[지역기획보도 부문_제176회 이달의 방송기자상] ‘초품아’라는 서글픈 단어가 사라지길··· : 〈교육청이 외면한, 1.5km 밖 초등학생〉 2023년 5월 22일~6월 2일 보도 여수MBC 강서영, 송정혁, 정은용 기자

강서영 (사)방송기자연합회 2023 방송기자 Vol.73 No.-

Family Functioning and Communication in Spouses of Patients with Parkinsonism

강서영,양명화,이정아,장우영,이종식,김영식 대한가정의학회 2017 Korean Journal of Family Medicine Vol.38 No.1

Background: Patients with parkinsonism exhibit motor symptoms, cognitive impairment, and neuropsychiatric changes, and these symptoms increase caregiver burden. Family dynamics can be influenced by the presence of comorbidities, which is especially important in diseases causing caregiver burden. We investigated the effects of spousal parkinsonism on family functioning and communication.Methods: Couples without parkinsonism, who visited hospital-based family practices, were recruited by 28 family physicians from 22 hospitals between April 2009 and June 2011; patients with parkinsonism and their spouses were recruited from a single institution. The participants completed questionnaires on demographic characteristics, life-style factors, family functioning (the Korean version of the Family Adaptation and Cohesion Evaluation Scale [FAC-ES] III), and family communication (the Family Communication Scale of the FACES-IV). We compared family functioning and communication between spouses of the patients with and without parkinsonism.Results: The mean family adaptability and cohesion scores of the spouses of the patients with parkinsonism were 23.09±6.48 and 32.40±8.43, respectively, whereas those of the control group were 23.84±5.88 and 34.89±7.59, re-spectively. Family functioning and family communication were significantly different between the spouses of indi-viduals with and without parkinsonism. After adjusting for age, sex, income, and cardiovascular disease in the lo-gistic regression analysis, family functioning was found to significantly deteriorate in the spouses of patients with parkinsonism but not the control group. Family communication decreased significantly in spouses of patients with parkinsonism.Conclusion: Family functioning and family communication significantly deteriorated in spouses of patients with parkinsonism.

일반건강검진과 생애전환기 건강진단 제공 의료인의 인식 및 태도 조사

강서영,이정아,김영식 대한임상건강증진학회 2017 Korean Journal of Health Promotion Vol.17 No.4

Background:Current National Health Examination (NHE) in Korea provides health examination to the public throughout the entire life course; however, management after NHE is not sufficiently delivered. In this study, we investigated knowledge and attitude of health care providers in order to revise result forms and counseling manual of NHE. Methods:We recruited 30 doctors, who undergo NHE, and conducted survey from January 7, 2016 to January 26, 2016. Participants answered questionnaires regarding difficulty of explaining each items of result forms, difficulty of counseling each items of NHE, and ways of improvement. Furthermore, we conducted in-depth interview regarding pros and cons of NHE and improvements needed. Results:The average Likert score for difficulty of explaining items of result forms was lowest (3.8/5.0 points) for blood test due to its graphic format. Difficult counseling items were mental health, mild cognitive impairment and dementia, and healthcare for the elderly. The proportions of doctors, who often counsel these items, were less than 40%. In the in-depth interview, health care providers suggested that examinees’ knowledge for result forms decreases because it is hard to interpret, and management after NHE should be improved by undertaking NHE in primary health care facilities. Conclusions:The graphic format of blood test result form should be revised into readable format, and contents of counseling manual for mental health, mild cognitive impairment and dementia, and healthcare for the elderly should be improved. Financial support for doctors should be provided, and NHE should ultimately be reinforced in primary health care facilities. 연구배경: 우리나라의 현행 국가건강검진 제도는 전 국민을 대상으로 생애 전 주기에 걸쳐 건강검진을 국가 부담으로 제공하고 있으나, 검진 후 사후관리는 충분히 이루어지지 않고 있다. 국가건강검진의 질을 향상시키고 양질의 사후관리를 유지하기 위해서는 검진을 담당하는 의사들의 상담 역량 함량이 필수적이다. 본 연구에서는 현행 국가건강검진 제공 의료진의 건강검진 상담에 대한 인식과 태도를조사하여 국가건강검진 서식 및 상담 매뉴얼 개정을 위해필요한 사항을 알아보고자 하였다. 방법: 일반건강검진 및 생애전환기 건강진단을 시행하는검진 의사 30명을 대상으로 2016년 1월 7일부터 1월 26일까지 설문조사를 시행하였다. 일반건강검진 결과지 각 항목에 대해 수검자를 이해시키기 어려운 정도, 이유 및 개선방안에 대해 설문하였다. 또한, 생애전환기 건강진단 상담분야별 설명하기 어려운 정도, 이유, 개선점에 대해 설문하였다. 매뉴얼 활용도와 매뉴얼에서 내용 보강이 필요한 부분에 대해 조사하였으며, 심층면담을 통해 국가건강검진의장단점, 사후관리에 대한 의견, 생활습관 상담에 대한 의견, 전반적인 개선점 등에 대해 면담하였다. 결과: 일반건강검진 결과지 설명시 수검자를 이해시키기어려운 정도에 대한 5점 리커트 척도에서 혈액검사 항목의평균점수가 3.80점으로 가장 낮았다. 혈액검사 항목을 이해시키기 어려운 이유로는 그래프 형식이 이해하기 힘들기때문이라는 의견이 많았다. 생애전환기 건강진단 상담이어려운 분야는 정신건강상담, 경도인지기능장애 및 치매상담, 노인상담 분야였으며, 해당 분야들은 상담비율 또한40% 이하로 낮았다. 심층면담에서는 결과지 해석이 어려워 수검자들의 이해도가 떨어진다는 점, 사후관리가 안 되는 점에 대한 개선이 필요하며 일차의료기관을 중심으로검진을 활성화시키는 방안이 필요하다는 의견이 있었다. 결론: 그래프 형식의 혈액검사 결과지 서식을 전체 수검자가 이해할 수 있는 형식으로의 개정이 필요하며, 상담이어렵고 잘 이루어지지 않는 정신건강상담, 경도인지기능장애 및 치매상담, 노인상담 분야에 대한 매뉴얼 내용 보강이필요하다. 효율적인 사후관리를 위해 검진 의사에 대한 시간적, 재정적 지원이 제공되어야 하며, 궁극적으로 일차의료기관을 중심으로 검진을 활성화시키는 방안이 필요하다.

