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송희승,신희선 한국아동간호학회 2014 Child Health Nursing Research Vol.20 No.1
목적 본 연구의 목적은 초등학교 고학년 아동의 문제행동에 영향을 미치는 변수를 중심으로 탐색하여 영향요인들을 설명하는 모형을 구축하는 데 있다. 방법 본 연구를 위해 일개 도시의 3개 초등학교 고학년 아동과 그의 어머니를 대상으로 설문조사를 하였으며, 총 368명의 자료를 수집하였다. 수집된 자료는 SPSS 17.0 통계 프로그램을 이용하여 서술적 통계, t-test, X2-test, ANOVA를 시행하였고, 가설적 모형 검정은 AMOS 17.0 통계프로그램을 이용하였다. 결과 가설적 모형의 적합도는 GFI: .956, AGFI: .927, CFI: .953, RMSEA: .056, SRMR: .023으로 지지되었다. 모형에서 설정된 10개의 경로 중 6개의 경로가 지지되었다. 즉, 부모 양육태도에서 자아존중감으로, 부모양육태도에서 스트레스로, 부모 양육태도에서 스트레스 대처로, 부모양육태도에서 문제행동으로, 자아존중감에서 스트레스로, 자아존중감에서 문제행동으로 가는 경로가 지지되었다. 문제행동에 통계적으로 유의한 효과를 나타낸 것은 양육태도와 자아존중감이며 양육태도는 총 효과를, 자아존중감은 직접효과와 총 효과를 나타내었다. 결론 부모 양육태도와 자아존중감이 문제행동에 영향을 미치는 중요한변수인 것으로 확인되었다. 그러므로 문제행동의 발생을 줄이기 위해서는 긍정적인 양육태도를 고취시키고 아동의 자아존중감을 높이는간호중재가 이루어져야 하겠다.
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감각자극이 미숙아의 체중 증가, 행동상태 및 생리적 반응에 미치는 영향
송희승,신희선 한국간호과학회 2001 Journal of Korean Academy of Nursing Vol.31 No.4
Purpose: The purpose of this study was to examine the effects of sensory stimulation on premature infants. Method: Thirty three premature infants admitted to NICU of D University Hospital in C city were randomly assigned in two groups (Experimental group: 16, Control group:17). For the experimental group, tactile and kinesthetic stimulation developed by Dr. Field was applied 2 times a day for 10 days. Behavioral state was measured using the Anderson Behavioral State Scale (ABSS). Heart rate, respiration, and oxygen saturation were obtained for each infant before and after sensory stimulation. Hypothesis testing was done using the $\chi$$^2$- test, student t-test, and repeated measures of ANOVA. Result: Hypothesis 1: There was a significant difference in the daily body weight gain between experimental and control group (F= 40.77, p= .0001). Hypothesis 2: There was a significant difference in the frequency of 'inactive awake state' between two groups ($\chi$$^2$= 39.778, p= .001). Hypothesis 3: There were significant differences in the mean of heart rate and $O_2$saturation between two groups (t= -2.174, p= .037; t= 3.080, p= .005). However, there was no significant difference in the mean of respiration rate between two groups (t= -1.966, p= .581). Conclusion: The effectiveness of a sensory stimulation on weight gain and behavioral state in premature infants was supported. Further study is recommended to develop a sensory stimulation method as an independent nursing intervention for premature infant.
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한국 청소년의 정신건강이 위험음주에 미치는 영향에서의 성차
송희승 한국디지털정책학회 2018 디지털융복합연구 Vol.16 No.1
The purpose of this study is to explore the effects of mental health (stress perception, depression, suicidal ideation) on binge drinking among adolescents according to gender. Data were collected from the 12th (2016) Korea Youth Risk Behavior Web-Based Survey(KYRBWS) and 65,528 middle and high school students, aged 12-18 years, were selected. Data analysis was conducted by using logistic regression analysis for mental health effects on binge drinking. The results showed that the binge drinking due to mental health of female students was higher in that of male students (stress perception: 1,444 times (95% CI: 1,200-1,737), depression: 1,843 times (95% CI: 1.674-2.029), suicidal ideation: 1.656 times (95% CI: 1.464-1.872)). The development of preventive / therapeutic programs for binge drinking should include not only the management of risk factors for mental health but also various approaches depending on gender. 본 연구의 목적은 성별차이를 중심으로 청소년의 정신건강(스트레스 인지, 우울감, 자살생각)이 위험음주에 미치는 영향을 탐색하기 위함이다. 자료수집은 제12차(2016년) 청소년건강행태온라인조사를 이용하여 만 12-18세 남녀 중․고등학생 65,528명을 대상으로 하였다. 자료분석은 정신건강 수준에 따른 위험음주 차이 비교는 카이제곱 검정을, 위험음주에 대한 정신건강 효과는 로지스틱 회귀분석을 이용하여 분석하였다. 연구결과 여학생의 정신건강에 따른 위험음주 발생(스트레스 인지: 1.444배 (95% CI: 1.200-1.737), 우울감: 1.843배 (95% CI: 1.674-2.029), 자살생각: 1.656배 (95% CI: 1.464-1.872))은 남학생에 비해 더 높게 나타나는 성별 차이를 나타냈다. 위험 음주의 예방/치료와 관련한 프로그램 개발 시 정신건강에 따른 위험 요인의 관리뿐만 아니라 성별에 따른 다양한 접근 방식을 포함해야 할 것이다. 본 연구의 의의는 한국 청소년의 성별차이를 중심으로 정신건강이 위험음주에 미치는 영향을 밝히는 데 근거를 제시하였다는 점에 있다.
