서울시 일부 보건소 결핵환자의 지식태도 실천에 관한 조사

박신애,Park Shin Ae 대한간호협회 1976 대한간호 Vol.15 No.1

Among those who were registered at the tuberculosis clinic of three health centers located in Seoul 274 patients answered the questionaires which asked for grasping their knowledge attitude & practice relative to its prevention & curing necessary for tube

가톨릭 교회를 중심으로 한 한국에서의 자연가족계획 방법 수용 및 사용효과에 관한 연구

박신애,Park, Shin-Ae 한국지역사회간호학회 1993 지역사회간호학회지 Vol.4 No.2

The natural growth rate of the Korean population has decreased from 3.0% in 1960 to 1.0% in 1990. This was done with family planning program which was introduced by the government in 1961. The family planning program focused on birth control rather than the characteristics of the individuals and motivations of contraception. People were simply forced to use the method. Whereas, Natural Contraceptive is a method of family planning based solely on the timing of intercourse with the naturally occurring' physiological manifestation of fertilization and in fertilization during the menstrual cycle. This is the combination of self fertility awareness with periodic abstinence. Natural family .planning(NFP) programs in Korea were first started in the Chun-Chen diocese of catholic church by Bishop Thomas Stewart in 1970 In 1975, the Bishops conference launched the Korea Happy Family Movement in the Catholic Hospital Association, to promote the natural family planning. An average of 70,000 people, including adolescents, college students, unmarried and married persons, arid the clergies were trained during a six-year period (1986-1991). 61.5%(24,542 people) of those who completed 3 cycles during 6 year period (1986-1991) became autonomous users and the range was from 48.1% to 78.2%. In 1986, 22.7% of NFP individuals who drooped out of the program because of the desire for conception (23.4%), the difficulty of the method used(25.8%), and the loss of interest(22.8%). During the six-year period the unplanned pregnancy rate at the NFP was 2.9%. The range of the pregnancy rate was at 1.2-9.8%. The rate was decreased as years passed. The major reason for the failure of contraceptive was error by the individuals(61.1%). The percentage of the success of conception was 18.1% of 2.979 for achieving pregnancy. The highest percentage was 58.2% (99 users) in Kwang-Joo diocese and next was 37.1% (10 users) in Chong Joo diocese.

성인 여성의 자연가족계획방법 사용에 대한 인식, 태도 및 요구도 조사

박신애,왕명자,차남현,최희정,Park, Shin-Ae,Wang, Myoung-Ja,Cha, Nam-Hyun,Choi, Hee-Chung 경희대학교 동서간호학연구소 2004 동서간호학연구지 Vol.10 No.1

Purpose: This study was attempted to investigate the demand, the recognition, and the attitude of general people on Natural Family Planning Method(NFP), and to provide basic data for a development of a program to establish a healthy sexual life. Method: This is a descriptive correlative study, collecting data by questionnaires. The subjects were 130 people of three urban areas from March 1 to April 15, 2004. The measurement tool used was about demand, recognition, and attitude to the natural birth control method. The data analysis was done by number, percent and T-test, Pearson's correlation coefficient, using SPSS program. Results: The recognition, attitude, and demand to natural birth control method was 3.01, 2.84 and 2.73 respectively. The higher recognition of correlation for natural family planning, the higher attitude(r=.864, p=.000) and demand(r= .525, p=.000) of correlation for natural family planning. It was confirmed that the study subjects almost produced self esteem and confidence recognizing at the idea of life and self value, and positively thought of need, recognition, and attitude of natural family planning method which could keep their own health management. Conclusion: As the result above, we suggest that an educational program should be developed, diffused and supported, and culturally formed by nation and social group to insist the benefit of conjugal relations in natural family planning as well as to support the knowledge deficit.