흡연, 대사증후군과 심혈관 질환

강서영 대한가정의학회 2022 Korean Journal of Family Practice Vol.12 No.2

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플랫폼운송사업자의 기여금 납부 제도에 대한 헌법적 검토

강서영 이화여자대학교 법학연구소 2022 法學論集 Vol.27 No.2

본 논문에서는 「여객자동차 운수사업법(이하 ‘여객자동차법’)」상 플랫폼운송사업자의 기여금 납부 제도에 대한 헌법적 검토를 시도하였다. 검토 결과, 위 기여금은 부담금에 해당하는 것으로 보이고, 부담금의 유형 중에서 재정조달목적을 갖는 부담금에 해당하는 것으로 보인다. 한편 헌법재판소는 부담금의 유형에 따라 헌법적 정당화 요건을 다르게 보고 있다. 이로 인해 기여금 제도가 플랫폼운송사업자의 재산권을 과도하게 제한하여 과잉금지원칙에 위반되는지를 판단하는데 있어서도 부담금의 유형에 따라 다른 정당화 요건이 적용되어 상이한 결론이 도출될 가능성도 있는바, 본 논문에서는 위 2가지 부담금 유형에 따른 논의를 모두 살펴봄으로써, 기여금 관련 논의를 풍부하게 하고자 하였다. 검토 결과, 기여금을 재정조달목적을 갖는 부담금으로 보았을 때는 과도하게 플랫폼운송사업자의 재산권을 제한하는 소지가 있는 것으로 보인다. 반면 정책실현목적의 부담금에 해당한다고 보았을 때는 헌법적으로 정당화될 여지가 있다는 견해가 제시될 수도 있을 것으로 보인다.

조선시대 직물의 곡수문(曲水紋) 유래와 전개 양상

강서영,안보연 한국의류학회 2023 한국의류학회지 Vol.47 No.2

Patterns abstractly depicting flowing water with Chinese characters such as gong, wan(man), or wang con- tinued endlessly and curved water patterns began appearing on textiles during the Song Dynasty. Though Song curved water patterns encompassed poetic sentiments such as “falling flowers and flowing water,” the meaning faded with time, and these patterns were depicted in backgrounds with flowers added to brocade (Geum-sang-cheom-hwa). During the Ming and Qing Dynasties, combinations of diverse patterns, including flowers, butterflies, dragons, and auspicious treasures became fashionable, rather than the gong- and wan-shaped curved water patterns. Likewise, during the Joseon Dynasty, curved water patterns were preferred as background rather than as primary patterns. They were overlaid with flowers and clouds. The overlaid flow- er patterns included four-season flower patterns (17th-18th centuries), round flower patterns (19th century), and large flower patterns (20th century), which were identical to flower patterns fashionable at the time and ar- ranged at intervals on complex curved water pattern backgrounds. In contrast, simple Ruyi types were more numerous than the four-Ruyi types fashionable at the time with regard to cloud patterns. Added here were Taiji (great ultimate symbol) or crane patterns, thus seeking to depict diverse auspicious Ruyi such as wish fulfill- ment and longevity.

