입원노인환자의 사례관리 프로그램 개발 연구

신은영 지역사회간호학회 2002 지역사회간호학회지 Vol.13 No.3

Purpose : This study was performed to develop the case management program that can provide the qualitative health care service to satisfy the increasing needs for health care elderly and prevent the increase in medical cost cased by prolonged and repetitive hospitalization. Method : The survey was completed as follows. First, 290 elderly patients who would be soon discharged in 4 hospitals are participated in the survey on needs of nursing care and case management programs. Second, 70 professionals working at 5 hospitals including doctors, nurses, social workers and so on are participated in the survey on the case management team operation. Result : Level of needs to Nursing care and case management programs showed so high. Professionals suggested on the case management team operation. Finally, based on the survey and literature review, the case management program was developed. Conclusion : In this study, the specific models for the five case management services were suggested. It is thought that the service provision by the case management team based on the multi-disciplinary case management program model suggested in this study would be suggested as a constituent of the effective health care delivery system for the hospitalized elderly patients.

노년기 청각장애를 위한 삶의 질 지수의 표준화

신은영 한국청각언어재활학회 2013 Audiology and Speech Research Vol.9 No.2

The elderly with hearing loss have difficulties in communication. This influences not only individual psychologic status but also relationship with others and social activities, thus it finally affects quality of life negatively. Relative to other countries, Korea tends to have accelerated aging currently, therefore it is necessary to understand and prepare for geriatric hearing loss. The purpose of this study is to analyze and establish the standards for various scales evaluating quality of life of hearing handicap of the elderly in Korea. To know and standardize psychological, social, and emotional effects of the elderly hearing impairment, various questionnaires were evaluated including Korean Hearing Handicap Inventory for Elderly-Screening (KHHIE-S), interpreted Attitudes Toward Loss of Hearing Questionnaire (ALHQ), Korean version of Short form of Geriatric Depression Scale (SGDS), Korean version of World Health Organization Quality Of Life assessment (WHOQOL-BREF), and developed Geriatric Everyday Life Health Index (GELHI) to the 211 participants. All the participants were over 65 years old. After analyzing, the standard scores were presented. The scores were found correlations of scales and increasing age showed negative scores of psychologically, socially, and emotionally. Conclusively, it is expected to get the opportunities for helping and understanding geriatric hearing loss with extension by applying these mutually complementary various scales.

Chiari malformation 환아에서 상악 구치부의 부유치

신은영,최병재,이제호,손흥규 大韓小兒齒科學會 2001 대한소아치과학회지 Vol.28 No.4

Chiari malformation은 하부 뇌간과 소뇌가 대공 속으로 들어가 하향 편위의 소견을 보이는 중추 신경계의 기형으로 3가지 type으로 분류된다. 본 증례는 7세 10개월 된 여환이 10일전부터 칫솔질시 상악 우측 어금니가 아프고 얼굴이 약간 붓고 아프다는 주소로 내원하였는데, 임상구강검사결과 상악 우측 제1대구치 원심에 치은낭이 형성되어 있었고 동요도와 동통이 존재하였다. 악골 방사선사진검사결과 상악 구치부의 골밀도가 정상에 비해 낮으며, 특히 좌우측 제1대구치 하방의 골의 부재가 보였다. 유년성 치주염의 가진 하에 치주치료 중 전신질환과의 연관성 문진으로 Chiari malformation의 의과적 병력을 확인한 후 3차원 전산화단층촬영을 시행하였다. 두개골이 전반적으로 얇으며 다수의 골결손이 관찰되고 대공이 다소 커져있으며 후두골과 상악골의 골밀도가 감소되어 있었고 특히 상악 구치부의 치조골이 거의 없어 상악 좌우측 제1대구치가 부유치처럼 보였다. 이에 본원 신경외과로 협의진료를 의뢰하여 계속적으로 관찰하고 있는 중이다. 소아에서 치주염이 의심될 때 leukemia, hystiocytosis X, hypoposphatasia등의 잠재된 전신질환과 연관되어 있을 수 있으므로 적절한 검사를 시행해야 하며 전신질환의 근본적인 원인을 치료할 수 있도록 고려해야 한다. The Chiari malformation is a deformation within the central nervous system which the lower brain stem and the cerebellum migrate into the foramen magnum causing herniation. In 1891, Arnold Chiari classified such symptoms into 3 categories. This case report is of a 8-year-old female with the complaint of a slight facial swelling and pain on the upper right molar during tooth brushing since 10 days before. Clinical examination showed gingival pocket formation on distal of the upper right first molar with pain and mobility of the tooth. Radiographic examination showed generalized low bone density in the upper molar area, and especially no bone support above the upper right and left first molars were noted. With a temporary diagnosis of Early-onset periodontitis, consultations with medical doctors for the possibility of an underlying systemic disease were made during periodontal treatment. 3D CT was taken with after a final diagnosis of Chiari malformation. Genralized thinning and defect of the cranial bone was noted and the foramen magnum was slightly enlarged. The occipital and maxillary bone was low in density, and the alveolar bone of maxillary posterior teeth was especially almost non-existing causing the upper right and left first molar to be floating. For this, the patient went under consultation with the department of neurosurgery and is still under observation. Periodontitis in childreren is very rare. When symptoms of periodontitis appear in a child, due to the possibility of an underlying systemic disease such as leukemia, histiocytosis X, and hypophosphatasia, proper examinations should be carried out so that the primary factor the symptoms can be treated.