자연적 가족계획 방법에 대한 이론적 고찰

박신애,Park, Shin-Ae 한국지역사회간호학회 1996 지역사회간호학회지 Vol.7 No.2

This study was reviewed from 1000 articles related to family planning from 1970 to 1990 and 20 articles associated with natural family planning from 1980 until the present. The purpose of natural family planning(NFP) is to identify the time ovulation of women themselves, to have intercourse with periodic abstinence, and to deliver a healthy child. The ultimate goal of NFP is to promote the family's health. The NFP method is described as periodic abstinence of intercourse to avoid pregnancy by identifying the ovulation time in the menstration cycle. Clinical symptoms and signs of reflection underlying changes in Estrogen and Progesterone are the change of basal body temperature, the change of cervical mucus and cervix, abdominal pain and breast tenderness. The types of NFP are the calender rthythm method, basal body temperature methods, cervical mucus method, symptothermal method, cyclo-thermal method and home based ovulation test kits. Recently the cyclo-thermal method involved. It is calendar rhythm method applied to B.B.T. For the cervical mucus method, when the estrogen level in the blood concentration is increased, the mucus begins to excrete, the amount of moist mucus increases while the mucus is clear, slippery, and smooth. For 3 days, this timing can be considered contraception. Fertility is at a maximum on the day mucus appears, abstinence for 3 days is a type of contraception. Sexual intercourse on a maximum day of mucus maximizes pregnancy potential. But, the contraception depends on the practice of a perfect rule. For basal body temperature methods, at ovulation time, the temperature increases $0.2^{\circ}C-0.5^{\circ}C$. Through the review of literature a high temperature above $0.2^{\circ}C$ for 3 days indicates that the previous 6 day period was ovulation and fertilization. The Symptothermal method is used to determine the prediction of ovulation through the observation of mucus excretion, high temperature, the change of cervical mucus, low abdominal pain, vaginal discharge, and breast change. Home based ovulation test kits are cervico-vaginal fluid aspiration, test a digital electric thermometer, body fluid(blood, saliva, urine) test kits, They are on the market. However, research on the contraception method is still in progress. For pregnancy it is still too early to use home based ovulation test kits because of deficit of reliability and simplicity more research on the technology is needed. It is suggested that NFP methods be included in nursing curriculum in order to educate NFP users how to effectively use NFP methods. Furthermore, this study has implications for the dissemination of NFP methods in terms of Korean policies of family planning and the support of community welfare agences.

Talc 늑막유착술 이후 발생한 치명적 저산소증 2예

박신애 ( Shin Ae Park ),이한희 ( Han Hee Lee ),김대준 ( Dae Jun Kim ),심병용 ( Byoung Yong Shim ),송소향 ( So Hyang Song ),김치홍 ( Chi Hong Kim ),안명임 ( Myeong Im Ahn ),조덕곤 ( Deog Gon Cho ),조규도 ( Kyu Do Cho ),김훈교 ( Hoo 대한결핵 및 호흡기학회 2007 Tuberculosis and Respiratory Diseases Vol.62 No.3

Talc pleurodesis is a safe and effective treatment for a recurrent malignant pleural effusion. However, acute hypoxemia, pulmonary edema or acute respiratory failure can develop in a small number of patients. We report 2 patients who developed fatal hypoxemia after talc pleurodesis which was necessary the control recurrent pleural effusion. The first case was an 18-year old male diagnosed with Ewing`s sarcoma with bilateral lung metastases and pleural effusion. The performance status was ECOG (Eastern Cooperative Foncology Group) grade 3. Fever along with hypoxemia and leukocytosis developed 10 hours after the second talc pleurodesis on the right side for an uncontrolled pleural effusion, The patient died from respiratory failure after 13 days. The second case was a 66-year old female diagnosed with non-small cell lung cancer with a bone metastasis. Two weeks after systemic chemotherapy, she complained of dyspnea, and a pleural effusion was observed on the right side. Her performance status was ECOG grade 3. Talc pleurodesis was performed for recurrent pleural effusion, but hypoxemia developed 6 days after pleurodesis and she died from respiratory failure 10 days after pleurodesis. In conclusion, talc pleurodesis should be performed very carefully in patients with a poor performance status, in cases with repeated pleurodesis, bilateral pleural effusion, recent chemotherapy, radiotherapy and when there are parenchymal metastatic lesions present. (Tuberc Respir Dis 2007; 62: 217-222)

