국내 분만간호 시뮬레이션 교육효과 메타분석

김미나,정향인,김영아 한국모자보건학회 2016 한국모자보건학회지 Vol.20 No.3

Purpose: The purpose of this study was to investigate the status of simulation-based education for delivery nursing performed in Korea and its effects. Methods: A report was prepared by guidelines presented by PRISMA group. The key words used for search were ‘delivery nursing and simulation', ‘obstetric nursing and simulation', or ‘integrated nursing and simulation’. A total of 13 studies published in South Korea from 2012 to 2015 were included in the final analysis. The R with the ‘metafor’ package was used for the analysis. Results: This study found that simulation-based education for delivery nursing was effective in improving clinical performance, clinical judgement, communication skills, confidence, knowledge, learning attitude, satisfaction, and self-efficacy and in reducing practice stress. Conclusion: This study reaffirms the effect of simulation-based education for delivery nursing. In order for nursing students to equip more flexible practice capability in this rapidly changing clinical field, the use of simulation-based learning is considered now almost essential. The result of this study can be used as a reference for evidence-based education for delivery nursing.

유독물지정제도에 대한 유해화학물질관리자 및 전문가의 인식도 분석 연구

김미나,이승길,두용균,조삼래,최재욱,Kim, Mi Na,Lee, Seung Kil,Doo, Yong Kyoon,Cho, Sam Rae,Choi, Jae-Wook 한국환경보건학회 2015 한국환경보건학회지 Vol.41 No.6

Objectives: Poisonous substances experts engage in policymaking regarding poisonous substances, whereas poisonous substances managers perform legal duties related to poisonous substances management systems at worksites. To understand and improve poisonous substances designation systems, it is necessary to distinguish the roles of these experts and managers. We further aimed to identify problems with poisonous substances appointment systems and provide basic data for their improvement by investigating the knowledge and recognition of the need for system improvement among managers and experts. Methods: To determine the $subjects^{\circ}{\emptyset}$ awareness of poisonous substances designation systems, a selfadministered questionnaire comprised of items on general characteristics and knowledge and recognition of the need for system improvement was issued. Data were analyzed via t-tests and ANOVA using SPSS v 16.0 Results: Regarding system comprehension, managers (n=213; mean 3.28, SD 0.63) significantly differed from experts (n=35; mean 4.08, SD 0.59) (P<0.001). No differences were found in recognition of need for improvement between managers (mean 3.11, SD 0.34) and experts (mean 3.24, SD 0.31). Significant differences in comprehension were found among managers by education level (P<0.05) and company size (P<0.05). Regarding industry type, comprehension was greater in the electrical/electronic and chemical/environmental industries compared to in other industries (P = 0.066). Comprehension was higher among those with five years or more of experience compared to those with less than five years. Regarding recognition of need for improvement, managers showed significant differences by company size (P<0.05). $Experts^{\circ}{\emptyset}$ comprehension showed no differences by general characteristics, while need for improvement differed according to work experience (P<0.001). Conclusion: The study found that the bigger the company size, the higher the level of comprehension by managers and the experts. In the case of both groups, where a higher comprehension of the poisonous substances designation system was evident, they recognized the necessity of its improvement.

