「에이즈 상담 및 익명검사소」

김은심,Kim, Eun-Sim 대한에이즈예방협회 2005 레드리본 Vol.67 No.-

에이즈검진상담소 사업의 3년을 바라보며

김은심,Kim, Eun-Sim 대한에이즈예방협회 2008 레드리본 Vol.78 No.-

죽음교육 프로그램이 간호 대학생의 죽음불안과 임종간호태도에 미치는 영향

조혜진,김은심,Cho, Hea-Jin,Kim, Eun-Sim 한국호스피스완화의료학회 2005 한국호스피스.완화의료학회지 Vol.8 No.2

목적: 본 연구는 죽음교육이 간호대학생의 죽음 불안과 임종간호 태도에 미치는 영향을 알아보기 위한 비동등성 대조군 전후 설계이다. 방법: 연구대상은 J시 G대학교 간호학과 3학년 학생 중 대상자 선정기준에 맞는 자로 실험군 20명 대조군 16명이었다. 자료 수집은 실험군과 대조군 대상자 모두에게 2004년 3월 2일 일반적 특성과 죽음관련 특성, 죽음불안과 임종간호태도에 대해 사전 조사하였고, 실험군은 2004년 3월 2일부터 3월 12일까지 죽음교육을 실시한 후 사후 조사하였으며, 대조군은 실험군의 프로그램 종료일인 2004년 3월 12일에 죽음불안과 임종간호태도에 대해 사후 조사를 하였다. 연구 도구는 죽음교육 프로그램, 죽음불안과 임종간호태도 척도를 사용하였다. 본 연구에서의 죽음교육은 Alfons[14]의 '죽음 어떻게 맞이할 것인가'와 죽음교육 관련문헌[8,15-17]와 송길원[18]과 김수지 등[19]을 통해 연구자가 재구성하여 수정 보완한 것으로 죽음의 탐색, 이해, 수용, 중재 등의 내용으로 구성되어 있는 프로그램을 말하며, 실험군에게 주 3회 1회에 100분씩 총 6회기로 진행하였다. 죽음 불안은 Collette와 Lester[28]가 개발하고 서[20]가 수정 번안한 죽음불안척도(Fear of Death and Dying Scale)를 본 연구자가 수정하여 사용하였으며, 임종 간호태도는 Frommelt와 Katherine[8]이 개발한 임종간호태도척도(Attitudes toward Nursing Care of the Dying Scale)를 본 연구자가 번역한 후, 영어 전공자 2인이 역으로 번역하였고, 성인간호학 교수 2인, 정신간호학 교수 1인의 자문을 받아 사용하였다. 자료 분석은 $SPSS/pc^+$ Windows (version 10.0) 통계 프로그램을 이용하여 전산처리 하였다. 가설검증을 정규성 검증, 실험군 및 대조군의 실험 전 후 차이는 paired t-test, 실험군과 대조군의 차이는 t-test로 분석하였다. 결과: 본 연구 결과는 다음과 같았다. 1. 간호대학생의 죽음불안 정도(범위 $35{\sim}160$)는 90.89점이었고, 임종간호태도 정도(범위: $30{\sim}120$)는 86.78점이었다. 2. 제 1가설 '죽음교육을 받은 실험군의 죽음불안 정도가 죽음교육을 받지 않은 대조군보다 낮을 것이다'라는 제 1가설은 지지되었다(t=-2.11, P<.05). 3. 제 2가설 '죽음교육을 받은 실험군의 임종 간호 태도 정도는 죽음교육을 받지 않은 대조군보다 긍정적으로 높을 것이다'라는 제 2가설은 지지 되었다(t=2.99, P<.01). 결론: 죽음교육 프로그램은 간호대학생의 죽음불안 정도를 낮추고 임종간호태도를 긍정적으로 변화시키는데 효과가 있으므로 임상간호사와 호스피스 대상자 및 가족에게 적용할 필요가 있으리라 사료된다. Purpose: This study is to identify the effect of a death education program to the nursing students on their anxiety of death and attitudes toward nursing care of the dying. Methods: The design of this study is nonequivalent control group pretest-posttest design. The subjects of experimental group 20 and control group 16 in senior grade of department of Nursing G university in J city. The experimental group had Death education Program, which was a three days per week program, for 2 weeks. And post-test was carried out in the same way as the pre-test. Data analysis was done using frequency, percentage, mean, standard deviation, Chi-square test, t-test, paired Sample t-test using with SPSS win 10.0. Results: the experimental group was decreased in degree of anxiety of death and was improved in degree of positive attitudes toward nursing care of the dying. Conclusion: The death Education Program can be an effective nursing education program for their Nursing students to decrease their death anxiety and to prepare care of the dying.

