COVID-19 대유행 시기 장기요양시설 요양보호사의 노인과의 상호작용과 연결 경험에 대한 질적 연구

장희경(HeeKyung Chang),도영주(Young-Joo Do),김유미(Yu-Mi Kim),안진영(Jin-Yeong Ahn) 한국산학기술학회 2023 한국산학기술학회논문지 Vol.24 No.9

본 연구는 COVID-19 대유행 기간 동안 장기요양시설 요양보호사와 노인과의 연결 경험에 대해 포커스 그룹 면담을 활용하여 탐색하였다. 면담은 3개 요양시설에 근무하는 19명의 요양보호사를 대상으로 2022년 2월부터 2023년 3월까지 수행하여 질적자료를 수집하였으며, 모든 면담은 녹음되어 전사되고 성찰적 주제분석 방법을 활용하여 분석되었다. 자료분석을 통해 “비언어적 의사소통을 통해 의미있는 상호작용하기,” “능숙한 소통능력으로 의미있는 돌봄 관계맺기,” “COVID-19 초기의 돌봄환경 변화와 몰이해 감당하기,” “COVID-19 감염확산으로 인한 돌봄환경 변화 감당하기”의 네 가지 주제가 도출되었다. 연구결과를 통해 요양보호사들이 COVID-19 대유행 기간에도 요양시설 노인과의 연결을 위해 끈질기게 노력하여 일정수준의 돌봄 성과를 성취했음이 확인되었다. 도전적인 상황에도 불구하고, 지속적인 돌봄을 제공하기 위해 끈기있게 노력하는 돌봄인력들의 노고를 인정하고 조직적인 지원을 통해 지속 가능한 돌봄 실천을 보장하는 것이 중요하다. This study explores the experiences of direct caregivers in connecting with nursing home residents during the COVID-19 pandemic. Qualitative data were collected through focus group interviews with certified nurse assistants (n=19) working at three nursing homes in South Korea. The interviews were conducted from February 2022 to March 2023, and recorded, transcribed, and analyzed using the reflexive thematic analysis method. Four themes emerged from the data: Utilizing non-verbal communication for facilitating meaningful interactions, Establishing profound caring relationships through effective communication skills, Adapting amidst initial COVID-19 challenges and misunderstandings, and Dealing with changes in the care environment due to spread of the COVID-19 infection. The research findings confirm that caregivers made persistent efforts to establish connections with nursing home residents even amidst the COVID-19 pandemic, resulting in a certain level of caregiving achievement. Despite the challenging circumstances, it is crucial to acknowledge the dedication of the caregivers who consistently strive to deliver uninterrupted care and ensure sustainable care practices through systematic support.

