미숙아에서 모세 혈관종의 임상양상

김선녀 ( Seon Nyo Kim ),이주영 ( Juyoung Lee ),신승한 ( Seung Han Shin ),최창원 ( Chang Won Choi ),김이경 ( Ee Kyung Kim ),김한석 ( Han Suk Kim ),김병일 ( Beyong Il Kim ),최중환 ( Jung Hwan Choi ) 대한주산의학회 2015 Perinatology Vol.26 No.3

Purpose: Capillary hemangiomas occur more frequently in preterm infants. We aimed to describe the clinical course of capillary hemangiomas in preterm infants. Methods: The records of preterm infants with a gestational age (GA) of <35 weeks who were admitted to two tertiary neonatal intensive care units from January 2004 to December 2013 and had capillary hemangiomas were reviewed retrospectively. Subgroup analysis of between infants of GA <30 weeks and GA 30-34+6 weeks were done and ad hoc analysis comparing study population and matched preterm infants without hemangioma for investigation of differences in clinical characteristics. Results: Of the 2,772 preterm infants, 112 (4%) infants developed capillary hemangiomas. The majority (91.9 %) of them had a solitary hemangiomas with the trunk was the most commonly involved site (43%). Three quarters of the patients were treated with topical corticosteroid, propranolol or laser treatment. When we divided this population as who were born before or after GA 30 weeks, there was no difference at postmenstrual age (PMA) of onset of capillary hemangiomas (median [IQR], 36+4 [30+5-40+5] vs. 36+2 [33+6-41+1] weeks, P= 0.275). The age at involution of capillary hemangiomas was also not differ between two groups (median [IQR], 7.75 [3.75-12.25] vs. 7.5 [4-13.75] months, P=0.425). There were no statistical differences between preterm infants with capillary hemangiomas and their age, weight and sex matched control preterm infants without hemangiomas in the neonatal and maternal factors. Conclusion: The development of capillary hemangiomas occurred at approximately 36 to 37weeks of PMA regardless of prematurity in preterm infants. Capillary hemangiomas of preterm infants resolved spontaneously and disappear completely by around 7 months of corrected age.

Esping-Andersen의 복지국가유형 분류에 따른 출산정책과 출산율 비교 연구: 영국(자유주의), 프랑스(보수주의), 스웨덴(사민주의), 한국을 중심으로

김선녀 ( Kim Sun-nyeo ) 한국아동교육학회 2016 아동교육 Vol.25 No.4

지금 한국은 위기출산 영향으로 가장 직접적인 결과는 인구감소의 `악순환`이다. 한국의 출산율은 이러한 악순환에서 벗어나지 못하고 있다. 위기출산 악순환의 정책 대안을 찾고자 Esping-Andersen의 복지국가유형 분류에 따른 출산정책과 출산율 비교 연구를 하였다. 에스핑엔더슨의 분류에 따른 4개 국가에서 출산장려 정책은 출산율에 어떠한 영향을 미치는가? 라는 질문을 연구 문제로 설정하고, 이에 대한 가설을 검증함과 더불어 시사점을 도출하고자 한다. Esping-Andersen의 유형인 4개 국가별 레짐에 따라 비교해본 결과 출산장려정책의 성패는 다음과 같은 몇 가지 요인에의하여 결정된다는 것을 발견할 수 있다. 첫째, 출산문제가 일개 가정의 문제가 아니라 사회 전반적인 문제이다. 둘째, 가정과 직장을 양립할 수 있는 사회 환경 조성이 필요하다. 셋째, 이를 위하여 보육서비스의 공공화가 이루어져야 한다. 프랑스와 스웨덴의 보육서비스가 공공 서비스 기관을 중심으로 이루어지고 있다면, 한국은 민간 서비스 기관에 의존하는 비율이 상대적으로 높은 것을 알수 있다. 넷째, 출산과 양육의 비용을 국가가 감당한다는 기본적인 인식이 필요하다. 출산은 세대와 세대와의 연결고리이다. 위기출산 현상은 이러한 연결고리를 위협하는 현상으로 정부의 적극적인 변화가 필요하다. Currently, in South Korea, the most direct outcome of the childbirth in crisis is the `vicious circle` of population decreases. South Korean birth rates have not been able to get out of the vicious circle. To find policy measures against the vicious circle, a comparative study of fertility policies and birth rates in various countries according to the welfare state classification of Esping-Andersen. The question, “How do childbirth encouragement policies affect birth rates in four different countries according to the classification by Esping-Andersen?” was set as a research problem to verify related hypotheses and derive implications. According to the results of comparison of the regimes of four different types of states according to Esping-Andersen`s classification, the success or failure of childbirth encouragement policies are determined by the following several factors. First, consciousness regarding childbirth should be changed to admit that childbirth problems are not a problem of individual families but a problem of the entire society and that the responsibilities for childbirth and rearing do not lie on individual families but do lie on the entire society. Second, social environments where families and workplaces can run parallel should be formed. Third, to that end, child care services should become public. It can be seen that, whereas child care services are mainly provided by public service institutions in France and Sweden, such services relatively highly rely on private service institutions in South Korea. Fourth, a basic perception that the state should bear expenses related to childbirth and rearing is necessary. Childbirth is a connecting link between generations. The phenomenon of childbirth in crisis threats this connecting link and the government should actively change related policies.

