입원환자의 낙상 실태 및 위험요인 조사연구

윤수진,이천균,진인선,강중구,Yoon, Soo-Jin,Lee, Chun-Kyon,Jin, In-Sun,Kang, Jung-Gu 한국의료질향상학회 2018 한국의료질향상학회지 Vol.24 No.2

Purpose: The objective of this study was to report the incidence of falls in hospitals and analyze the risk factors for falls. Methods: This study used data on 1,216 patients who experienced falls from 2015 to 2017 during their hospitalization. The data was collected from the falls incident reports and patient' electronic medical record of hospital. Data were analyzed with descriptive statistics using Chi-square test, Fisher's exact test and multiple Poisson regression analysis with the SAS 9.4 Results: The incidence of falls was 1.38 per 1,000 patients days (2015), 1.81 per 1,000patients days (2016) and 1.99 per 1,000patients days (2017). The incidence of injury caused by falls (level III~V) was 0.05 per 1,000patients days (2015), 0.04 per 1,000patients days (2016) and 0.06 per 1,000patients days (2017). The largest number of falls occurred during night shift (42.5%), specifically in the patients' room (70.8%), and medical unit (66.0%). Average age of fallers was 69.1 years and 61.7% of them were older than 71 years. CCI and the patient's department have statistically significant differences in injury or injury levels from falls, but the integrated nursing care services had no significant difference in injury or injury levels from falls. Conclusion: The result of this study can be used as a reference for establishing a fall prevention strategy for hospitalized patients by presenting index values such as the fall rate.

BMI와 사망과의 관련성 - 강화 코호트 연구 -

윤수진,이상욱,김소윤,이순영,박윤희,손태용,오희철,Yoon, Soo-Jin,Yi, Sang-Wook,Kim, Soh-Yoon,Lee, Soon-Young,Park, Yun-Hee,Sohn, Tae-Yong,Ohrr, Hee-Choul 대한예방의학회 2000 예방의학회지 Vol.33 No.4

Objectives : To investigate the association between BMI and Mortality. Methods : This study was based on the analysis and assembly of the 'Kangwha Cohort Study', previously conducted by the Department of Preventive Medicine, Yonsei University. A total of 2,696 males and 3,595 females were followed for almost ten years and ten months from March 1985 to January 1996, a total of whom 2,420 died during this period. The Cox's proportional hazards regression model was used to analyze this data. Results : We found a U-shaped relationship between BMI and mortality among the aged men in the Kangwha cohort. The hazard ratio of dying was adjusted for age, marital status, occupation, self cognitive health level, chronic disease, smoking, and alcohol frequency, then sorted by body mass index into the following groups; less than 10.5, 18.5 to less than 21.0, 21.0 to less than 23.5, 23.5 to less than 26.0 and greater than or equal to 26. The corresponding ratios for men were 1.81(1.50-2.19, 95%CI), 1.31(1.14-1.51, 95%CI), 1.0(referent), 1.05(0.87-1.26, 95%CI) and 1.39(1.09-1.76, 95%CI), respectively. And for women, 1.46(1.19-1.78), 1.12(0.95-1.31, 95%CI), 1.0(referent), 1.00(0.84-1.20, 95%CI) and 1.09(0.89-1.34, 95%CI), respectively. Conclusions : The risk of death among aged men in Kangwha increased in the under and overweight groups. The relationship between BMl and mortality has been well studied in Western populations, but little is known about the association between BMI and mortality in our country. So, on the basis of this study, it is apparent that more studies of the relationship between BMI and mortality will be needed for future work.

초음파가 흰쥐 아킬레스건 손상부위의 $TGF-\beta$발현에 미치는 영향

윤수진,Yoon Soo-Jin 대한물리치료학회 2002 대한물리치료학회지 Vol.14 No.3

This study was performed to investigate the effect of ultrasound irradiation on $TGF-\beta_1$ expression in the surgically injured achilles tendons of rats. The results of this study were as following: 1. The control group (3 days after injury) expressed little immunoreactivity for $TGF-\beta_1$. 2. In the experimental groups, $TGF-\beta_1$ immunoreactivity of group 11(applied US for 3 days) was increased markedly than that of group 1(applied US for 1 day). 3, The experimental group 11(applied US for 3 days) expressed higher immunoreactivity for $TGF-\beta_1$ than control group. These findings suggest that ultrasound irradiation on the injured Achilles tendon may be of benefit such as increasing $TGF-\beta$ release in the inflammatory phase of heal ins process.