주관적 기억감퇴를 가진 노인에서 백질 변화와 인지기능 장애의 관련성

신은영,정한용,김양래,이소영,김신겸,Shin, Eun-Young,Jung, Han-Yong,Kim, Yang-Rae,Lee, So-Young-Irene,Kim, Shin-Gyeom 대한생물정신의학회 2011 생물정신의학 Vol.18 No.3

Objectives The purpose of this study is to evaluate the relationship between the severity of white matter changes (WMC), risk factors and cognitive domains, including executive function profiles. Method Forty nine subjects over 55 years with subjective memory complaints were assessed with MRI and neuropsychological tests. The WMC were assessed by MRI T2-FLAIR images and divided into 3 groups of mild vs. moderate vs. severe and 2 groups of mild-moderate vs. severe by using Mantyla's criteria and Fazeka's criteria. The risk factors were examined in hypertension, heart disease history and chemistry Lab. Medical conditions which affect to cognitive dysfunction and definite dementia were also excluded. Results Comparing 3 groups, hypertension was identified as a risk factor of the WMC. Comparing 2 groups, total cholesterol and LDL were identified for as the risk factor of WMC. The severity of WMC was significantly associated with cognitive disturbances and their main effect on cognition was working memory and inhibition. Conclusion The risk factors of the WMC in the elderly were hypertension, hyperlipidemia. The severity of WMC appears to be associated with executive dysfunction in the elderly.

국내 건설엔지니어링업체의 베트남 진출전략

신은영,박환표,Shin, Eun-Young,Park, Hwan-Pyo 한국건설관리학회 2006 건설관리 : 한국건설관리학회 학회지 Vol.7 No.2

The cost of construction engineering field is less than $3{\sim}5%$ of the gross construction cost, it, however, is very important because the performance of final facility depends on the technical ability of construction engineering company. However, as the results of the technical level of domestic construction engineering survey from experts, it was less than 70% of developed country. For this reason, domestic construction engineering companies are confronted with serious problems to go into overseas market. Accordingly, this research analyzed the construction engineering market trend of domestic and overseas in order to suggest the strategies to go into the Vietnam. Moreover, this research identified problems and strategies of making inroads into the world market through the survey from the domestic construction company related to overseas construction, advanced a theory through extensive literature review, and collected extensive opinions through an interview with domestic and foreign experts and business trip. The purpose of this research is to provide market analysis and strategic plan for advancing into overseas market in order to make the domestic construction engineering companies to go into the Vietnam market. Especially, as a plan for the revitalization of advancing overseas market of domestic construction engineering companies, this research proposed Constructing Local Infrastructure, Business Creation of Planning Proposals and Enlarged Plans of ODA(Official Development Assistant).

