요양시설 치매노인의 배회 관리를 위한 시설기반 그룹 걷기 프로그램의 효과: 예비연구

송준아,박재원 노인간호학회 2011 노인간호학회지 Vol.13 No.1

Purpose: The purpose of this study was to do a preliminary examination of effects of an Institution-based Group Walking Program (IGWP) on affect and depression, wandering and other behavioral and psychological symptoms of dementia (BPSD), and sleep in persons with dementia (PWDs) who wander. Methods: This study used an A (baseline measure)- B (treatment condition)- A (baseline measure)- B (treatment condition) single case research design (n=10). Participants (mean MMSE=11.11±7.56; mean age=81±6.27) were encouraged to walk in a group along the pre-planned path every evening after supper for 30 minutes from Monday to Friday. Data were collected for four weeks: every day for affect and sleep; every week for wandering, BPSD, and depression. Using repeated measure ANOVA, within-subject effects and within-subject contrasts were evaluated. Results: Within-subject effect was found on wanderer's affect (F=12.73, p =.001), depression (F=5.26, p =.005), neuropsychiatric symptoms (F=5.87, p =.016), hours of sleep (F=3.99, p =.018), sleep efficiency (F=3.99, p =.018), and frequency of wake-ups during sleep (F=5.05, p =.007). Conclusion: Results of this study imply that a regular group walking program may be beneficial for improving affect, mood, and night time behavior of wanderers. Further studies with larger samples and longitudinal design are necessary to confirm the findings obtained in this study.

노인전문요양시설과 노인요양시설 치매노인의 환경적 특성과 배회 비교

송준아,임영미 노인간호학회 2009 노인간호학회지 Vol.11 No.1

Purpose: This study was done to compare wandering behavior of persons with dementia (PWDs) living in skilled (SNF) and general (GNF) nursing facilities. Methods: Ambulatory residents (N=160) with dementia were recruited from 6 SNF and 8 GNF and evaluated using the Korean Mini-Mental State Exam (K-MMSE), Korean Physical and Instrumental Activities of Daily Living (K-PIADL)and the Revised Algase Wandering Scale Nursing Home version (KRAWS- NH). Demographic and environmental data were obtained from a chart review. Chi-square tests, independent sample t-tests, and Mann-Whitney U tests were used to compare characteristics of residents, environment, and wandering behavior between SNF and GNF residents. Results: Except for use of antipsychotic drugs, there were no differences in demographic, cognitive, or physical characteristics between residents of SNF and GNF. For environmental characteristics, there were significant differences between residents of SNF and GNF for type and color of resident's room and living room, total number of residents and nurses in the facility, and total number of residents in a room. Overall and for six subscales of KRAWS-NH, higher scores were found for residents of GNF. Conclusions: Findings indicate a need to plan and establish nursing facilities that are eco-friendly to PWDs, especially those who exhibit wandering behavior.

치매의 행동심리증상이 요양시설 간호제공자의 부담감에 미치는 영향

송준아,박재원,김효진 노인간호학회 2013 노인간호학회지 Vol.15 No.1

Purpose: The purpose of this study was to identify the impact of behavioral and psychological symptoms of dementia (BPSD) on the burden of caregivers in nursing homes (NHs). Methods: The sample consisted of 145 dyads of persons with dementia (PWDs) (mean age=83.34±7.11; women 80.69%) and their caregivers (mean age=50.69±8.97; women 97.93%) conveniently selected from six NHs (≥50 beds). PWDs were evaluated using the Korean Mini-Mental Status Exam, Physical Activities of Daily Living, and Korean Cohen-Mansfield Agitation Inventory; and their demographic information was obtained by a chart review. Caregivers were asked to complete the Professional Caregiver Burden Scale and a questionnaire asking general characteristics. Data were analyzed using Pearson correlations, t-tests, ANOVAs, and hierarchical multiple regression analyses. Results: Multiple regression analyses revealed that caregivers’ age (β=-.27, p= .001), PWD’s length of stay in the facility (β=-.23, p= .006) and BPSD (β=.31, p<.001) significantly predicted caregiver burden (F=4.55, p<.001; adjusted R2=.18); and that BPSD was the strongest factor, independently adding 9% to total variance explanation power of the model. Conclusion: Replication studies using large random sample are necessary to confirm the findings of this study.