직장인의 인터넷 건강정보에 대한 태도, e-헬스리터러시가 건강정보추구행동과 건강관련행위의도에 미치는 영향

김미나,유양숙,황경혜,조옥희 한국디지털정책학회 2019 디지털융복합연구 Vol.17 No.11

This study was to investigate the effects of workers’ attitudes to internet health information(AIHI), e-health literacy(eHL) on internet health information seeking behavior(IHISB) and health-related behavioral intention(HBI). 152 workers conducted the structured questionnaires from May to July 2017. Data analyzed by t-test, ANOVA, and multiple regression analysis. Factors affecting IHISB were identified to be eHL (β=.33, p<.011), and perceived usefulness for internet health information(PU)(β=.28, p=.002), and factors affecting HBI were identified to be PU(β=.33, p=.001), information utilization(IU)(β=.24, p=.003), and eHL(β=.18, p=.002). As above results, considering the eHL of workers, it is necessary to build an internet health information system and develop education program that increase IU. 본 연구의 목적은 직장인의 인터넷 건강정보에 대한 태도, e-헬스 리터러시가 건강정보 추구행동과 건강관련 행위의도에 미치는 영향을 파악하기 위함이다. 서울, 경기도, 충청도 거주하고 있는 직장인 152명에게 구조화된 설문지를 이용하여 조사하였다. 자료는 t-test, ANOVA, 다중회귀분석으로 분석하였다. 연구결과, 건강정보 추구행동 영향요인으로는 e-헬스 리터러시(β=.33, p<.011)와 인터넷 건강정보에 대한 지각된 유용성(β=.28, p=.002)이, 건강관련 행위의도 영향요인으로는 인터넷 건강정보에 대한 지각된 유용성(β=.33, p=.001)과 정보활용도(β=.24, p=.003), e-헬스 리터러시(β=.18, p=.002)가 확인되었다. 이상의 결과를 토대로 직장인의 e-헬스 리터러시를 고려하여 정보활용도를 높이는 인터넷 건강정보의 전달시스템 구축과 교육프로그램 개발이 필요하다.

지역사회 당뇨병 유병자에서 당뇨병 이환 기간에 따른 건강관리 지표의 차이: 2018년 지역사회건강조사 분석

김미나,이영훈 대한임상건강증진학회 2020 Korean Journal of Health Promotion Vol.20 No.3

Background: This study aimed to determine whether the levels of healthcare indicators vary according to the duration of diabetes in diabetic people. Methods: From the 2018 Korean Community Health Survey, a total of 20,113 diabetic people aged 40-79 years were analyzed. The distribution of people with diabetes and its corresponding diabetes duration were as follows: 34.9%, less than 4 years; 22.4%, 5-9 years; 18.9%, 10-14 years; 9.4%, 15-19 years; and 14.1%, more than 20 years. Outcome variables included eight health behavior indicators and seven diabetes management indicators. Results: After adjusting for the sociodemographic characteristics, the longer the duration of diabetes, the less alcohol drinking and the more influenza vaccination was availed, whereas the regular tooth brushing, perceived usual stress, and perceived depressive symptoms tended to be unhealthy. Smoking, regular walking, and utilizing food nutrition label did not differ based on the duration of diabetes. Moreover, blood glucose control was evaluated to be poorly controlled as the duration of diabetes lengthened; however, diabetes management education and medical institution services (glycated hemoglobin measurement, diabetic retinopathy screening, and diabetic nephropathy screening) tended to increase significantly. There was also no difference in relation to diabetes duration in the recognition of early symptoms of myocardial infarction and stroke, which are the major complications of diabetes. Conclusions: People with long-lasting diabetes are at a higher risk of developing diabetes-related complications; therefore, more active community strategies are needed to improve their health behavior. 연구배경: 본 연구는 지역사회 당뇨병 유병자를 대상으로당뇨병 이환 기간에 따라 건강관리 지표들의 수준 차이가있는지를 확인하고자 하였다. 방법: 지역사회건강조사 2018년 원자료에서 40-79세의 당뇨병 유병자 20,113명을 분석 대상으로 하였다. 당뇨병 이환기간에 따른 당뇨병 유병자의 분포는 4년 이하 34.9%, 5-9년22.4%, 10-14년 18.9%, 15-19년 9.4%, 20년 이상 14.1%였다. 결과변수인 건강관리 수준은 8개의 건강행태 지표와 7개의 당뇨병관리 지표로 평가하였다. 결과: 인구사회학적 변수들을 보정한 후 이환 기간이 길수록 연간 음주는 감소하고, 인플루엔자 예방접종은 증가하는 경향을 보인 반면, 규칙적 칫솔질 실천, 주관적 스트레스수준, 우울감 경험은 불건강해지는 경향을 보였다. 현재 흡연, 규칙적 걷기 실천, 영양표시 활용은 당뇨병 이환 기간에따른 차이가 없었다. 당뇨병 이환 기간이 길수록 본인 인지혈당 조절은 부정적인 경향이었지만, 당뇨병관리 교육 및당화혈색소검사, 당뇨병성 안질환 합병증검사, 당뇨병성 신장질환 합병증검사는 유의하게 증가하는 경향을 보였다. 당뇨병의 주요 합병증인 심근경색증 및 뇌졸중 조기증상에 대한 인지는 당뇨병 이환 기간에 따른 차이가 없었다. 결론: 당뇨병이 오래 지속되는 유병자들은 합병증 발생위험이 높은 고위험군이므로, 이들을 대상으로 건강행태 개선을 위한 보다 적극적인 지역사회 전략이 필요하다.