문화적응 스트레스, 양육 스트레스, 사회적 지지가 결혼이주 여성의 인지된 건강정도에 미치는 영향

김은심(Kim, Eun Sim),김동희(Kim, Dong Hee) 한국보건간호학회 2015 韓國保健看護學會誌 Vol.29 No.2

Purpose: The objective of this study is to identify factors associated with perceived health status of married immigrant women. Methods: Data were collected from 65 married immigrant women. The measurements were Symptom checklist-48, Acculturative Stress Scale, Parenting Stress Index(PSI), and Personal Resource Questionnaire(PQR). Descriptive, T-test, ANOVA test, Pearson correlation and multiple regression analyses were used. Results: There were significant differences in perceived health status according to satisfaction with the married life(F=8.819, p=0.000), and help from husband(F=6.308, p=.003). There was also a significant relationship between perceived health status and perceived economic status (F=8.006, p=.001), acculturative stress (r=.560, p<.01), parenting stress (r=.662, p<.01) and social support (r=-.289, p<.05). The result of multiple regression analysis showed a significant association of parenting stress with perceived health status of married immigrant women (β=0.397, p=0.037). Conclusion: Comprehensive interventions designed to enhance the health of married immigrant women, including prevention of acculturative stress, parenting stress and improving social support may be helpful in mitigating health in married immigrant women.

간호사가 인식하는 내부마케팅이 고객지향성과 조직시민행동에 미치는 영향

김은심(Kim, Eun Sim),김세영(Kim, Se Young) 한국간호행정학회 2021 간호행정학회지 Vol.27 No.1

Purpose: The purpose of this study was to identify the influence of the internal marketing perception on customer orientation and the organizational citizenship behavior of clinical nurses. Methods: The participants were 184 nurses working in 3 tertiary hospital in B city and Y city in South Korea. Data were analyzed using descriptive statistics, ANOVA, Scheffé test, Pearson"s correlation coefficients and stepwise multiple regression with SPSS/WIN 25 program. Results: The mean score for the total internal marketing was 2.85 points. Internal marketing of nurses had a statistically significant positive correlation with customer orientation (r=.44, p<.001) and organizational citizenship behavior (r=.39, p<.001). Communication of internal marketing had significant influences on customer orientation (β=.49) and organizational citizenship behavior (β=.41). Conclusion: These results suggest a need to increase efforts of hospital organizations to increase internal marketing. Further, in order to enhance customer orientation and organizational citizenship behavior, strategies for improving internal marketing and promoting communication should be established.

건강통제위성격 및 부부의 역기능적 의사소통유형과 부인의 신체증상호소와의 관계연구

김은심(Kim Eun Sim),배행자(Pai Hang Ja) 한국성인간호학회 1990 성인간호학회지 Vol.2 No.-

심상치료가 유방 절제 여성의 성격특성과 대처전략에 미치는 효과

김은심(Kim Eun Sim),배행자(Pai Hang Ja) 대한종양간호학회 2003 Asian Oncology Nursing Vol.3 No.2

The purpose of this study was to identify the effect of imagery therapy on "coping mechanism and type C personality of the women with mastectomy. To achieve this purpose, 2 hours sessions of imagery therapy were given to the patients with breast cancer twice a week for 6.<br/> The period of data collection was from July, 7th to August, 12th 2002. The participants were 30 patients, 15 perimental group, 15<br/> control group who were treated at the G University hospital in J City. <br/> This study was designed using a quasi-experimental approach with non-equivalent Pre test-Post test Design.<br/> The themes for the Imagery Therapy Program were composed of Leuner's(1969) 12 Imagery. Themes; flower, green-field, stream, mountain, house, woods, significant figures, rose, lion,<br/> ideal self-image, cave and volcano.<br/> The data were analyzed with χ2-test and MANOVA using the SPSS program. The course of image change of the 12 imagery themes was<br/> analyzed by content analysis.<br/> The results of this study are as follows;<br/> First Hypothesis, 'The score of type C personality in the women with mastectomy who received imagery therapy will be significantly<br/> lower than that of the control group' was supported(p<.05).<br/> Second Hypothesis, 'The score of coping mechanism' in the women with mastectomy who received imagery therapy will be significantly<br/> higher than that of the control group' was rejected.<br/> In conclusion, imagery therapy is suggested as an effective nursing intervention to change type C personality of the women with<br/> mastectomy, but not effective to improve coping mechanism. Therefore, the program for the women with mastectomy should be developed to change their coping mechanism, method of<br/> problem solving and Quality of life.