대학생의 저출산에 대한 인식이 출산의지에 미치는 영향

김선녀(Kim Sun Nyeo) 한국공공정책학회 2017 공공정책연구 Vol.24 No.1

본 연구는 향후 5~10년 이내에 자녀를 출산할 젊은 청년들인 대학생을 대상으로 사회적인 저출산 인식이 출산의지에 미치는 영향관계 분석을 시도했으며, 개인의 인식과 저출산에 대한 사회적인식과 심리적 요인간의 관계성을 밝혀서 저출산에 대한 기존의 소극적인 사회적 인식을 전환하고자 하였다. 이를 위해 먼저 저출산 원인인 개인적인식의 원인을 탐색하고, 사회적 문제인식을 토대로 대학생들에게 출산의지의 인식적 요인을 고려해야 할 요소가 무엇인지 알아보았다. 출산의지 인식에 영향을 미치는 것은 출산과 양육이 개인과 가족의 책임에 머무는 것이 아니라 이제는 사회적 문제와 국가차원으로 확대 되어야 한다는 인식의 확산과 정책의 변화가 절실하게 필요하다. 대학생들이 느끼는 불안정한 고용환경에 따른 경제적 부담감과 우리 사회의 과도한 사교육 열풍과 같은 사회적 환경과 일·가정 양립 인식의 압박이 강해져 저출산 원인으로 작용하고 있다. 대학생들이 저출산에 대한 사회적 현상을 인식하는 수준은 매우 미비하며 사회적 책임의식을 전혀 느끼지 못하고 있는 것은 출산지원정책이 미래의 출산주체인 대학생을 대상으로 하고 있지 않는 것을 단적으로 보여주고 있다. 집단주의 성향이 강한 한국의 사회문화적 특성을 고려해 볼 때, 지금의 청년들인 대학생들의 저출산에 대한 사회적 문제의식을 각자의 사회적 책임으로 인식할 수 있는 사회 심리적 차원에서 성찰되는 출산장려 정책이 병행되어야 한다. This study attempted to analyze the effect of social recognition on low fertility on the childbirth will of university students, who are young persons who will give birth to children within the next 5~10 years with a view to changing the existing passive social recognition on low fertility by revealing the relationship between personal and social recognition on low fertility and psychological factors. To this end, first, the cause of personal recognition, which is the cause of low fertility, was investigated and based on the recognition of social problems, what the cognitive factors of university students’childbirth will that must be considered are was examined. To affect the recognition on childbirth, the spread of the recognition that now, childbirth and rearing should not be just family members’ responsibility but should be expanded into social issues and national level responsibilities and changes in related policies are acutely necessary. The economic burden felt by university students due to the unstable employment environments, the social such as the excessive fever of private education in our society, and the pressure from the recognition of responsibilities for both work and family members act as the cause of low fertility. The fact that the level of university students’recognition on social phenomena due to low fertility is very low so that they do not feel a sense of social responsibility at all clearly shows that childbirth support policies do not target university students, who will bear children in future. Given the sociocultural characteristics of South Korea, where the collectivist tendency is strong, childbirth encouraging policies introspected in the psychosocial dimension where the social problem of the recognition on low fertility of university students, who are youths of now can be recognized as the responsibility of individual people should accompany the current childbirth support policies.