지역사회 노인의 치매와 우울증의 관련요인

윤수진(Soo Jin Yoon),이윤환(Yun Hwan Lee),손태용(Tae Yong Son),오현주(Hyun Joo Oh),한근식(Geun Shik Han),김경희(Kyung Hee Kim) 한국노년학회 2002 한국노년학 Vol.21 No.3

본 연구는 노인에서 치매 또는 우울증의 관련요인에 대하여 알아보기 위한 것으로 부천시 재가노인을 대상으로 설문조사를 실시하였다. 부천시 원미구에 거주하는 65세 이상 노인을 연령군과 성에 따라 이원층화 무작위 추출을 실시한 후, 최종응답자 1,015명을 대상으로 2000년 2월 23일부터 3월 31일까지 38일 동안 가구 방문하여 직접 면접 조사하였다. 치매와 우울에 대한 선별검사도구로는 Mini-Mental State Exam(MMSE-K)과 Center for Epidemiolgic Studies Depression Scale(CES-D)을 각각 사용하였다. 연구결과 조사대상자들은 치매(11.5%), 우울(13.3%), 치매ㆍ우울(5.2%), 정상(70.0%)의 분포를 보였다. 치매와 우울의 이환에 영향을 주는 요인들을 파악하기 위하여 정상군을 기준으로 다항분포 로지스틱 회귀분석을 실시한 결과, 고령이고 여성인 경우, 수입이 낮고, 도구적 일상생활 수행능력 장애가 많고, 자기 건강인식 수준이 나쁘며, 친구ㆍ이웃 만남이 적은 경우, 상대적으로 치매군의 비차비가 유의하게 높았다. 한편, 우울군에 있어서는 요통, 직업, 도구적 일상생활 수행능력 장애, 부정적 자기건강수준 인식이 유의한 관련이 있었다. 치매와 우울에 복합적으로 이환된 노인의 경우는 배우자가 없고 도구적 일상생활의 지장이 많으며, 요통이 있을 확률이 유의하게 높았다. 치매 또는 우울증 노인환자의 평가 및 관리에 있어 본 연구 결과 유의한 변수들을 고려할 필요가 있으며, 사회경제적으로 취약하고 신체기능이 저하된 노인환자들이 치매와 우울증과의 관련성이 높은 것으로 드러남에 따라 이에 대한 대책이 요망된다. The purpose of this study was to identify factors associated with dementia and depression among the community-dwelling elderly. This study was based on the survey of elderly residents of Buchon City that was conducted from February 23 to March 31, 2000. A total of 1,015 older persons responded to the in-person household interviews. We used the Mini-Mental State Examination, Korean version(MMSE-K) and the Center for the Epidemiologic Studies Depression Scale (CES-D) to assess the person's level of cognitive and depressive states. The respondents were identified as having dementia only (11.5%), depression only (13.3%), dementia and depression combined (5.2%), or none (70.0%). Multinomial logistic regression analyses were carried out, using those without any mental conditions as the reference category. Older age, females, low income, higher number of IADL limitations, poor self-rated health, rarely meeting friends were significantly associated with dementia. For depression, back pain, occupation, IADL disability, poor self-rated health were found to be significant factors. Having bark pain, not married, higher number of IADL disability were independently associated with comorbid mental conditions. It is important to consider diverse factors associated with depression and dementia among older adults to enhance and promote their mental health and well-being. The findings of low socioeconomic status and poor physical health being associated with mental health states, especially raise attention to the need for targeting these vulnerable segments within the older community.

보건대학원 사이버 수업에서의 문제중심학습

윤수진(Soo Jin Yoon),호까마(Tomiko Hokama),호승희(Seung Hee Ho),김민경(Min Kyung Kim),채영문(Young Moon Chae) 한국보건교육건강증진학회 2007 보건교육건강증진학회지 Vol.24 No.3

민간의료보험 활성화에 대한 입원환자의 인식 및 태도에 미치는 영향 -서울시내 일개 종합병원을 대상으로-

윤수진 ( Soo Jin Yoon ),김성주 ( Seong Ju Kim ),유승흠 ( Seung Hum Yu ),오현주 ( Hyohn Joo Oh ) 한국병원경영학회 2008 병원경영학회지 Vol.13 No.1

This research is aimed at analyzing and understanding the perception and attitudes of inpatients in a general hospital in Seoul towards the activation of private health insurance. Survey was conducted against 231 inpatients, results of which were analyzed in the methods of frequency analysis, chi square test, and logistic regression. The results are summarized as follows; First, better-educated population who finished college education at least, higher-income population, and people who had more knowledge about private health insurance showed more perception about activation of private health insurance. Second, better-educated population who finished college education at least, higher-income population, those who are insured in existing private insurance, oncological patients, and people who had more knowledge about private health insurance showed more positive attitude towards private health insurance paying for actual damages, long-term care insurance, and income security insurance. Third, age and education were the factors affecting perception about activation of private health insurance. The older the age is, perception was 1.035 times positive towards activation of private health insurance, and those who finished college education or above showed 3.148 times positive perception towards the same. Forth, surgical patients showed 1.087 times more positive attitude towards private health insurance paying for actual damages than internal medicine patients, while oncological patients showed 2.314 times more positive attitude than internal medicine patients. Further, understanding on the activation of private health insurance was 6.014 times higher in the higher understanding group than in the lower understanding group. Intention to use long-term care insurance was 2.692 times stronger in the male group than in the female group, and 3.616 times stronger in the oncological patients group than in internal medicine patients group. Further, understanding on the activation of private health insurance was 3.881 times deeper in the higher understanding group than in the lower understanding group. Intention to use income security insurance was 3.185 times stronger in those who have academic background of under the high school than those over the college, and 4.175 times higher in the group those whose monthly average income is over 4 million won than those under 4 million won. Also, intention to use income security insurance was 4.323 times higher in the group those who are insured by existing private insurances than those who are not insured by those insurances and it was 5.234 times higher in the group of oncological patients than in the group of internal medicine patients. Further, intention to use income security insurance was 3.559 times higher in the group those who thought that out-of-pocket money of the National Health Insurance is too much to bear than those it is quite endurable. Understanding on the activation of private health insurance was 4.875 times deeper in the higher understanding group than in the lower understanding group. There were some suggestions could be made based on the results of this research. First, reinforced publicity and education is needed for the low-educated or low-income group, as there are gaps in the understanding on the activation of private health insurance depending on the degree of education and income. Second, government should prepare administrative complementary measures to solve the problem of adverse selection by the consumer which is foreseen when private health insurances are activated. Third, government should suggest the desirable course of development of private health insurance items to ensure efficient use of enormous fund of private insurance market for health security of the people. Further, institutional complementary measures are needed to convert existing cancer insurances or specific disease insurances to private health insurances paying for actual damages guaranteeing against