동결 생쥐 난자에서의 calcium 전류

강다원,김은심,최창용,박재용,한재희,홍성근,Kang, Da-Won,Kim, Eun-Sim,Choe, Chang-Yong,Park, Jae-Yong,Han, Jae-Hee,Hong, Seong-Geun 대한수의학회 2002 大韓獸醫學會誌 Vol.42 No.1

Cryopreservation is commonly used for an efficient utilization of semen, oocytes and embryos but has disadvantage in the survival, development of the post-thawed eggs. The high risk in the survival, development of eggs after thawing is thought to be caused by inappropriate internal regulation of $Ca^{2+}$ and/or formation of intracellular ice crystals. In this experiment, we tested whether the $Ca^{2+}$ current (iCa), a decisive factor to $Ca^{2+}$ entry, was altered in post-thawed oocytes by using whole cell voltage clamp technique. The quality and survival rates of the oocytes derived from both fresh and frozen groups were examined by morphology and FDA-test. Vitrified oocytes (VOs) were incubated for 4 hr after thawing and then donated to this experiment. Ethyleneglycol-ficoll-galactose (EFG) was used as a cryoprotectant for vitrification. The membrane potential was held at -80 mV and step depolarizations of 250 ms were applied from -50 mV to 50 mV in 10 mV increments. The survival rates showed a higher in VOs vitrified with EFG containing $Ca^{2+}$ than in VOs vitrified with EFG under the $Ca^{2+}$-free condition (82.0% vs 14%). In group with/without $Ca^{2+}$, the survival rates were significantly (P<0.01) difference. In the fresh metaphase II oocytes (FOs), current-voltage (I-V) relationship showed that iCa began to activate at -40 mV and reached its maximum at -10 mV. With same voltage pulses, inward currents were elicited in VOs. I-V relationships observed in VOs were similar to those in FOs. Time constants of activation and inactivation of the inward current shown in VOs were not different to those in FOs. This accordance in I-V relations and time constants in FOs with those in VOs indicates that the inward currents in FOs are unaltered by vitrification and thawing. Therefore, vitrification with EFG does not play as a factor to deteriorate $Ca^{2+}$ entry across the membrane of the oocytes.

유아교사와 어머니의 훈육유형 비교연구

심태은 ( Tae Eun Sim ),김은심 ( Eun Shim Kim ) 한국어린이문학교육학회 2015 어린이문학교육연구 Vol.16 No.2

본 연구의 목적은 유아교사와 대상 연령 어머니들의 훈육유형의 전반적인 경향성과 차이를 알아본 것이다. 연구 대상은 강원도에 거주하고 있는 만 5세 이하의 유아를 자녀로 둔 어머니 400명과 유치원과 어린이집 교사 200명이다. 연구 결과 유아교사와 어머니의 훈육유형은 관련변인에 따라 유의미한 차이가 있는 것으로 나타났다. 이러한 결과를 토대로 유아교사와 어머니의 훈육양상을 알 수 있었으며, 훈육에 대한 유아교육기관과 가정의 연계방안 모색의 필요성을 제시하였다. This study surveyed discipline styles of early childhood teachers and those of mothers, and explored differences between the two groups. In addition, this thesis explored the relationship among predictors as variables in gender and age of children, experience of teachers and types of early educational institutions in determining discipline styles of teachers. The search continued to explore relationship among predictors as variables in age of mothers, gender, age, and number of children in determining discipline styles of mothers. The survey was conducted to 400 mothers with children under 5 years old and 200 early childhood teachers who are teaching in Gangwon Province, Korea. SPSS 21.0 was used to analyze the survey data. The result showed that differences between discipline styles of teachers and those of mothers were significant by variables.

기초조형 & Illusion : 플라스틱 의자디자인에 관한 연구

전종찬(Jong Chan Jeon),김은심(Eun Sim Kim) 한국기초조형학회 2001 한국기초조형학회 학술발표논문집 Vol.- No.-