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宋熙昇,徐舜圭 고려대학교 의과대학 1977 고려대 의대 잡지 Vol.14 No.2
Author analysed the ST-segments and T-waves by ST-segment, QX duration, QX/QT ratio, height of T-wave, duration of T-wave, T/R radio, duration of T-wave/QT interval radio (T/QT), height/duration ratio of T-wave (H/D of T) and T/U ratio in 183 cases of normal adults, 89 cases of postexercise ECG, 47 cases of angina pectoris, 73 cases of left ventricular hypertrophy, 41 cases of right ventricular hypertrophy, 51 cases of serum K abnormalities and 55 cases of serum Ca abnormalities with magnifying lens, following results were obtained. 1. Normal range of ST-segment in L₁~3 was-0.5~+1.0㎜, V₁-0.5+~2.0㎜, V₃-0.5~+3.0㎜ and V₃-0.5~+2.0㎜. 2. QX-duration in normal person was 0.09±0.02 seconds in lead 2, 0.09±0.03 seconds in V₃, QX/QT ratio in normal person was 0.24±0.12 in lead 2, 0.23±0.05 in V₃ and 0.22±0.08 in V_(5). 3. Height of T-wave in normal person was 3.3±1.2㎜ in lead 2 and 5.2±2.2㎜ in V_(5). Duration of T-wave in normal person was 0.12±0.05 seconds in lead 2, 0.24±0.04 seconds in V₃ and 0.37±0.15 seconds in V_(5). 4. Duraton of T-wave/QT interval ratio (T/QT) in normal person was 0.48±0.07 in lead 2, 0.59±0.20 in V₃ and 0.51±0.08 in V_(5). Height/Duration ratio of T-wave (H/D of T) in normal person was 18±6.1㎜/sec. In lead 2, 27.1±11.4㎜/sec. In V₃ and 26.4±10.1㎜/sec. In V_(5). 5. T-wave area in normal person was 0.30±0.13㎜. sec. In lead 2, 0.76±0.88㎜. sec. In V₃ and 0.52±0.24㎜. sec. In V₃. T/U ratio in normal person was 11.8±6.1 in lead 2, 12.4±6.2 in V₃ and 16.3±10.6 in V_(5). 6. ST-segment depression-0.5㎜ or more and QX/QT ratio 0.05 of more were the most reliable criteria for Master's two step exercise test. Also the T-wave area under 0.15㎜. sec. And T/R ratio under 0.20 were good criteria for the diagnosis of angina pictoris in exercise test. 7. ST-segment depression-0.5㎜ of more, QX/QT ratio 0.50 or more and T-wave area under 0.15㎜. sec. were significant findings in resting ECG of angina pectoris. 8. In left ventricular hypertrophy, ST-segment depression-0.5㎜ or more, QX/QT ratio 0.50 or more, T-wave area under 0.50 and T/R ratio under 0.20 were significant findings. 9. There were no significant findings in ST-T in right ventricular hypertrophy except T/U radio under 5.0. 10. Height of T-wave, T/R radio, H/D of T, T/U ratio and T-wave area were significantly decreased in hypokalemia and height of T-wave, T/R ratio, H/D of T and T/U ratio were significantly increased in hyperkalemia. 11. ECG ST-T were not changed significantly in hypocalcemia or hypercalcemia. It was concluded that T/R ratio, T-wave area, H/D of T were useful criteria for the analysis of ST-T in various disease state as ST-segment level, QX/QT ratio and height of T-wave.
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