신빈곤 계층형성에 따른 탈 빈곤 정책에 관한 연구: 알바노동을 중심으로

김선녀(Kim, Sun Nyeo) 한국공공정책학회 2017 공공정책연구 Vol.24 No.2

이 연구는 현재 한국사회에서 비정규직도 아닌 알바노동으로 일하는 청소년은 증가하고 있지만 이들의 근로현실은 점점 더 열악해지는 상태인 신빈곤 계층에 근거하여, 청소년들의 근로환경에 대대적인 개선이 필요하다는 문제의식에 바탕을 두고 있다. 이에 신빈곤 계층인 청소년알바문화의 관련 실태를 파악하고, 이를 토대로 탈 빈곤의 정책방향을 제시하는데 목적이 있다. 따라서 신빈곤 계층인 알바노동계층에 대한 문제의식을 바탕으로, 10~20대 청소년의 알바, 그리고 일반 성인 근로자의 근로와는 차별화 되는 지대에 속해 있는 후기 청소년의 신빈곤인 알바실태를 확인하고 정책적 방향을 파악하고자 한다. 첫째, 후기 청소년 알바 구직환경 개선을 위한 정책 과제로 인터넷 직업정보제공⋅직업소개 사이트에 대한 관리감독 강화, 근로보호 정책 확산의 통로로 인터넷 직업정보제공⋅직업소개 사이트 활용도 제고, 괜찮은 알바 일자리 지원 방안이 마련되어야 한다. 둘째, 알바근로환경 개선을 위한 정책 과제로 근로계약서 작성 규정을 준수하는 노동시장 환경조성, 급여명세서 작성 강화, 휴게권 보장 방안, 사업장 근로감독 방법 개선, 근로감독 확대가 세부 정책으로 제시되어야한다. 셋째, 알바의 근로권익 보호를 위한 정책으로는 알바 임금체불 대응 제도 개선, 부당대우에 대한 신고·상담제도 내실화, 알바일자리에서 수습 중 감액 금지, 감정노동종사자 보호를 위한 실질적 방안 이 마련되어야한다. 넷째, 노동인권교육 활성화를 위해 후기 청소년 대상 노동인권교육 방안과 고용주 대상 노동법 교육 실시 강화방안이 제도화 되어야한다. Given the reality of the new poor class, which refers to adolescents working as part-time workers, not even as temporary workers, where the working conditions are becoming worse despite that the population in the class is increasing, this study is based on the critical mind feeling that working environments for adolescents should be extensively improved. Therefore, the purpose of this study is to identify the related actual state of adolescents part-time work culture and present the direction of antipoverty policies based on the identification. Therefore, based on the critical mind for the part-time work culture class, which is the new poor class, the actual state of the part-time work of adolescents in their 10s or 20s and the part-time work of late adolescents, who are the new poor, belonging to a zone differentiated from the work of general adult workers will be identified and the direction of relevant policies will be figured out. First, as policy tasks for improvement of late adolescents part-time job seeking environments, management and supervision of Internet job information provision/job sites should become stricter, the utilization of Internet job information provision/job sites as a route of the diffusion of worker protection policies should be increased, and measures to provide decent part-time jobs should be prepared. Second, as a policy tasks for improvement of part-time work environments, labor market environments where the regulations for the preparation of employment contracts are observed should be formed, the preparation of pay slips should be supervised more strictly, measures to guarantee the right to rest should be prepared, workplace labor supervision methods should be improved, and labor supervision should be expanded through detailed policies. Third, as policies to protect the rights and interests of part-time workers, practical measures to improve the system to respond to delays in the wages for part-time work, reinforce the reporting and counseling systems against mistreatment, prohibit reduction in wages during probation in part-time jobs, and protect emotional laborers should be prepared. Fourth, in order to activate labor human rights education, measures to educate late adolescents on labor human rights and reinforce education of employers on labor laws should be institutionalized.