제도의 형성과 폐지-사무관특별채용제도를 중심으로

김미나 고려대학교 정부학연구소 2004 정부학연구 Vol.10 No.1

The main purpose of this study is to establish of a fact that a special appointment of an administrative official explains one of the factors during the historical formation and the special appointment institution for the Public Service Personnel. Especially, a special appointment of an administrative official shows a notable feature of institutional formation and termination. Therefore, I classify according to time that is three times; the stage of germination, the stage of formation and maintenance, the stage of termination. And I analyze about formational motive and the system of veins of the special appointment of an administrative official. One important findings is that an incidentally disposition rather than an institution with intention. Thus, an incidentally disposition during the formation of bureaucracy is a tendency of strengthening and continuation in process of time that Government solve problems more and more. In conclusion, this study of a case shows an institutionalization in differential process of the development of Bureaucracy in Korea. 1961년 5.16 군사쿠테타를 계기로 군인의 관료화가 등장하기 시작하면서, 유신체제 이후 주로 5급 공무원을 중심으로 사무관특별채용제도가 본격적으로 형성 및 유지되었다. 그후 얼마동안 지속되다가 1987년 6.29 민주항쟁을 계기로 제도가 전면 폐지되었다. 본 연구는 이러한 사무관특별채용제도의 형성 동인과 제도 변화의 과정을 분석하고 있다. 5.16 이후 집권한 박정희는 2년 반에 걸친 군정기간에 그들이 통치하기에 용이하도록 스스로의 규범(헌법 등)을 만들었고, 정권의 정당성을 보강하기 위해 기술관료와 군관료의 연합체제를 형성하였다. 그리고 산업경제발전의 국정목표를 달성하는 과정에서 군인 출신에 대한 특별채용을 지속적으로 확대하였다. 비록 1987년 6.29 이후 사무관특채제도는 폐지되었지만, 한국 관료제의 성장과정에서 그 파급효과는 아직까지도 공무원 사회에 남아있다.

코로나19 진단검사와 이용

김미나,김현수,배혜경,허희재,성흥섭 대한의료관련감염관리학회 2021 의료관련감염관리 Vol.26 No.2

Since the outbreak of COVID-19 in March 2020, the COVID-19 diagnostic test has become a critical means of national response. Laboratory diagnosis of patients with COVID-19 is essential for not only patient management but also understanding the epidemiology and preventing the spread of infection, such as contact tracing. Real-time reverse transcriptase polymerase chain reaction (RT-PCR), which amplifies and detects viral nucleic acids, is the gold standard for laboratory diagnosis of COVID-19. Currently, various real-time RT-PCR diagnostic kits are commercially available worldwide. Therefore, verifying the sensitivity and specificity of these kits plays an important role in determining their diagnostic value. However, in addition to RTPCR, the point-of-care test that is rapid and affordable by untrained individuals, antibody tests to monitor the immunological course of infected or vaccinated individuals, and large-scale sequencing of SARS-CoV-2 genome are technologies that are also needed in the long-term COVID-19 pandemic. As the COVID-19 pandemic situation intensifies, the need for various diagnostic tests has also increases, and there has been a quantum leap in quality and quantity. This review intends to present a comprehensive perspective on various diagnostic methods and appropriate use of tests approved by the Ministry of Food and Drug Safety in Korea and used for COVID-19 laboratory diagnosis.

Gender Differences in the Risk of Depression in Community-Dwelling Stroke Survivors Compared to the General Population without Stroke

김미나,이영훈 전남대학교 의과학연구소 2023 전남의대학술지 Vol.59 No.2

This study examined the gender-specific association between stroke status and depression in South Korea. A total of 5,746 men and 7,608 women aged ≥30 years who participated in the 2014, 2016, and 2018 Korea National Health and Nutrition Examination Survey were included in the analysis. The cross-sectional surveys targeted the general population consisting of nationally representative adults (≥19 years) residing in Korea. A 9-item Patient Health Questionnaire score of 10 or more was regarded as depression. A higher risk of depression in stroke survivors compared to the non-stroke population was not observed in men (odds ratio [OR], 1.51; 95% confidence intervals [CI], 0.82-2.81), while it was observed in women (OR, 2.49; 95% CI, 1.64-3.77). Compared to non-stroke women, women stroke survivors with a younger age at diagnosis (<60 years) (OR, 4.05; 95% CI, 2.28-7.20) and stroke with duration of ≥10 years (OR, 3.12; 95% CI, 1.63-5.97) had a higher risk for depression. Gender aspects should be more intensively considered in the association between stroke status and depression in community settings.