디지털스토리텔링을 활용한 문제중심학습이 간호대학생들의 감성지능, 비판적 사고성향, 임상수행능력 및 메타인지에 미치는 효과

장희경(Chang HeeKyung),도영주(Do YoungJoo) 학습자중심교과교육학회 2021 학습자중심교과교육연구 Vol.21 No.8

본 연구는 간호대학생을 대상으로 디지털스토리텔링을 활용한 문제중심학습이 간호대학생들의 감성지능, 비판적 사고성향, 임상수행능력 및 메타인지에 미치는 효과를 검증하기 위해 수행되었다. 자료수집은 2020년 9월 1일부터 12월 14일까지 G국립대학교 간호대학 2학년 간호대학생 총 54명(실험군: 28명, 대조군: 26명)을 대상으로 하였다. 프로그램의 효과를 분석하기 위해 비동등성 대조군 전후 설계를 적용하였으며, 자료분석으로 두 집단 간의 동질성 검정은 independent t-test와 χ²-test, 두 군간의 효과 차이는 independent t-test를 이용하였다. 본 연구결과, 디지털스토리텔링을 활용한 문제중심학습은 간호대학생들의 비판적 사고성향(t=1.78, p=.041), 임상수행능력(t=2.97, p=.002)과 메타인지(t=2.50, p=.008)에 유의한 효과를 보였다. 본 연구는 디지털스토리텔링 문제중심학습이라는 새로운 교수학습법을 규명하였다는데 의의가 있으며, 또한 임상전공교과목과 임상실습 입문 전 간호대학생의 비판적 사고와 임상수행능력 향상에 기여할 수 있음을 확인하였다. 본 연구 결과를 바탕으로 스토리텔링을 통한 임상추론을 경험할 수 있는 교과목의 개설이나 연계가 필요할 것이며 실제 임상상황과 연계할 수 있는 표준화 환자를 활용한 스토리텔링 수업이나 역할극 등을 이용하여 다양한 교수방법을 구성하고 개발할 것을 제안한다. This study aimed to examine the effects of problem-based learning using digital storytelling (PBL-DS) on the nursing students’ emotional intelligence, critical thinking disposition, clinical competence, and metacognition. Data were collected from a total of 54 nursing students (experimental group: 28, control group: 26) from September 1st to December 14th, 2020. In order to analyze the effect of the program, the non-equivalent control group no synchronized design was applied. As data analysis, an independent t-test and a χ²-test were used for the homogeneity test between the two groups, and an independent t-test was used for the difference in the effects between the two groups. The results of the study showed that PBL-DS had a significant effect on critical thinking proposition (t=1.78, p=.041), clinical competence (t=2.97, p=.002), and metacognition (t=2.50, p=.008) of nursing students. This study is meaningful in that it has identified a new teaching and learning method called PBL-DS, and PBL-DS could contribute to the critical thinking and improvement of clinical competence of nursing students before initiation to clinical major courses and practice. Based on the results of this study, it would be necessary to construct and develop subjects that can experience clinical reasoning using PBL-DS.

디지털 클로딩을 활용한 가상의복의 소재별 비교분석

장희경 ( Heekyung Chang ),이정민 ( Jungmin Lee ) 한국패션비즈니스학회 2017 패션 비즈니스 Vol.21 No.5

A comprehensive research must be conducted on manufacturing techniques such as patterns and sewing, with the understanding of material properties to satisfy consumers' emotions with a strong fashion trend orientation. Physical and emotional characteristics may change depending on the characteristics of the material, and the overall silhouette and feeling of the garment can change depending on how sewing is conducted.To examine the completeness of a finished garment depending on different kinds of clothing material, this study fabricated an actual garment and a 3D virtual garment as well using 3D CAD IMAGE SYSTEM (CLO 3D, DC Suite, etc.) for a comparative analysis. These two methods have their own advantages and disadvantages. This study selected five of the most representative clothing materials and conducted a comparative analysis on appearance differences between actual clothing and virtual clothing by material. Additionally, the study verified the similarity between actual clothing and virtual clothing by comparing their physical properties by material, and evaluated the objectivity and accuracy of the reproducibility of material properties of virtual clothing.

일 지역 농촌 노인의 허약수준에 따른 관련요인 비교

장희경(Heekyung Chang),김미경(Mikyoung Kim),이지연(Jiyeon Lee),김보람(Boram Kim),길초롱(Chorong Gil) 한국노년학회 2021 한국노년학 Vol.41 No.3

본 연구는 일 지역 농촌 노인의 허약수준에 따른 관련요인을 알아보기 위하여 시행된 서술적 조사연구이다. 2019년 10월부터 2020년 3월까지 경상남도 H군에 거주하는 65세 이상 노인 400명으로부터 자료를 수집했다. 노인의 허약수준과 그에 따른 예측요인을 살펴보기 위해 이분형 로지스틱 회귀분석을 이용하여 자료를 분석한 결과, 건강노인은 27.8%, 전허약 노인은 30.9%, 허약노인은 41.3%로 나타났다. 허약 수준에 따른 예측요인을 분석한 결과, 건강 단계에서 전허약 단계로 진입하는 예측요인은 악력, 영양상태, 우울이었고 전허약 단계에서 허약 단계로 진입하는 예측요인은 성별, 영양상태, 신체기능, 우울이었으며 건강 단계에서 허약 단계로 진입하는 예측요인은 성별, 직업, 영양상태, 신체기능, 우울로 밝혀졌다. 본 연구를 통하여 농촌지역 거주노인의 허약수준과, 이에 따른 다차원적 변수들의 영향을 파악할 수 있었다. 이러한 결과는 농촌지역 노인들의 허약진행을 예방하고 관리하기 위한 방안을 모색하는데 필요한 기초자료로 활용될 수 있을 것이다. This study is a descriptive study conducted to find out the predictive factors according to the level of the frailty of the communitydwelling older adult in a rural area. Data were collected from 400 older adults aged 65 years or older living in rural areas of Gyeongsangnam-do from October 2019 to March 2020. Data were analyzed using logistic regression to examine the predictive factors according to the level of frailty. The results showed that 27.8% for robust older adults, 30.9% for pre-frailty older adults, and 41.3% for frailty older adults. As a result of analyzing the predictive factors according to the level of frailty, the predictors from the robust stage to the pre-frailty stage were grip strength, nutritional status, and depression. The predictive factors for entering the pre-frailty stage into the frailty stage were gender, nutritional status, physical performance ability, and depression. Also, it was found that the predictive factors for entering from the robust stage to the frailty stage were sex, occupation, nutritional status, physical performance ability, and depression. Through this study, it was possible to understand the level of the frailty of the older adults living in rural communities and the effects of multidimensional variables. These results can be used as basic data necessary to find a way to prevent and manage the progression of frailty among older adults in rural areas.