저출산 시대에 대응한 유아교육,보육시설 현황 분석 및 현황분석을 통한 개선연구

김선녀 ( Sun Nyeo Kim ) 한국아동교육학회 2014 아동교육 Vol.23 No.4

우리 사회는 전 세계에서 유례없이 빠른 속도로 심각성이 대두되고 있는 저출산 문제에 대응하여 영유아 보육·교육시설의 변화에 대한 분석을 하였다. 이러한 분석을 토대로 우리나라 유아교육·보육시설공급 대응 방향과 개선을 탐색하고자 하였다. 지난 10년간 영유아교육·보육시설공급은 큰 폭으로 증가를 하였으나 저출산의 심각성은 개선되지 않았다. 저출산의 심각성에 비해 유아교육·보육시설공급은 가정어린이집과 민간어린이집이 증가되는 상황에 대한 진단과 전망을 바탕으로 재검토가 요구되고 있다. 본 연구에서 심화되고 있는 저출산 정책으로 영유아교육·보육시설공급확대를 실시하였으나 효과성은 미미하여 시설공급에 대한 시사점과 종합적인 진단으로 미래의 저출산 정책을 위해 영유아교육·보육시설공급의 올바른 방향 제시로 구체적인 지원정책들이 마련되기를 기대한다. Our society has be facing low fertility and it becomes serious at an precedented rate. To deal with the upcoming challenge of the new era, this study analyzed the change of early childhood education and child care facilities and tried to suggest countermeasures and remedies to deal with the situation. Over the last decade in Korea, there has been a major increase in the number of child care facilities and education programs have been developed. But they could not prevent low fertility. On the contrary of the low rate, home daycare centers and private kindergartens keep increasing. Therefore, it is necessary that we examine this situation and adopt proper measures based on the analysis of it. In our society, as one of the measures to prevent low fertility, it is inevitable to increase the number of child care facilities. But the effects have only been marginal so far. That is, through comprehensive examination and analysis of the supply of those facilities, this study expects that education care centers for small children are managed and controled in the better way and specific support policies for education facilities as well as them are created.

간호학과 학생의 진로준비행동 영향요인: 체계적 문헌고찰 및 메타분석

김선녀(Kim, Seon Nyeo),방미선(Bang, Mi Sun),신해윤(Shin, Hae Yoon),손수경(Sohn, Sue-Kyung) 한국간호교육학회 2020 한국간호교육학회지 Vol.26 No.3

Purpose: The purpose of this study was to systematically review and conduct meta-analysis on factors affecting career preparation behavior of Korean nursing students. Methods: Related articles published in Korean and English were collected based on search terms and converted into a numerical database. Data extraction, quality assessment and analysis including a systematic review and meta-analysis were completed. Results: The review included 27 studies. There were 25 factors influencing career preparation behavior of Korean nursing students. Factors were categorized into four sub-factors: personal, contextual, cognitive-emotional, and goal-related. In the meta-analysis of 27 articles the total effect size (ESr) was .34. The effect sizes of the four sub-factors were .37 for individual factors, .25 for situation factors, .34 for cognitive and emotional factors, and .41 for target factors. The main factors were .53 for career-related efficacy, .43 for self-leadership, and .43 for career decision level. Conclusion: Nursing students with high career-related efficacy and self-leadership are more likely to demonstrate career preparation behavior. Based on these results, educational institutions for nursing students must improve students’ self-leadership and career effectiveness through education so that they can set career goals.

중환자실에서 근무하는 남자간호사의 경험

홍진영 ( Hong Jin Young ),김선녀 ( Kim Seon Nyeo ),주명진 ( Ju Myoung Jean ),손수경 ( Sohn Sue Kyung ) 병원간호사회 2020 임상간호연구 Vol.26 No.3

Purpose: The purpose of this study was to understand and describe the meaning of the experience of male nurses working in Intensive Care Units (ICU). Methods: Data were collected through in-depth interviews with 8 male nurses. Data were collected from november 2019 to february 2020 and were analyzed using Colaizzi's method, a phenomenological approach. Results: 8 theme clusters, and 28 themes were identified. The 8 clusters were as follows; the feeling of burden in a busy and sensitive situation, the daily life facing life and death, female colleagues and patients who are still difficult to treat, a reliable and grateful male colleague, being proud of this role that a man can do, various experiences that improve me, constant effort to be recognized as a team member, and wavering and weighing in the career. Conclusion: These results could help to expand understanding the role of male nurses working in the ICU and in other areas. In addition, the results provide basic data needed to improve mutual respect and relationships between male and female nurses. It is necessary to offer mentoring programs for male nurses to adapt to nursing field.