지역사회 치매 환자의 가족과 일반인의 수면의 질 비교: 지역사회건강조사 분석

김미나,이영훈 대한임상건강증진학회 2023 Korean Journal of Health Promotion Vol.23 No.3

연구 배경: 본 연구는 치매 환자 가족을 치매 환자와 따로살고 있는 가족구성원과 치매 환자와 집에서 함께 거주하는가족구성원으로 구분하여 이들의 수면의 질의 차이를 일반가족구성원과 비교하여 평가하였다. 방법: 2018년 지역사회건강조사 원자료를 활용하여 19세이상 성인 215,676명을 최종 분석 대상으로 하였다. 대상자는 ①치매동거가구원(치매 환자와 집에서 동거하는 가족구성원), ②치매비동거가구원(치매 환자와 동거하지 않는 가족구성원), ③일반가구원(가족 내 치매 환자가 없는 가족구성원)의 세 집단으로 분류하였다. 대상자의 수면의 질 평가는 ‘피츠버그 수면의 질 지수(Pittsburgh Sleep Quality Index)’ 도구를 이용하였으며, 점수가 5점을 초과하면 수면장애가 있는 것으로 판단하였다. 치매 환자 가족 분류와 수면 장애의 관련성을 파악하기 위해 로지스틱 회귀분석을 시행하여 교차비(odds ratio, OR)와 95% 신뢰구간(confidence interval, CI)을 산출하였다. 결과: 수면 장애의 유병률은 치매동거가구원(48.3%)이 가장 높았고, 다음으로 치매비동거가구원(40.7%), 일반가구원(38.8%)의 순이었다. 인구사회학적 특성과 건강 행태, 동반질환 변수를 보정한 후, 치매비동거가구원(OR, 1.22; 95% CI, 1.17-1.27)과 치매동거가구원(OR, 1.42; 95% CI, 1.31-1.54) 이 일반가구원에 비해 수면 장애 유병 위험이 유의하게 높았다. 결론: 본 연구는 현재 치매 환자와의 동거 여부에 관계없이 치매 환자 가족은 일반인에 비해 수면의 질이 낮음을 확인하였다. 지역사회에서 치매 관리를 위해서는 치매 환자뿐만 아니라 치매 환자 가족의 정신건강 관리 및 사회적 지원이 필요할 것이다 Background: This study aimed to examine the difference of sleep quality between family members of dementia patients and general population in community. Methods: Participants (n=215,676) aged 19 years and over in the 2018 Korea Community Health Survey were classified into three groups; family members living at home with a person with dementia (FHD; n=2,445), family members living separately from a person with dementia (FSD; n=9,132), and family members without a person with dementia in the family (FwoD; n=204,099). The Pittsburgh Sleep Quality Index greater than 6 points was regarded as poor sleep quality (PSQ). Multiple logistic regression analysis was used to explore the associations between living with dementia patients and PSQ. Results: The prevalence of PSQ was 48.3% in FHD, 40.7% in FSD, and 38.8% in FwoD. After adjusting for potential confounders, compared to FwoD, the odds ratio for PSQ was 1.42 (95% confidence interval [CI], 1.31-1.54) in FHD and 1.22 (95% CI, 1.17-1.27) in FSD. Additionally, almost all age- and sex-stratified family of dementia patients, except for the youngest (<40 years) men of FHD and the youngest (<40 years) men of FSD, had a higher risk for PSQ than FwoD. Conclusions: Both FHD and FSD have lower sleep quality than FwoD. Public psychological interventions and supports are needed to family members of dementia patients in the community

인도의 정치체제 및 거버넌스

김미나 한국행정학회 2009 한국행정학회 학술발표논문집 Vol.2009 No.-

다문화교육정책의 추진 체계 및 정책 기제 연구: 행위주체별 정책목표와 수단을 중심으로

김미나 숙명여자대학교 아시아여성연구원 2009 다문화사회연구 Vol.2 No.2