불교유물 조사 연구의 과제와 전망 -송광사유물을 중심으로-

신은영 남도불교문화연구회 2021 불교문화연구 Vol.14 No.-

전남지역 거주 노인의 시력과 청력의 특성

신은영,조수진,주석희 대한시과학회 2014 대한시과학회지 Vol.16 No.4

Purpose: This research was designed to measure that uncorrected vision, hearing, distribution of refraction error and hearing disability of elderly people living in Jeallanam-do. Also to investigate differences by age significance below .05 level, and to analyze correlation between vision and hearing results. Methods: The elderly of sixty-seven subjects with mean ages were 73.75±7.00 years old, were evaluated vision and hearing tests through visited at clinical center of Dept. of optometry and vision science and Dept. of speech-language pathology and audiology, ○○ university, or participated volunteer service at geriatric welfare center over the course of May through October of 2013. Result: According to results of vision and hearing evaluation, uncorrected vision and hearing of comparative younger group (under 74 years) were worse than them of older age group (over 75 years) and showed differences by age. Hyperopia were larger than myopia in refraction errors totally, and hearing disabilities were more unfavorable as old age. Correlation of vision and hearing results were showed low level correlation but significantly negative correlation (p<.05). Conclusion: The functions of peripheral system like vision or hearing were weakened as age increased, but correlations between vision and hearing were not enough high level. Through the research about various aspects of vision and hearing, basic data were prepared for welfare of increasing elderly people population. 목 적: 본 연구에서는 전남지역 거주 노인의 나안시력, 청력, 근시와 원시 분포 및 청력손실의 정도를 측정하여 유의수준 .05 미만에서 연령대에 따른 차이를 알아보고, 시력과 청력 검사 결과의 상관성을 분석하였다. 방 법: 2013년 5~10월에 걸쳐서 평균 나이 73.75±7.00세의 노인 67명을 대상으로 ○○대학교 안경광학과와 언어치료청각학과 임상 센터에 내원하였거나 노인복지관의 방문 봉사활동을 통해 시력과 청력검사를 시행하였다. 결 과: 시력 및 청력검사 결과, 비교적 나이가 적은 연령군(74세 이하)보다 나이가 많은 연령군(75세 이상)이 나안시력과 청력이 더 나쁜 결과를 보였으며 연령대별 차이를 나타냈다. 굴절이상도는 전체적으로 원시안이 근시안보다 많았으며, 연령대가 증가할수록 청력손실의 정도가 더 심해지는 것으로 나타났다. 시력 및 청력의 상관성을 비교한 결과, 시력과 청력의 상관은 낮으나 유의미한 음의 상관성을 보였다(p< .05). 결 론: 시력이나 청력과 같은 노인의 말초기관 기능은 연령이 증가함에 따라 약해진다는 것을 확인하였으나 청력과 시력의 상관성은 그다지 높지 않았음을 알 수 있었다. 추후 다양한 노인의 시력 및 청력과 관련된 연구를 통하여 늘어나는 노인 인구의 복지를 위한 기초자료가 마련되길 바란다.