제2형 당뇨병환자에서 족부병변의 발생률 및 위험인자 분석: 5년 관찰연구

박신애 ( Shin Ae Park ),고승현 ( Seung Hyun Ko ),이승환 ( Seung Hwan Lee ),조재형 ( Jae Hyoung Cho ),문성대 ( Sung Dae Moon ),장상아 ( Sang A Jang ),손현식 ( Hyun Shik Son ),송기호 ( Ki Ho Song ),차봉연 ( Bong Yun Cha ),손호영 ( H 대한당뇨병학회 2009 Diabetes and Metabolism Journal Vol.33 No.4

연구배경: 제 2형 당뇨병환자에서 당뇨병성 족부병변에 의한 하지절단은 지속적으로 증가하고 있다. 또한 당뇨병성 족부궤양 단계에서의 적절한 예방과 치료가 하지절단의 위험성을 50%나 감소시킨다고 보고된 바 있다. 본 연구는 당뇨병성 족부병변의 발생률과 임상양상 그리고 위험인자들을 살펴보고자 하였다. 방법: 2003년 1월부터 12월까지 가톨릭대학교 성빈센트병원에 내원한 제2형 당뇨병환자를 2008년까지 5년간 관찰하였다. 족부병변의 위험인자를 확인하기 위해 6개월 마다당화혈색소를 반복 측정하였고, 당뇨병성 합병증을 조사하였다. 자율신경병증은 Ewing 방법에 따라 반복적인 심호흡호기와 흡기 시 (E/I 비), 체위 변화 시(30:15 비), 발살바 수기 시 심박동수의 변화를 측정하였다. 신기능 저하를 확인하기 위해 단백뇨 여부와 MDRD GFR를 이용하였다. 결과: 총 646명의 대상 환자 중에서 연구기간을 완료한 환자는 508명(82.9%)이었고, 이 중 32명(6.3%)에서 당뇨병성 족부병변이 발생하였다. 당뇨병성 족부병변이 발생한 군에서는 당뇨병 유병기간이 길었고, 고혈압 동반률이 높았으며, 망막병증 동반율도 높았다. 연구기간 동안의 평균 당화혈색소도 발생군에서 높게 측정되었다. Lipoprotein (a)가 증가되거나 신기능이 저하된 경우 당뇨병성 족부병변의 발생이 증가함을 확인하였다. 무엇보다 심혈관계 자율신경병증의 동반은 당뇨병성 족부병변의 발생을 4배 가까이 증가시킴을 확인하였고, 이는 말초신경병증 못지않게 중요함을 알 수 있었다. 결론: 당뇨병성 족부병변의 발생과 가장 밀접한 관련이 있는 것은 평균 당화혈색소임을 확인하였다. 또한 신기능의 저하와 심혈관계 자율신경병증이 중요한 유발인자임을 확인하였다. 따라서 당뇨병성 족부병변의 발생을 예방하기 위해서는 엄격한 혈당조절뿐만 아니라 정기적인 신기능과 자율신경병증에 대한 정기적인 평가가 이뤄져야 할 것이다. Background: The frequency of lower extremity amputation due to diabetic foot has been increasing in type 2 diabetic patients. The aim of this study was to observe the incidence, clinical aspects and associated risk factors for diabetic foot. Methods: We evaluated the incidence of diabetic foot through a five-year observation of type 2 diabetic patients who presented to St. vincent`s Hospital between January and December 2003. To identify the risk factors for diabetic foot, we evaluated mean glycosylated hemoglobin A1c (HbA1c) every six months and assessed renal function based on the existence of proteinuria and estimated glomerular filtration rate (GFR) using the Modification of Diet in Renal Disease (MDRD) equation. Patients were also evaluated for retinopathy, peripheral neuropathy and autonomic neuropathy using Ewing`s method. Results: From an initial pool of 613 patients, the observational study of 508 patients (82.9%) was completed. The mean age, duration of diabetes and HbA1c were 50.3±10.6 yrs, 7.2±6.5 yrs and 8.8±2.1%, respectively. Diabetic foot occurred in 32 patients (6.3%). The incidence of diabetic foot increased when diabetic retinopathy (OR=6.707, 2.314~19.439), peripheral neuropathy (OR=2.949, 1.075~8.090), and autonomic neuropathy (OR=3.967, 1.476~10.660) were present and when the MDRD GFR (OR=5.089, 1.712~15.130) decreased. Mean HbA1c (OR=12.013, 1.470~98.179) was found to be an independent risk factor for diabetic foot. Conclusion: The present study confirmed the importance of intensive glycemic control and the role of autonomic dysfunction in the development of diabetic foot. In addition, diabetic retinopathy and impaired renal function proved to be factors associated with the occurrence of diabetic foot. Therefore, intensive glycemic control, as well as periodic examination of renal function, are essential for the prevention of diabetic foot. (Korean Diabetes J 33:315-323, 2009)

