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      • KCI등재

        Risperidone in a child with untractable emergency delirium -a case report-

        신영희,이승현,김대윤 대한마취통증의학회 2016 Korean Journal of Anesthesiology Vol.69 No.6

        A 6-year-old boy was scheduled for thoracic magnetic resonance imaging under deep sedation with midazolam 1.8 mg and propofol 100 μg/kg/min via intravenous injection. He showed emergence delirium in the post-anesthesia care unit. The staff attempted to calm him by administering flumazenil as an antidote for midazolam, propofol for further sedation, and meperidine. However, this was not successful. A psychiatrist recommended the use of antipsychotics. Administration of risperidone led to immediate resolution of the boy’s symptoms and relaxed him. The use of antipsychotic drugs is not common for anesthesiologists, but should be considered for treating uncontrolled emergence delirium after anesthesia.

      • KCI등재

        아토피성 질환관리의 최신 동향

        신영희 한국아동간호학회 2008 Child Health Nursing Research Vol.14 No.1

        Background: Atopic dermatitis starts as an early childhood type1 hypersensitivity to environmental allergens and is often the first step in the atopic march to develop into asthma and allergic rhinitis. Despite progress that has been achieved in management, this health problem remains poorly controlled and cause great pain and suffering for many children and their parents. Purpose: To introduce nurses to recent progress in pathophysiology, management and preventive measure of atopic disease. Search method: Systemic search was done using the PubMed and CINAHL from 1980 to 2005. In addition, historical references were taken from standard medical textbook. Results: In total, 30 relevant publications were located including primary research and review articles that cover the pathophysiology, management, and preventive measure of atopy. The evidence emerging from literature indicate that non-medical approaches such as breastfeeding and probiotics would improve management outcomes. Conclusion: The review suggests that breastfeeding and probiotic approaches would be the most effective preventive measures for children with atopic diseases.

      • 韓國保健敎育과 社會福社에 關한 考察

        申榮熙 서울大學校 保健大學院 1964 公衆保健雜誌 Vol.1 No.1

        A study was made for the purpose of grasping the various factors in relation with health education in Korea, and the following conclusions and recommendations were made for an effective health education. 1. There is no independent department for health education in the Ministry of Health and Social Affairs. Health education department should be established and the posts must be filled with trained health education specialists in future. 2. In spite of the great importance of health education in the field, too small amount of budget has been appropriated. Health education budget should be increased as much as possible. 3. Health education programs are carried out by several different departments separately in the Ministry of Health and Social Affairs. These programs should be centralized under the new department, and the programs must be well planned and integrated by the department. 4. For the effective health education, the characteristics of social and cultural patterns of Korean society should be fully considered in the practice of health education. Principles of community organization should be adopted, so that the various existing organizations in the community could be utilized for the establishment of network for health education. 5. The idea of constructing the society of welfare should be a common goal for all existing agencies to be achieved, so that the agencies should word cooperatively. In this case the health education will take a part in new life movement. 6. For the community organization which is considered the most effective and continuous ways of community education, two methods could be available. One method, descending method, is initiated by the health education department and disseminated to the community through the channel of government agencies, and the other, ascending method, is initiated and organized by the autonomous enthusiasm of the local agencies such as health center or individual persons who are interested in, and spread through out the community. Both methods should be utilized effectively for the health education process.

      • KCI등재
      • KCI등재후보

        간질아동의 삶의 질과 간호관리

        신영희 한국아동간호학회 2004 Child Health Nursing Research Vol.10 No.2

        The purpose of this article is to describe the overview of current medical treatments of childhood epilepsy in Korea and to review several recent nursing researches related to quality of life problems, especially psychological functioning in children with epilepsy and the stress of the family. The prognosis of childhood epilepsy has been improved considerably and about 80% of patients can now be expected to achieve complete seizure control by the antiepileptic drug treatment. Even for the intractable epilepsy, with the combination of ketogenic diet program and antiepileptic drug therapy or surgical treatment, the prognosis became very much better than before. The majority of research has reported that children with epilepsy were experiencing quality of life problems. They are at risk for impaired functioning, compared to either general population controls or to other chronic illness groups such as asthma and diabetes. The ultimate goal of providing care to children with epilepsy is to control seizures while facilitating an optimal quality of life for the child as well as the family. Recommendations are included for future research and intervention programs for children, parents and our society.