Educational Strategies for Informative and Supportive Patient Education for Oncology Patients and Their Families: a Literature Review

Yoon Soo-Jin(윤수진) 대한종양간호학회 2006 Asian Oncology Nursing Vol.6 No.1

목적: 종양환자 및 가족을 위한 환자교육의 필요성은 건강 돌봄의 중심이 완치의 개념에서 삶의 질 개념으로 바뀌어 감에 따라 더욱 대두되고 있다. 이들을 위한 환자교육이 성공적으로 이루어지기 위해서는 환자와 가족들의 교육선호 양상과 일치하는 교육적 전략이 필요하다. 본 연구는 종양환자와 가족들의 교육선호와 일치하는 효과적인 교육적 전략의 기초를 제공하기 위해 시도되었다. 방법: 본 문헌고찰은 컴퓨터 데이터베이스에 수록된 1990년에서 2002년에 출간된 선행연구 결과를 토대로 분석하였다. 결과: 종양환자와 그 가족은 의료전문인과의 대화, 책자, 시청각 및 인터넷 매체 등의 다양한 방법을 통해 정보를 구하였으며, 이러한 교육 요구 및 선호 양상은 다양한 요인에 따라 매우 개별적이었다. 또한 이들의 교육 준비상태는 질병 경험의 정신·사회적 수용 상태와 밀접하게 연관되어 있었다. 결론: 다양한 교육 방법을 활용한 개별적 접근이 종양 환자와 가족을 위한 환자교육에 적절할 것이며, 이들의 교육 준비상태와 일치하는 환자교육을 제공하기 위해 질병에 대한 정신적 적응과 수용상태를 지속적으로 사정하는 것이 필요하다.

개념 분석 : 완화(Palliation)의 개념분석

윤수진 ( Soo Jin Yoon ),최의순 ( Euy Soon Choi ) 여성건강간호학회 2006 여성건강간호학회지 Vol.12 No.1

종합병원 재활의학부의 건축계획에 관한 연구

윤수진 ( Soo Jin Yoon ),채철균 ( Choul Gyun Chai ) 한국의료복지건축학회 2007 의료·복지 건축 Vol.13 No.4

그림책을 활용한 유아음악프로그램 개발 연구 -만 5세를 대상으로-

윤수진 ( Yoon Soo Jin ) 한국독서아카고라학회 2021 독서아카고라연구 Vol.3 No.-

본 연구의 목적은 만 5세아를 대상으로 그림책을 활용한 유아음악프로그램을 개발하는데 있다. 본 연구에서 유아음악프로그램은 유아들에게 있어서 친근한 매체인 그림책과 음악을 서로 통합하여 구성하였다. 다양한 음악적 감성과 표현력을 기르고 나아가 음악을 향유할 수 있는 기초능력을 신장할 수 있도록 도와주고자 하였다. 따라서 그림책을 활용한 유아음악프로그램을 개발하였다. The purpose of this study is to develop an infant music program using picture books for 5-year-olds. In this study, the infant music program was organized by integrating picture books and music, which are familiar media for infants. It was intended to help develop various musical sensibilities and expressive skills and further enhance the basic ability to enjoy music. Therefore, an infant music program using picture books was developed. The results of this study through the program composition procedure are as follows. First, in this study, objectives and goals were set based on literature review. The music program developed in this study allows infants to increase creativity through artistic activities based on Gardner’s educational theory, develop aesthetic expressions by comparing their own and others, develop observation, analysis, interpretation, and judgment skills, and reflect on the learning process themselves. Second, in this study, an infant music program using picture books was developed. Using picture books in teaching music is a natural harmony, and infants can easily understand various meanings. Third, the evaluation of this music program was divided into teacher evaluation and infant evaluation.