노인의 자가 설문지를 통한 청력손실과 실제 청각역치의 비교

신은영,이미경,김기선 한국언어치료학회 2015 한국언어치료학회 학술발표대회 논문집 Vol.2015 No.12

초등 교원수급정책의 쟁점과 과제

신은영,윤혜원,신현석 한국교원교육학회 2024 한국교원교육연구 Vol.41 No.3

본 연구는 교원수급의 실태를 분석하고 문제점을 지적하여 시스템사고를 기반으로 초등 교원수급정책을 종합적으로 진단하고 주요 쟁점과 과제를 도출하였다. 이를 위해 교원수급정책에 영향을 주는 변인을 통계자료, 선행연구, 신문기사 등을 바탕으로 도출하여 인과순환지도를 작성하였다. 주요 분석 결과는 다음과 같다. 교원수요와 신규교원 선발 인원의 불균형, 양질의 교원수급을 위한 고려의 부재, 교원 양성기관의 입학정원과 실제 교원 수급의 불일치, 그리고 경제 논리와 교육 논리 간의 충돌이 주요 문제점으로 도출되었다. 이러한 문제를 해결하기 위해서는 교원의 수요와 공급을 종합적으로 관리할 수 있는 체계적인 접근이 필요하다. 또한, 양질의 교사 공급을 위해 교원 양성기관의 효율성을 제고하는 것뿐만 아니라, 교원수급정책 수립의 법제화와 중앙정부와 지방 교육청이 연계된 전문기구 설립을 통해 유연한 교원수급정책을 위한 장치도 마련해야 한다. 이러한 결과를 바탕으로, 본 연구는 초등 교원수급정책의 효과적인 수립과 실행을 위한 정책적 대안을 제시하고자 한다. This study analyzed the current state of teacher supply and demand, identified problems, and comprehensively diagnosed elementary school teacher supply policies based on systems thinking, ultimately deriving key issues and tasks. To achieve this, variables affecting teacher supply policies were derived using statistical data, previous research, and newspaper articles, and a causal loop diagram was created. The main findings are as follows: imbalances between teacher demand and the number of newly appointed teachers, the lack of consideration for the supply of quality teachers, discrepancies between the enrollment capacity of teacher training institutions and the actual supply of teachers, and the conflict between economic and educational logic were identified as major issues. To address these problems, a systematic approach that comprehensively manages teacher demand and supply is necessary. Additionally, to ensure the supply of quality teachers, it is essential to enhance the efficiency of teacher training institutions, legislate the establishment of teacher supply policies, and establish a specialized organization for teacher supply planning in coordination with central and local education authorities, along with creating mechanisms for flexible teacher supply policies. Based on these findings, this study aims to propose policy alternatives for the effective establishment and implementation of elementary school teacher supply policies.

노인 일상생활 건강 지수를 평가하는 설문지 개발

신은영,조은빛,김진숙 한국청각언어재활학회 2014 Audiology and Speech Research Vol.10 No.2

Geriatric hearing loss can be related to dementia and mental health status. As the symptoms of dementia includesimpairments of memory, naming, visuospatial dysfunction, and mental health status, the hearing loss might aggravatethose symptoms and vise versa. Therefore, the degree of these symptoms should be evaluated for successful auralrehabilitation of the elderly hearing impaired. Korean version of Mini Mental State Examination (MMSE-K) hasbeen commonly used for assessing dementia for Korean and Short Portable Mental Status Questionnaire (SPMSQ)has been widely used to check the status of the mental health of the elderly. However, they are not appropriate forassessing for the baseline and improvement of aural rehabilitation due to old-fashioned and biased characteristics ofquestions. Applying MMSE-K and SPMSQ, new simple geriatric mental health assessment tool, Geriatric EverydayLife Health Index (GELHI) was developed in Korean version considering Korean culture and current social situationswith 12 testing items. GELHI evaluates the short-term and long-term memory, daily life, the recent events,mathematical calculations and so on. The scores ranges from 0 to 12, which indicates normal to severe impairmentof intellectual capacity and mental health status of the elderly. GELHI was administered to 207 people aged over 65years, 87 males and 120 females, by interviewing technique. The internal consistency of GELHI was verified byCronbach alpha, .688, showing high homogeneity of the scale. The reliability of GELHI was found to be acceptablewith Guttman's split-half correlation coefficient, .728. GELHI scores were influenced by gender, age, educationalstatus, marital status, health status, economic status, and the frequency of contacts of their sons and daughters. GELHI was appeared to assess various cognitive and intellectual functions of the elderly in terms of mental healthstatus. Therefore, GELHI can be applied for setting a baseline and assessing the degree of improvement forrehabilitation process in a variety of geriatric cognitive disorder. Especially, GELHI can be utilized for the elderlyhearing impaired who have week mental health status but need decent rehabilitation.