치매의 행동심리증상관리를 위한 웹기반 요양보호사 교육 프로그램 개발 및 효과

송준아,김효진,김유경,박재원 한국노인간호학회 2013 노인간호학회지 Vol.15 No.3

Purpose: The purpose of this study was to develop and evaluate a web-based education program designed for nursing home caregivers to improve their management of behavioral and psychological symptoms of dementia (WebEd-BPSD) exhibited by residents. Methods: Four sessions of WebEd-BPSD were developed and operated through a web server for 4 weeks. Caregivers who had worked for more than one month in the study nursing homes (N=6) were randomly assigned to either the experimental (N=37) or control group (N=30). Pre and posttests were performed for both groups to assess participants’ knowledge, self-efficacy, and perceived problem solving abilities regarding BPSD management. Only the experimental group was evaluated for program satisfaction. The data were analyzed using descriptive statistics, χ2-test, t-test, paired t-test. Results: The WebEd-BPSD was effective in increasing participants’ knowledge about BPSD management (t=2.87, p=.006) and self-confidence about problem solving (t=-2.08, p=.045), though not for self-efficacy or overall perceived problem solving abilities. Participants’ overall satisfaction with the WebEd-BPSD was generally high. Conclusion: The results indicate that the WebEd-BPSD is useful for improving nursing home caregivers' knowledge and perceived ability in BPSD management. However, replication studies with larger random samples are necessary to confirm the findings obtained from this study.

치매노인 정신행동증상 관리에 대한 노인요양시설

송준아,김유경,김효진 노인간호학회 2012 노인간호학회지 Vol.14 No.3

Purpose: The purpose of this study was to evaluate the need for education on behavioral and psychological symptoms of dementia (BPSD) for certified nursing caregivers (CNCs) in nursing homes (NHs). Methods: A convenience sample of 134 CNCs (mean age=53.63±6.44; Female 97.8%) working for more than one month in NHs (N=6) located in Seoul City or Kyoungi Province was recruited. Participants were asked to complete a questionnaire about the necessity and the importance of education about BPSD on a scale of 1 (never) to 5 (very much). Results: Highest scores for the necessity and the importance of education were for understanding of BPSD (mean score=4.38±.54, 4.35±.53, respectively) followed by understanding dementia and general management approaches for BPSD. The most necessary and important BPSDs identified for education were aggression and depression. The degree of necessity and importance of education differed significantly (p<.10) according to frequency of CNCs’ participation in education programs on dementia. Conclusion: Findings of this study provide a useful basis as to which areas of education would be helpful for CNCs working in NHs. Development of educational programs with various educational methods targeted to satisfy the educational needs identified in this study would be valuable.