임상간호사의 자아존중감과 소진의 관계에서 마음챙김의 매개효과

배한주(Hanju Bea),장희경(Heekyung Chang),은영(Young Eun) 대한스트레스학회 2018 스트레스硏究 Vol.26 No.3

본 연구는 임상간호사의 자아존중감, 소진의 관계에서 마음챙김의 매개효과를 파악하기 위한 것이다. 연구대상자는 J시와 C시의 대학병원 간호사 132명이었다. 자료분석은 SPSS 20.0을 이용하여 기술통계, 상관관계분석, 다중회귀분석을 실시하였다. 연구 결과, 자아존중감과 마음챙김은 소진과 유의한 부적 상관관계가 나타났으며, 자아존중감과 소진의 관계에서 마음챙김은 매개효과가 있는 것으로 나타났다. 본 연구의 결과에 따라 소진을 감소시키기 위해 마음챙김 훈련 프로그램을 개발하여 적용한다면 간호사의 높은 소진과 이직 위험을 줄이고, 환자의 치료 만족도를 높이는데 유용할 것이다. Background: The purpose of this study was to examine the mediating effects of mindfulness on the relationships between self-esteem and burnout among nurses. Methods: A descriptive cross-sectional survey design was conducted using purposive sampling of 132 nurses at two university hospitals in J city and C city. It was analyzed with descriptive statistics, Pearson correlation and multiple regression analysis using SPSS 20.0 program. Results: There were significant correlations among self-esteem, mindfulness and burnout. Self-esteem and mindfulness were negatively correlated with burnout among nurses. Mindfulness acts as a mediator in explaining relationship between self-esteem and burnout. Conclusions: Our results provide evidence for the role of mindfulness in the relationship between self-esteem and burnout in professional nurses. Mindfulness appears to be a protective factor against nurses’ burnout. The results of this study suggest that mindfulness training intervention suitable for nurses would be useful to reduce nurses" high levels of job burnout and risk of turnover and increase patients" satisfaction with their care.

가전·공조 제품의 유체공학 기술 개발 사례

오세기(Saikee Oh),함경훈(Kyounghoon Ham),장희경(Heekyung Chang) 대한기계학회 2024 대한기계학회 춘추학술대회 Vol.2024 No.4

만성질환 노인에서 임파워먼트 이론에 근거한 다학제적 자기관리 프로그램의 효과

박초롱(Park, Chorong),송미순(Song, Misoon),조비룡(Cho, Belong),임재영(Lim, Jaeyoung),송욱(Song, Wook),장희경(Chang, HeeKyung),박연환(Park, Yeon-Hwan) 한국간호과학회 2015 Journal of Korean Academy of Nursing Vol.45 No.2

The Clinical Implication of Non-Proteolytic EnzYme Activities in Stomach Cancer

Chang, HeeKyung,Choi, JongSoon KOSIN UNIVERSITY COLLEGE OF MEDICINE 2006 高神大學校 醫學部 論文集 Vol.21 No.1

