정확성)이 목적일 경우는 통제형 커뮤니케이션을 자제해야 할 것이다. 또한 의료진은 통제형 커뮤니케이션은 자제하고, 또한 커뮤니케이션을 할 때, 환자의 특성을 반영한다면, 보다 적극적인 환자의 자기정보공개를 하도록 유도할 수 있으므로, 효과적인 커뮤니케이션이 될 것이다. The objective of this research was to explore the impact of doctors' communication styles on patient' self-disclosure. Also this research attempted to examine meaningful relationship among doctors' communication styles, self-disclosure behavior, and patient' characteristics. We applied analysis model to test the hypotheses and research model. As a result of this study, doctors' communication styles affect patient' self-disclosure respectively and significantly. Also patient' characteristics affects patient' self-disclosure. 4 factors(doctors' communication styles) of patient' self-disclosure were identified: trust-type, professional-type, cooperation-type, and control-type. Considering the changes in the hospital environment and the increase in the patient' self-disclosure : trust-type, professional-type and cooperation-type. And changes in the hospital environment and the decrease in the patient' self-disclosure. : control-type. In addition, this research provided evidence that the relation among doctors' communication styles, self-disclosure behavior and patient' characters through empirical examination. Therefore, this study shows that doctors' communication styles is important factor that hospitals have to emphasize to increase patient' self-disclosure.

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