아동양육시설 퇴소 청소년의 외상후성장 경험

박신애(Park, Shin Ae),최옥채(Choi, Ok Chai) 경성대학교 사회과학연구소 2018 社會科學硏究 Vol.34 No.2

본 연구는 어린 시절 부모와 헤어져 아동양육시설에서 성장한 후 퇴소한 청소년의 외상후성장 경험을 탐색하고, 그 결과를 바탕으로 시설퇴소 청소년의 성장을 위한 사회복지 지원방안을 제시하는 데 목적이 있다. 이를 위해 아동양육시설에서 퇴소한 청소년 9명을 연구참여자로 선정하여 개별 심층 인터뷰를 진행하였다. 질적사례연구방법을 활용하여 분석한 결과는 다음과 같다. 아동양육시설 퇴소 청소년의 외상후성장 경험은 ‘외롭고 힘들었던 기나긴 방황’, ‘성장을 도와 준 좋은 사람들의 지지’, ‘조금씩 꿈틀대는 변화’, ‘더 용기 낼 수 있게 해 준 성취’, ‘소중한 꿈을 향한 도약’ 으로 도출되었다. 이러한 결과를 통해 아동양육시설 퇴소 청소년의 바람직한 성장을 돕기 위한 사회복지적 개입 방안을 제시하였다. This study is to take a closer look at the posttraumatic growth experiences of adolescents who were discharged from child care institutions they had been separated from their parents. The aim of this study was to suggest how to support the growth experience for them. The participants consisted of nine adolescents who chose to participate of their own free will. The in-depth interviews were conducted to collect the research materials. The study was performed with a qualitative case study. According to the results, the following main themes were revealed from the posttraumatic growth experiences of adolescents discharged from child care institutions : ‘lonely and tough wandering again’, ‘support of good people who helped to grow’, ‘the change that has come up with a little twist’, ‘achievement that helped to encourage’, ‘leap toward a precious dream’. The results of this study suggests that social welfare services to help the posttraumatic growth of the adolescents who were discharged from child care institutions.