Backgrounds : Beta-glucuronidase and lactic dehydrogenase are non-proteolytic enzymes related to the inflammation. In recent years there are a few reports that these 2 enzymes may be markers of gastric cancer. Material and Methods : The study was to observe whether the measurement of enzyme activity had any critical role in assessement of diagnostic value, beta-glucuronidase and lactic dehydrogenase activities in neoplastic tissue of stomach were compared with those in the gastric muosa of non-neoplastic antral and body area, which were obtained from products of gastrectomy of 27 cases. The enzyme immunoassay was used fro the estimate of the activity of enxymes. Results : The activity of enzymes was compared with each differentiation and metastasis of the tumor. beta-glucuronidase activity in tumor was higher that that of normal mucosa and activity of antral mucosa with intestinal metaplasia, and it was higher than that of body. Lactic dehydrogenase activity in tumor was similar to that in the antral mucosa with intestinal metaplasia, and it was higher than that in the body mucosa of stomach. There were no significant statistical difference of actvities of both enzymes between metastatic and non-metastatic groups(p>0.01). No significant correlation between activities of both enzymes was not seen in the tumor mass(r=0.347, p>0.05). Conclusions : These results support that enzyme activities of beta-glucuronidase and LDH in gastric tissues and tumor mass could reflect the histopathologic status of stomach and the assessment of the activity of enzymes may be of value in the identification of high-risk groups.

The significance of pS2 gene alteration in the early gastric cancer

Chang, HeeKyung KOSIN UNIVERSITY COLLEGE OF MEDICINE 2006 高神大學校 醫學部 論文集 Vol.21 No.1

Background and Purpose : The expression of pS2 gene in normal human tissue is restricted to the stomach. But its role in tumor development is not elucidated yet. The purpose of this study is to evaluate the functional role of pS2 protein in early gastric carcinomas(EGC), by investigating prevalence of the gene and analysing its expression with histologic types and differentiation. Material and Method : The formalin-fixed and paraffin-embedded tissue obtained from 100 patients with EGC who underwent gastrectomy by using immunohistochemistry. Results : In the non-neoplastic tissue adjacent to the tumor, the immunoreactivity for pS2 was observed in the cytoplasms of superficial and foverolar epithelium and a few chief cells, while intestinalmetaplastic epithelium showed negative immunoreactivity. The neoplastic tissue revealed cytoplasmic positive staining of tumor cells. The overall immunoreactivity for pS2 in 100 EGC cases is 56%. The expression of pS2 was significantly higher in diffuse type(65.9%) than interstinal type(48.2%)(p<0.05) and also higher than in poorly-differentiated type(62.1%) than in well-differentiated type(47.6%)(p<0.05). The expression rates of tumors invading to mucosa was 53.1% (17/32) and tumors invading to submucosa was 46.9%(15/32). Conclusion: These results mean that the expression of pS2 is correlated to the histologic type and grading, while is not related to the depth of tumor invasion. And it is indicated that pS2 protein has a yet undescribed role in gastric foveolar epithelium and pS2 gene expression may be more important role in diffuse type cancer than in intestinal type cancer of stomach

진행성 위암 환자의 위조직에서의 p16 유전자의 메틸화와 돌연변이

장희경,김영옥,공은희,신연명,최경현 고신대학교 의학부 2004 高神大學校 醫學部 論文集 Vol.19 No.1

Background/Aims: p16 has been suggested to be a tumor suppressor gene and to be inactivated in many human cancers. The aberrant expression of this gene proteins may deregulate cell proliferation and may lead to tumor formation and progression. The aim of this study was to evaluate the patterns of p16 inactivation and its association with clinicopathological paramaters in 16cases of advanced gastric cancers having fresh and paraffin-embedded tissues. Material and Methods: p16 inactivation by immunohistochemistry, mutation by direct sequencing and methylation analysis by methylation-specific PCR in exon 1 and 2 in 16 cases of advanced gastric cancers. Results: Eight of 16 (50.0%) carcinoma tissue and 3 cases (18.8%) of non-neoplastic tissue showed loss(inactivation) of p16 expression by immunohistochemistry. Eight cases of p16 inactivated carcinomas were composed of 3 mutations (18.8%) and 5(31.3%) methylations, and 3 case of non-tumor gastric mucosa showed. I mutation(6.3%) and 2 methylations(12.5%). Interestingly, one of 3 mutations showed also same mutation in adjacent nonneoplastic tissue, while 2 methylations were identified in non-neoplastic mucosal tissues without methylation in corresponding cancer tissues. The parameters histologic types and differentiation of tumors, sex, age, invasion showed positive correlation. Conclusions: These results suggest that p16 inactivation may have effects on the carcinogenesis of gastric mucosa and may serve as a prognostic biomarkers for the progression of carcinoma.