일 장수 지역 거주 노인의 삶의 질 모형구축

강서영,박인혜 한국지역사회간호학회 2013 지역사회간호학회지 Vol.24 No.3

Purpose: The purpose of this study was to identify factors in quality of life and to construct a model of quality of life in longevity region dwelling elders. Methods: Data were collected from January to July, 2010 through direct interviews and a self-reporting questionnaire survey with 171 subjects who were living at the S County(gun). The collected data were analyzed by using the SPSS/WIN 19.0 and AMOS 19.0 programs. Results: Economic status, social support, health behavior and depression were shown to have direct and total effects on quality of life and were statistically significant. Health status had indirect and total effects on quality of life and was statistically significant. And, self-efficacy had direct, indirect and total effects on quality of life and was statistically significant. These variables of the hypothetical model accounted for 41.4% of quality of life. Conclusion: In order to improve quality of life in longevity region dwelling elders, it is necessary to provide economic support and social support services in tandem with social welfare. And, we need to apply interventions strengthening self-efficacy, health behavior, and health status, and decreasing depression.

일 도시 중학생의 비만상태와 비만에 대한 태도 조사

강서영,박인혜 전남대학교 간호과학연구소 1999 Nursing and Health Issues(NHI) Vol.4 No.1

This study was conducted to examine the state of obesity and the attitude about obesity. The purpose of this study was to provide basic data to develope a management program of obesity. The subjects were 432 1 st graders of middle schools, which was conveniently selected from 1st of May to 16th of July in 1998. To identify the state of obesity among the subjects, the data from the physical examination which was conducted from May through July in each school was used and calculated with ‘'Height-related standard body weight of Korean children’' presented by Korean Pediatric Association in 1985. And to explore the attitudes about obesity, self-reported questionnaires which was developed by the researchers were admini stered. Data were analyzed by x2-test, ANOVA using SAS program. The results were summarized as follows. 1. 73.4% of the students were in normal body weight, 12.5% were in overweight and 14.1 % were in obese. 2, The obese students consider themselves as being obese and these were shown significant difference with normal body weight and over weight students,(x2=108.16, p<.001). 3. The students who eat snacks more than once a day were shown significant difference in normal body weight, overweight, and obese students(x2=22.35, p<.001). 4. The mean score of attitude about obesity was 50.9 points out of 70 points. The range of the score were minimum 27 points to maximum 70 points 5. The significant influencing factors on the attitude about obesity were extra curricular studying time and sleeping hours a day. Those who studied over 2hrs besides regular school hours(F=5.58, p<.05) and slept less than 7hrs a day(F=4.87, p<.05) had significantly higher scores in the attitude about obesity. 6. The obese students have higher mean scores of the attitude about obesity than normal body weight and overweight students, but not significantly so.

출산장려금 증가 요인 분석: 전국 226개 지자체를 중심으로

강서영 한국지방정부학회 2021 한국지방정부학회 학술대회자료집 Vol.2021 No.8

우리나라 지방정부는 심각한 저출산 문제에 대응하기 위해 출산장려금을 전국적으로 시행 중이다. 이러한 출산장려금은 그 효과성이 명확히 입증되지 않았음에도 시간이 지남에 따라 계속해서 증가하고 있다. 본 연구는 기초자치단체에서 시행 중인 출산장려금 규모가 계속해서 증가하는 원인을 알아보고자 한다. 그래서 모방적 동형화 요인, 행위자성 요인과 내부 결정 요인을 종합적으로 분석하였다. 분석 결과, 동일한 광역에 위치한 다른 지방정부들의 출산장려금을 모방하면서도 궁극적으로는 각 지방정부가 해당 지역의 특성인 노령인구비율에 더 큰 영향을 받아서 출산장려금이 증가됨을 확인하였다.

공무원의 정부성과 인식 영향요인에 관한 연구

강서영,정다정 한국공공사회학회 2022 공공사회연구 Vol.12 No.1

The purpose of this study is to identify affecting factors of government performance perceived by public officials, especially focusing on government competency, organizational learning, government trust. As a result of the study, public officials perceived government performance more positively as they perceived government intelligence, internal and external learning abilities, and trust in the government higher. Furthermore, this paper implemented extra analysis with classifying groups by government trust. This paper confirmed that in the group with high government trust, internal learning ability, while, in the group with low government trust, external learning ability and government intelligence had a positive influence on government performance. 본 연구는 공무원의 정부성과 인식에 영향을 주는 요인을 파악하는 것을 목적으로 한다. 본 연구에서는 정부역량, 조직학습, 정부신뢰 요인에 주목하여 분석을 진행하였다. 분석 결과, 공무원은 정부의 지능성, 내부 및 외부 학습 능력, 그리고 정부신뢰를 높게 인식할수록 정부성과를 더욱 긍정적으로 인식하였다. 또한, 정부신뢰를 기준으로 하여 정부신뢰가 높은 집단과 낮은 집단으로 구분하여 분석을 진행하였다. 그 결과, 정부신뢰가 높은 집단에서는 내부 학습 능력이, 정부신뢰가 낮은 집단의 경우는 외부 학습 능력과 정부의 지능성이 정부성과 인식에 긍정적 영향을 가졌다.