제2형 당뇨병 입원 환자에서 혈당변동성 지표인 Average Daily Risk Range와 관련된 인자

박신애 ( Shin Ae Park ),고승현 ( Seung Hyun Ko ),이승환 ( Seung Hwan Lee ),조재형 ( Jae Hyung Cho ),문성대 ( Sung Dae Moon ),장상아 ( Sang A Jang ),송기호 ( Ki Ho Song ),손현식 ( Hyun Shik Son ),윤건호 ( Kun Ho Yoon ),차봉연 ( Bon 대한당뇨병학회 2009 Diabetes and Metabolism Journal Vol.33 No.1

서울지역 산업장 근로자의 산업보건관리에 대한 지식, 태도, 실천 연구

정연강,박신애,이나미,윤순녕,김영임,왕명자,이순남,김은희,고영애,Jung, Yeun-Gang,Park, Shin-Ae,Lee, Na-Mi,Yoon, Soon-Young,Kim, Young-Im,Wang, Myoung-Ja,Lee, Soon-Nam,Kim, En-Hee,Ko, Young-Ae 한국지역사회간호학회 1993 지역사회간호학회지 Vol.4 No.2

This research is undertaken for the purpose of providing basic data to improve the occupational health service for future. 415 workers of 46 firms in Seoul are included in this data points. Results from this analyzing are the following. 1) The level of knowledge, attitude and practice of workers on the occupational health is moderate. 2) The cognition of necessity about special health examination gains the highest point(3.94), but the understanding of the occupational health educational program gains the lowest point (.85) in the knowledge region. 3) In the attitude region, the highest point is marked by the workers' prudence of expending time on medical examination(3.45). The lowest one by the workers' feeling of satisfaction of the follow-up service after medical examination(1.79). 4) The workers' participation in medical examination is the most active(3.15), and that in occupational health education in the least active(.86) in the practical region.

남녀 고등학생의 성희롱에 대한 태도 및 경험에 관한 조사연구

정의남,박신애,Chung, Eui-Nam,Park, Shin-Ae 한국지역사회간호학회 2000 지역사회간호학회지 Vol.11 No.2

The purpose of this study, in which 573 students from 2 high schools in Kang Nung city participated was to identify the attitude and experience of sexual harassment. This information will provide useful data, and promote a more systematic sexual harassment education program. The subjects of this study were 278 male students and 295 female students. The data was collected from September 25 to October 6. 2000. The data was analyzed using the statistical Computer package. SPSS to manipulate the data along with frequency, percentage, and mean t-test. The results from this study were summarized as follows. 1. The results from this comparison between two groups were significant in their attitude on sexual harassment(t=-2.26. p=0.024). Female students had higher scores than male students. 2. As a cause of sexual harassment. 'A man's misjudgement regarding a women as sexual objects(n=130: 22.7%)'. 'Patriarchal system of unequal distribution of power and status between the sexes(n=105: 18.3%)'. 'The effect of sexual stimulatives. (pornography. pornovideo. TV program ect.)(n=89: 15.5%)'. 3. As a countermeasure for prevention, 'Punishment, law and regulation of the sexual harasser(n = 151; 26.4%)', 'A preventive education of sexual harassment in adolescence (n = 125: 21.8%)'. 'Reformation of gender inequality and sex discrimination in the socio-structure(n=76; 13.3%)'. 4. Out of 573 students who participated in this study, 209(36.5%) students reported experiencing an incident of sexual harassment. For 278 males who participated in this study, 88(31.7%) had experienced an incident of sexual harassment. For the 295 females who participated in this study, 121(41.0%) had experienced an incident of sexual harassment. The type of sexual harassment is reported physical sexual harassment(n = 248: 40.5%), verbal sexual harassment(n = 226; 36.7%), and visual sexual harassment(n=139: 22.6%). 5. Their age in which they had experienced harassment was usually 'after 16 years of age(n=122: 58.4%)'. The age of harassers were mostly teenagers(n=112; 53.6%). The relationship to the with sexual harasser was a stranger (n=85; 40.7%), or a friend(n=78: 37.3%). After the incident of sexual harassment occurred, some students informed friends (n=114: 54.5%), 63(30.1%) told no one. Male students' feelings after the experienced harassment ranged from: 'be interesting', 'be pleasant'. Female students' feelings after the experienced harassment ranged from; 'be surprised', 'get a shock', 'fear', 'shame'.