한국인 제2형 당뇨 환자의 당뇨발 궤양 예방교육 프로그램의 효과: 체계적 문헌고찰

주명진(Ju, Moung Jean),김선녀(Kim, Seon Nyeo),손수경(Sohn, Sue-Kyung) 대한근관절건강학회 2021 근관절건강학회지 Vol.28 No.3

성폭력 가해자 교정프로그램의 효과성 분석에 관한 연구

강정희(Gang Jeong hee),김선녀(Kim Sun Nyeo) 한국교정복지학회 2014 교정복지연구 Vol.- No.35

본 논문의 주요 목적은 성폭력 범죄로 인하여 교도소에 수감 중인 성폭력 가해자를 대상으로 교정치료프로그램을 실시하고 그 효과성을 검증에 있다. 교정치료프로그램의 효과성을 보기위해 교정치료프로그램의 사전, 사후로 양성평등 의식검사, 자기책임인정 의식검사, 성폭력통념 의식검사, 민감성척도 의식검사, 청소년대상 성폭력심각성 의식검사를 실시하여 교정치료교육 전후의 변화를 비교하였다. 교정치료프로그램 결과 성폭력 가해자들의 인지적 왜곡, 공감능력, 낮은 자존감, 잘못된 성의식, 충동성, 공격성, 대인관계향상능력에 도움이 된다는 결과를 도출하였다. 성폭력 가해자들의 재범율이 높다는 점을 감안한다면 성폭력 가해자들을 위한지속이고 체계적인 치료적 접근의 교정프로그램을 실시하는 것은 가해자들의 재범을 방지하고 잠재적인 성폭력을 감소시키는 방법이 될 수 있을 것이다. The main purpose of this paper is to carry out orthodontic treatment programs for perpetrators of sexual violence in prison to prison because of sexual crimes and verify its effectiveness. Orthodontic treatment program in orthodontics program to see the effectiveness of pre-and post-tests to gender equality consciousness, self-consciousness liability recognized test, inspection ritual sexual myths, rituals sensitivity scale tests, carried the youth sexual ritual seriousness check orthodontic education were compared before and after the change. Orthodontic treatment of perpetrators of sexual violence that the program results distortion, empathy, low self-esteem, bad Consciousness, impulsivity, aggression, interpersonal derived results that help improve relations skills. If the sexual offender recidivism Given the high point of the sexual offender, and it lasts for carrying out the calibration program of systematic therapeutic approach could be a way to prevent and reduce the potential offender recidivism of sexual violence.

여성노인 암 환자의 질병 체험에 관한 해석학적 현상학적 연구

방미선(Bang, Miseon),권수혜(Kwon, Suhye),김선녀(Kim, Seonnyeo),신해윤(Shin, Haeyun),서은영(Seo, Eunyoung) 대한종양간호학회 2020 Asian Oncology Nursing Vol.20 No.2

Purpose: The purpose of the study was to understand the lived experience of illness among older females with cancer in South Korea. Methods: Data were collected from May to December of 2019 through individual in-depth interviews with eight older females with cancer who have undergone thorough cancer diagnosis and treatments. Transcribed data were analyzed using the hermeneutic phenomenological method developed by van Manen. Results: Six essential themes emerged: old body physically devastated through the fight against cancer; tug of war for symbiosis between cancer and the old body; home that does not provide comfort anymore; twilight years with no regrets even with cancer; womanhood to keep for a lifetime even in old age; and putting pieces together of the relationships around oneself. Conclusion: Based on the participants’ illness experience, efforts need to be made to develop and implement effective strategies to improve nurses’ understanding of the life experiences of illness among older females with cancer in the Korean socio-cultural context, and to provide patient and family-centered nursing interventions that reflect patients’ age and gender characteristics.