특집기사 1 : “러시아의 방패”, 스몰렌스크를 다녀와서

송준서 한국외국어대학교 러시아연구소 2013 Russia & Russian Federation Vol.4 No.2

학술마당 : 특집기사; 러시아 중앙연방관구를 가다 : 솔로비요바 나루터의 전쟁 기억

송준서 한국외국어대학교 러시아연구소 2013 Russia & Russian Federation Vol.4 No.3

러시아와 포스트소비에트 신생독립국의 기념비 전쟁과 타자인식

송준서 ( Joonseo Song ) 한국외국어대학교(글로벌캠퍼스) 러시아연구소 2021 슬라브연구 Vol.37 No.1

소련 붕괴 이후 러시아를 ‘우리’에서 ‘남’으로 타자화한 포스트소비에트 신생독립국들은 국가정체성 정립 과정에서 2차 세계대전의 기억을 놓고 러시아와 충돌하면서 더 적극적으로 러시아 타자화 정책을 수행하였다. 하지만 그러한 정책이 해당 국가 국민의 러시아에 대한 타자인식을 동일한 정도로 강화시킨 것은 아니었다. 각국의 지정학적, 지경학적 특성에 따라 타자인식 정도는 상이했다. 반면 러시아의 경우 대조국전쟁의 기억은 1990년대를 거쳐 2000년대에 이르러 러시아 국민들 사이에 가장 신성한 집단기억으로 자리 잡았다. 따라서 러시아는 국가정체성의 근간인 그 기억을 모욕하는 국가에 대해 좌시하지 않고 기억 전쟁을 수행하였으며 러시아 국민들 사이에서는 해당 국가에 대한 타자의식이 높게 표출되었다. This paper examines the ways that Russia and the post-soviet independent nations conducted memory wars over the Soviet monuments of World War II in Estonia and Georgia, in the process of establishing their post-soveit national identities. In doing so, this study aims to answer the following questions: 1) how the policy of otherization in Estonia and Georgia affected the development of sense of otherness among citizens; 2) how Russian government and citizens reacted to the war of memory that those two former Soviet republics initiated. This study implies that the policy of otherization by the newly independent countries did not always yield a universal extent of popular support. The degree of recognition of Russia as “other” was different according to the geopolitical and geoeconomic characteristics of each country. Reacting to the denial of the Soviet war memory in Estonia and Georgia, Russia, which firmly had established the Soviet victory of World War II as the most sacred collective memory, conducted memory wars either by sending warnings of breaking diplomatic relations off or by restoring a demolished Soviet war monument in Moscow while the citizens of Russia expressed high sense of otherness toward those two former Soviet republics.

전후 스탈린 시기 사회주의적 경쟁의 퇴조와 ‘대협약’의 성립, 1944-1953

송준서(Song Joonseo) 한국슬라브유라시아학회 2009 슬라브학보 Vol.24 No.1

Drawing on the experiences of Magnitogorsk, a steel town in the Urals, and other heavy-industry enterprises and factories in the Cheliabinsk oblast of the Ural region, this case study examines Stalin regime's efforts to boost productivity after World War Ⅱ. Socialist competition that valued speed of labor and quantitative achievement was rejuvenated briefly in the early years of the war by the Stalin government; but competition began to lose its momentum again by the end of the war. Although the local party tried to emphasize the significance of competition, the factory officials and the technical personnel in Magnitogorsk depended much less on competition as a tool for raising productivity. Accordingly, workers' wage determination and the provision of incentives came to depend more on the significance of work in production rather than the extent of the achievement of output quotas. Surely these changes began to appear before the war, but came to be more consolidated after the war as the regime relied more on professionalization and rationalization than voluntarism to raise labor productivity. Under this circumstance, industrial managerial personnel's indifference to trainees in vocational schools and young unskilled workers was a very expectable consequence. During the hard times of the immediate postwar years, enterprise management "abandoned" the relatively easily replaceable work force. With the decline of voluntarism in production lines, workers were left with few practical chances to be promoted or to be better paid through governmental supported policies, such as the Stakhanovite movement. Not surprisingly, young and unskilled workers were the greatest victims of the Big Deal, characterized by the regime's preferential treatment of the technical intelligentsia.

New Records of Creeping Ctenophores, Genus Coeloplana (Tentaculata: Platyctenida: Coeloplanidae), from Korea

송준임,황성진,이상화,박중기 한국동물분류학회 2011 Animal Systematics, Evolution and Diversity Vol.27 No.1

Creeping ctenophores, Coeloplana species, were collected by SCUBA divers throughout the year (November 2006 to June 2010) from the branches and polyp masses of encrusting dendronephthyas at a depth of 20-32m off Munseom Island (Seogwipo-si, Jeju-do, Korea). A single individual of a newly recorded species in Korea,Coeloplana bocki Komai, 1920, was collected together with C. anthostella from the same location on 16 August 2009. A large number of individuals of each species were subsequently collected from the host Dendronephthya aff. dendritica on 20 June 2010. C. bocki can be distinguished from C. anthostella Song and Hwang, 2010and C. komaii Utinomi, 1963 by its unique blue and orange colored stripes, and/or the branching and anastomosing milky-white stripes encircling the aboral sense organ towards the margin. The detailed morphology and molecular sequence information (nuclear 18S rDNA, internal transcribed spacer 1, and mitochondrial cox1gene sequences) for C. bocki is provided, and C. bocki and C. anthostella are compared.