      • KCI등재

        어머니가 인식하는 양육자신감과 아기행동 특성과의 관계 연구

        신영희,박언아 대한보건협회 1999 대한보건연구 Vol.25 No.2

        본 연구는 어머니의 양육자신감과 아기행동 특성과의 관계를 알아보기 위한 것으로 T광역시 소재의 K대학교 부속병원 영유아상담실에서 신생아 예방접종을 위해 방문한 94명의 산욕기 산모를 대상으로 설문조사 하였다. 연구도구는 Wolke와 St. James-Robert(1987)가 개발한 '어머니와 아기에 관한 척도(Mother and Baby Scale: MABS)'를 한국어로 번역하여 사용하였다. 본 연구를 통해서 얻은 주요 결과는, 연구 대상 어머니들의 신생아 양육에 대한 자신감 부족 정도는 보통정도 수준이었으며 (평균 24.2점/55점) 어머니의 양육자신감 부족과 신생아의 보채는 행동과는 긍정적 상관관계가 있었다(r=.50, p=.00). 어머니의 자신감 부족은 신생아들에게는 부정적인 행동으로 반영되는 것으로 사료된다. This study was carried out to assess the relationship between perceived maternal competence in child care and behaviors of their infants. Ninty four postpartum mothers visiting child health clinic for routine vaccination for their babies were recruited for the study. Data analyses were based on a self-report of Mother and Baby Scale(MABS: Wolke and St. James-Robert,1987) completed by each mother. The major finding can be summarized as follows' the level of maternal competence was moderate(average 24.2/55 points). Lack of maternal competence was significantly positively related to infant's irritability (r=.50, p=.00). This appears to mean that mother's inexperience or psychological indecisiveness may be sensed by their infants and that those may have been reflected to the infant's behavior as an irritability.

      • KCI등재

        신생아집중치료실 입원 미숙아 어머니를 위한 임파워먼트 프로그램이 스트레스, 불안, 우울 및 양육자신감에 미치는 효과

        신영희,임정희,김가은,Shin, Yeonghee,Lim, Jung Hee,Kim, Gaeun 한국아동간호학회 2018 Child Health Nursing Research Vol.24 No.2

        Purpose: This study aimed to evaluate the effects of an empowerment program on maternal stress, anxiety, depression and parenting confidence. Methods: A total of 44 mothers of preterm infants were assigned into an experimental or a control group (n=22 each). The experimental group received the usual nursing care and 7 sessions of an empowerment program. The control group only received the usual care. The program was implemented from June to December, 2016 in the neonatal intensive care unit of K university-affiliated hospital in Daegu, Korea. The outcome variables measured were parental stress (PSS: NICU), anxiety (STAI), depression (CES-D) and parenting confidence. Data were analyzed using t-test or repeated measures ANOVA. Results: Scores for both parental stress (t=3.07 p=.004) and depression (F=3.76, p=.26) were significantly lower in the experimental group than in the control group. However, there were no significant differences in anxiety between the groups (F=0.79, p=.505). Parenting confidence scores (F=9.05, p=.001) were significantly higher in the experimental group than in the control group. Conclusion: A maternal empowerment program can be an effective means of reducing parental stress and depression as well as enhancing parenting confidence, for mothers of preterm infants.

      • KCI등재
      • SSCISCIESCOPUSKCI등재

        간호학생의 통증관리에 관한 지식

        신영희,박영숙 한국간호과학회 1995 Journal of Korean Academy of Nursing Vol.37 No.2

        Pain management of postoperative patients or patients suffering from terminal cancer became one of the most important task of nurses in recent years. This study analyzed basic knowledge of 175 student nurses in Taegu on the pain assessment and management. The questionnaires included five areas : Assessment, pharmacological actions, medication, classification of opioids, and psychological dependence of analgesics. The results indicated that nursing students, in general, lacked knowledge on pain management : Correct responses on pain assessment varied between 9.7 and 100% , classification of opioids was in ranges of 61.7 to 95.4% ; Pharmacological actions was 16.6 to 80% : and medication was 14.9 to 85.7%. Less than 12.6% of students correctly identified the frequency of psychological dependence. These results suggested that the need of reinforcement on the pain management in formal nursing education.

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